Vulnerable Atherosclerotic Carotid Plaque Evaluation by Ultrasound, Computed Tomography Angiography, and Magnetic Resonance Imaging: An Overview

被引：46

作者：

Naim, Cyrille ^{[1
,2
,3
]}

Douziech, Maxime ^{[1
]}

Therasse, Eric ^{[1
]}

Robillard, Pierre ^{[1
]}

Giroux, Marie-France ^{[1
]}

Arsenault, Frederic ^{[1
]}

Cloutier, Guy ^{[1
,2
,3
]}

Soulez, Gilles ^{[1
,2
,3
]}

机构：

[1] Univ Montreal, Dept Radiol Radiooncol & Med Nucl, Montreal, PQ, Canada

[2] Ctr Hosp Univ Montreal, Res Ctr, Montreal, PQ, Canada

[3] Univ Montreal, Montreal, PQ, Canada

来源：

CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES | 2014年 / 65卷 / 03期

关键词：

Carotid artery plaque; Atherosclerotic plaque; Vulnerable plaque; Ultrasound; Noninvasive vascular elastography; Multidetector computed tomography angiography; Magnetic resonance imaging; MULTIDETECTOR ROW CT; ISCHEMIC CEREBROVASCULAR EVENTS; CONTRAST-ENHANCED ULTRASOUND; HIGH-RESOLUTION MRI; IN-VIVO ACCURACY; INTRAPLAQUE HEMORRHAGE; FIBROUS CAP; HIGH-RISK; ARTERY STENOSIS; QUANTIFICATION;

D O I：

10.1016/j.carj.2013.05.003

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Ischemic syndromes associated with carotid atherosclerotic disease are often related to plaque rupture. The benefit of endarterectomy for high-grade carotid stenosis in symptomatic patients has been established. However, in asymptomatic patients, the benefit of endarterectomy remains equivocal. Current research seeks to risk stratify asymptomatic patients by characterizing vulnerable, rupture-prone atherosclerotic plaques. Plaque composition, biology, and biomechanics are studied by noninvasive imaging techniques such as magnetic resonance imaging, computed tomography, ultrasound, and ultrasound elastography. These techniques are at a developmental stage and have yet to be used in clinical practice. This review will describe noninvasive techniques in ultrasound, magnetic resonance imaging, and computed tomography imaging modalities used to characterize atherosclerotic plaque, and will discuss their potential clinical applications, benefits, and drawbacks.

引用

页码：275 / 286

页数：12

共 87 条

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