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多层螺旋CT和彩色多普勒超声评价脑梗死患者颈动脉斑块 预览 被引量:15

Multi-slice spiral CT and CDFI evaluation of carotid artery atherosclerostic plaques in patients with cerebral infarction
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摘要 目的探讨多层螺旋CT血管成像(MSCTA)与彩色多普勒血流显像(CDFI)在评价脑梗死患者颈动脉粥样硬化病变中的价值。方法对195例脑梗死患者在7天内行颈动脉CDFI和MSCTA检查。分别对颈动脉分叉部内-中膜厚度(IMT)/管壁厚度(CAWT)、斑块表面形态学特征、密度、体积进行分析,将病变分为管壁增厚、稳定斑块和易损斑块。结果 195例患者390处颈动脉分叉部血管纳入分析。MSCTA:正常血管71处(18.21%);CAWT增厚87处(22.31%);斑块232处(59.49%),其中稳定斑块140处(35.90%),易损斑块92处(23.59%)(包括溃疡型斑块5处)。CDFI:正常血管80处(20.51%);IMT增厚86处(22.05%);斑块224处(57.44%),其中稳定斑块136处(34.87%),易损斑块88处(22.56%)(包括溃疡型斑块4处)。MSCTA与CDFI对脑梗死患者颈动脉粥样硬化病变评价的一致性为72.60%(Kappa=0.63,P〈0.05)。结论 MSCTA与CDFI对评价脑梗死患者颈动脉粥样硬化病变具有较好的一致性。颈动脉CDFI应作为首选检查,经CDFI检查存在血管病变者应常规接受MSCTA检查。 Objective To explore the value of multi-slice spiral computed tomography angiography (MSCTA) and color Doppler flow imaging (CDFI) in evaluation of carotid artery atherosclerostic plaques in patients with cerebral infarction. Methods Totally 195 consecutive patients with cerebral infarction were enrolled. All patients underwent examinations of carotid artery with both MSCTA and CDFI within 7 days. Intima-media thickness (IMT)/carotid artery wall thickness (CAWT),and the surface morphology,density,volume of the atherosclerotic plaques were analyzed. The results were divided into 4 types including normal,IMT/CAWT thickening,stable plaque and vulnerable plaque. Results A total of 390 carotid arteries were analyzed. MSCTA showed 71 (18.21%) normal,87 (22.31%) CAWT thickeningm 232 (59.49%) plaques including 140 (35.90%) stable plaques and 92 (23.59%) vulnerable plaques (ulcerated of 5). CDFI showed 80 (20.51%) normal,86 (22.05%) IMT thickening,224 (57.44%) plaques including 136 (34.87%) stable plaques and 88 (22.56%) vulnerable plaques (ulcerated of 4). The overall concordance of morphology characteristic of carotid artery between both MSCTA and CDFI was 72.60% (Kappa=0.63,P0.05). Conclusion MSCTA has good agreement with CDFI in assessing carotid atherosclerosis in patients with cerebral infarction. CDFI can be used as the first choice of the carotid artery imaging,while MSCTA should be routine examination in patients with vascular lesion found with CDFI.
作者 李炯佾 杨呈伟 冯沁 吴文辉 闫朝武 徐伟 张浩 宋会军 曹文娟 杨晶 LI Jiong-yi,YANG Cheng-wei,FENG Qin,WU Wen-hui,YAN Chao-wu,XU Wei,ZHANG Hao,SONG Hui-jun,CAO Wen-juan,YANG Jing(1.Department of Radiology,Qingdao Fuwai Cardiovascular Hospital,Qingdao 266034,China;2.Department of Radiology,Fuwai Hospital & Cardiovascular Institute,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100037,China)
出处 《中国医学影像技术》 CSCD 北大核心 2010年第10期1859-1863,共5页 Chinese Journal of Medical Imaging Technology
基金 青岛市医药科研指导计划(2009-WSZD077)
关键词 动脉粥样硬化 颈动脉 体层摄影术 X线计算机 超声检查 多普勒 彩色 Atherosclerosis Carotid arteries Tomography X-ray computed Ultrasonography Doppler color
作者简介 李炯佾(1966-),男,上海人,硕士,副主任医师。研究方向:心脑血管影像诊断和介入治疗。E-mail:gy_ljy@sina.com [通讯作者]杨呈伟,青岛阜外心血管病医院放射科,266034。E-mail:fuwairen@hotmail.com
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参考文献17

  • 1Talelli P,Terzis G,Katsoulas G,et al.Recurrent stroke:the role of common carotid artery intima-media thickness.J Clin Neurosci,2007,14(11):1067-1072. 被引量:1
  • 2Nandalur KR,Burskurt E,Hagspiel KD,et al.Calcified carotid atherosclerotic plaque is associated less with ischemic symptoms than is noncalcified plaque on MDCT.AJR Am J Roentgenol,2005,184(1):295-298. 被引量:1
  • 3王瑞(综述),张兆琪(审校).颈动脉斑块无创性影像学评价研究进展[J].中国医学影像技术,2009(4):705-708. 被引量:11
  • 4Saba L,Sanfilippo R,Pascalis L,et al.Carotid artery wall thickness and ischemic symptoms:evaluation using multi-detector-row CT angiography.Eur Radiol,2008,18(9):1962-1971. 被引量:1
  • 5Saba L,Sanfilippo R,Montisci R,et al.Carotid artery wall thickness:comparison between sonography and multi-detector row CT angiography.Neuroradiology,2010,52(2):75-82. 被引量:1
  • 6Tegos TJ,Sabetai MM,Nicolades AN,et al.Patterns computed tomography infarction and carotid plaque echogenicity.J Vasc Surg,2001,33(2):334-339. 被引量:1
  • 7Naghavi M,Libby P,Falk E,et al.From vulnerable plaque to vulnerable patient:a call for new definitions and risk assessment strategies:PartⅠ.Circulation,2003,108(14):1664-1672. 被引量:1
  • 8Spence JD.Technology insight:ultrasound measurement of carotid plaque:patient management,genetic research,and therapy evaluation.Nat Clin Pract Neurol,2006,2(11):611-619. 被引量:1
  • 9Takaya N,Yuan C,Chu B,et al.Association between carotid plaque characteristics and subsequent ischemic cerebrovascular events:a prospective assessment with MRI-initial results.Stroke,2006,37(3):818-823. 被引量:1
  • 10Gronholdt ML.Ultrasound and lipoproteins as pridictors of lipid rich,rupture prone plaques in the carotid artery.Arterioscler Thromb Vasc Biol,1999,19(1):2-13. 被引量:1

二级参考文献72

  • 1杜继臣,杨旭,蒲传强,牛小媛,魏利华.缺血性脑血管病患者颈动脉颅外段动脉粥样硬化的临床特征[J].临床神经病学杂志,2007,20(1):1-4. 被引量:36
  • 2Albers GW, Amarenco P, Easton JD, et al. Antithrombotic and thromholytic therapy for ischemic stroke: the seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest, 2004, 126(Suppl 3) : S483-S512. 被引量:1
  • 3Redgrave JN, Lovett JK, Gallagher PJ, et al. Histological assessment of 526 symptomatic carotid plaques in relation to the nature and timing of ischemic symptoms : the Oxford plaque study. Circulation, 2006,113(19) :2320-2328. 被引量:1
  • 4Takaya N, Yuan C, Chu B, et al. Presence of intraplaque hemorrhage stimulates progression of carotid atherosclerotic plaques: a high-resolution magnetic resonance imaging study. Circulation, 2005,111(21) :2768-2775. 被引量:1
  • 5Prabhakaran S, Rundek T, Ramas R, et al. Carotid plaque surface irregularity predicts ischemic stroke: the northern Manhattan study. Stroke, 2006,37(16):2696-2701. 被引量:1
  • 6Lal BK, Hobson RW 2nd, Hameed M, et al. Noninvasive identification of the unstable carotid plaque. Ann Vasc Surg, 2006, 20 (2):167 -174. 被引量:1
  • 7Sztajzel R, Momjian S, Momjian-Mayor I, et al. Stratified Gray- Scale Median analysis and color mapping of the carotid plaque : correlation with endartereetomy specimen histology of 28 patients. Stroke, 2005,36(4) :741 -745. 被引量:1
  • 8Kono Y, Pinnell SP, Sirlin CB, et al. Carotid arteries: contrast-enhanced US angiography-preliminary clinical experience. Radiology, 2004,230(2): 561-568. 被引量:1
  • 9Coli S, Magnoni M, Sangiorgi G, et al. Contrast enhanced ultrasound imaging of intraplaque neovascularization in carotid arteries. J Am Coll Cardiol, 2008,52(3):223-230. 被引量:1
  • 10de Weert TT, Ouhlous M, Meijering E, et al. In vivo characterization and quantification of atherosclerotic carotid plaque components with multidetector computed tomography and histopathological correlation. Arterioscler Thromh Vasc Biol, 2006, 26(10): 2366 -2372. 被引量:1

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