Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study Group and Expert Consensus Recommendations of the American Society of Neuroradiology

被引：244

作者：

Saba, L. ^{[1
]}

Yuan, C. ^{[2
]}

Hatsukami, T. S. ^{[3
]}

Balu, N. ^{[2
]}

Qiao, Y. ^{[4
]}

DeMarco, J. K. ^{[5
]}

Saam, T. ^{[6
]}

Moody, A. R. ^{[8
]}

Li, D. ^{[9
]}

Matouk, C. C. ^{[10
,11
,12
]}

Johnson, M. H. ^{[10
,11
,12
,13
]}

Jaeger, H. R. ^{[14
]}

Mossa-Basha, M. ^{[2
]}

Kooi, M. E. ^{[15
]}

Fan, Z. ^{[9
]}

Saloner, D. ^{[16
]}

Wintermark, M. ^{[17
]}

Mikulis, D. J. ^{[7
]}

Wasserman, B. A. ^{[4
]}

机构：

[1] Univ Cagliari, Dept Med Imaging, Cagliari, Italy

[2] Univ Washington, Dept Radiol, Seattle, WA 98195 USA

[3] Univ Washington, Dept Surg, Seattle, WA 98195 USA

[4] Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA

[5] Walter Reed Natl Mil Med Ctr, Dept Radiol, Bethesda, MD USA

[6] Ludwig Maximilian Univ Hosp, Dept Radiol, Munich, Germany

[7] Univ Toronto, Sunnybrook Hlth Sci Ctr, Univ Hlth Network, Div Neuroradiol,Dept Med Imaging, Toronto, ON, Canada

[8] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Med Imaging, Toronto, ON, Canada

[9] Cedars Sinai Med Ctr, Biomed Imaging Res Inst, Los Angeles, CA 90048 USA

[10] Yale Univ, Sch Med, Dept Neurosurg, Neurovasc Program, New Haven, CT USA

[11] Yale Univ, Sch Med, Dept Neurosurg, Stroke Program, New Haven, CT USA

[12] Yale Univ, Sch Med, Dept Radiol & Biomed Imaging, New Haven, CT USA

[13] Yale Univ, Sch Med, Dept Surg, New Haven, CT 06510 USA

[14] UCL, Inst Neurol, Neuroradiol Acad Unit, Dept Brain Repair & Rehabil, London, England

[15] Maastricht Univ, Med Ctr, CARIM Sch Cardiovasc Dis, Dept Radiol, Maastricht, Netherlands

[16] Univ Calif San Francisco, Dept Radiol & Biomed Imaging, San Francisco, CA 94143 USA

[17] Stanford Univ, Neuroradiol Div, Dept Radiol, Stanford, CA 94305 USA

来源：

AMERICAN JOURNAL OF NEURORADIOLOGY | 2018年 / 39卷 / 02期

关键词：

MULTIDETECTOR-ROW CT; ATHEROSCLEROTIC PLAQUE PROGRESSION; CONTRAST-ENHANCED ULTRASOUND; TURBO SPIN-ECHO; SURFACE IRREGULARITIES CORRELATE; RISK-ASSESSMENT STRATEGIES; TRANSIENT ISCHEMIC ATTACK; FISSURED FIBROUS CAP; RICH NECROTIC CORE; IN-VIVO MRI;

D O I：

10.3174/ajnr.A5488

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Identification of carotid artery atherosclerosis is conventionally based on measurements of luminal stenosis and surface irregularities using in vivo imaging techniques including sonography, CT and MR angiography, and digital subtraction angiography. However, histopathologic studies demonstrate considerable differences between plaques with identical degrees of stenosis and indicate that certain plaque features are associated with increased risk for ischemic events. The ability to look beyond the lumen using highly developed vessel wall imaging methods to identify plaque vulnerable to disruption has prompted an active debate as to whether a paradigm shift is needed to move away from relying on measurements of luminal stenosis for gauging the risk of ischemic injury. Further evaluation in randomized clinical trials will help to better define the exact role of plaque imaging in clinical decision-making. However, current carotid vessel wall imaging techniques can be informative. The goal of this article is to present the perspective of the ASNR Vessel Wall Imaging Study Group as it relates to the current status of arterial wall imaging in carotid artery disease.

引用

页码：E9 / E31

页数：23

共 224 条

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