引用本文:梁冬玲,冯汝静,邓德茂.慢性颈内动脉闭塞患者血管斑块和脑血流动力学评估的MRI研究新进展[J].中国临床新医学,2023,16(4):342-347.
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慢性颈内动脉闭塞患者血管斑块和脑血流动力学评估的MRI研究新进展
梁冬玲,冯汝静,邓德茂
530001 南宁,广西中医药大学研究生院(梁冬玲);530021 南宁,广西壮族自治区人民医院(广西医学科学院)放射科(冯汝静,邓德茂)
摘要:
[摘要] 慢性颈内动脉闭塞(CICAO)是缺血性卒中的常见原因之一。随着磁共振成像(MRI)设备的不断更新及技术发展,可用的MRI序列越来越多,特别是对CICAO患者的血管斑块及脑血流动力学的评估,有更多MRI新序列可选择。但这些评估序列成像时间较长,且在具体临床应用中各有特点,扫描规范尚未形成;血管斑块及脑血流动力学的定量评估体系仍在完善。文章对近年来评估CICAO的MRI研究作一综述,以期对血管斑块和脑血流动力学评估进行归纳,为CICAO的临床诊疗提供更好的参考。
关键词:  慢性颈内动脉闭塞  高分辨血管壁磁共振成像  脑血流动力学
DOI:10.3969/j.issn.1674-3806.2023.04.07
分类号:R 445.2
基金项目:国家自然科学基金项目(编号:82060315);广西卫生健康委科研课题(编号:Z20200020);广西重点研发计划项目(编号:
桂科AB22080053)
Recent advances in MRI studies on evaluation of vascular plaques and cerebral hemodynamics in patients with chronic internal carotid artery occlusion
LIANG Dong-ling, FENG Ru-jing, DENG De-mao
Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China
Abstract:
[Abstract] Chronic internal carotid artery occlusion(CICAO) is one of the common causes of ischemic stroke. With the continuous update of magnetic resonance imaging(MRI) equipments and the development of technology, more and more MRI sequences are available, especially for the evaluation of vascular plaques and cerebral hemodynamics in patients with CICAO, more new MRI sequences are selectable. However, the imaging time of these evaluation sequences is relatively long, and they have their own characteristics in specific clinical applications. Scanning specifications have not yet been developed. Additionally, the quantitative evaluation system of vascular plaques and cerebral hemodynamics remains to be improved. This paper reviews the MRI studies on the evaluation of CICAO in recent years, aiming to summarize the evaluation of vascular plaques and cerebral hemodynamics and provide better reference for clinical diagnosis and treatment of CICAO.
Key words:  Chronic internal carotid artery occlusion(CICAO)  High-resolution vessel wall magnetic resonance imaging  Cerebral hemodynamics