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易损动脉粥样硬化斑块的磁共振成像:当前成像策略与分子成像探针

Magnetic resonance imaging of vulnerable atherosclerotic plaques: current imaging strategies and molecular imaging probes.

作者信息

Briley-Saebo Karen C, Mulder Willem J M, Mani Venkatesh, Hyafil Fabien, Amirbekian Vardan, Aguinaldo Juan Gilberto S, Fisher Edward A, Fayad Zahi A

机构信息

Imaging Science Laboratories, Department of Radiology, Mount Sinai School of Medicine, New York, New York, USA.

出版信息

J Magn Reson Imaging. 2007 Sep;26(3):460-79. doi: 10.1002/jmri.20989.

Abstract

The vulnerability or destabilization of atherosclerotic plaques has been directly linked to plaque composition. Imaging modalities, such as magnetic resonance (MR) imaging, that allow for evaluation of plaque composition at a cellular and molecular level, could further improve the detection of vulnerable plaque and may allow for monitoring the efficacy of antiatherosclerotic therapies. In this review we focus on MR imaging strategies for the detection and evaluation of atherosclerotic plaques and their composition. We highlight recent advancements in the development of MR pulse sequences, computer image analysis, and the use of commercially available MR contrast agents, such as gadopentic acid (Gd-DTPA), for plaque characterization. We also discuss molecular imaging strategies that are currently being used to design specific imaging probes targeted to biochemical and cellular markers of atherosclerotic plaque vulnerability.

摘要

动脉粥样硬化斑块的易损性或失稳与斑块成分直接相关。成像方式,如磁共振(MR)成像,能够在细胞和分子水平评估斑块成分,可进一步提高易损斑块的检测能力,并可能有助于监测抗动脉粥样硬化治疗的疗效。在本综述中,我们重点关注用于检测和评估动脉粥样硬化斑块及其成分的MR成像策略。我们强调了MR脉冲序列、计算机图像分析以及使用钆喷酸(Gd-DTPA)等市售MR造影剂进行斑块特征描述方面的最新进展。我们还讨论了目前用于设计针对动脉粥样硬化斑块易损性生化和细胞标志物的特异性成像探针的分子成像策略。

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