应用 T2 加权心血管磁共振成像技术检测猪颈动脉的急性血管损伤和水肿。

Determination of acute vascular injury and edema in porcine carotid arteries by T2 weighted cardiovascular magnetic resonance.

机构信息

Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital Skejby, Brendstrupsgaardsvej 100, Aarhus N 8200, Denmark.

出版信息

Int J Cardiovasc Imaging. 2012 Oct;28(7):1717-24. doi: 10.1007/s10554-011-9998-8. Epub 2011 Dec 27.

Abstract

Inflammation plays an essential role for destabilization and rupture of carotid atherosclerotic plaques causing embolic ischemic stroke. Inflammation of the vessel wall may result in the formation of edema. This study investigated whether edema in the carotid artery wall induced by acute balloon injury could be detected by cardiovascular magnetic resonance (CMR) using a T2-weighted short-tau inversion recovery sequence (T2-STIR). Edema was induced unilaterally by balloon injury in the carotid artery of six pigs. Four to nine days (average six) post injury, the carotid arteries were assessed by T2-STIR and multi-contrast weighted sequences. CMR images were matched to histopathology, validated against Evans blue, and correlated with the amount of fibrinogen in the arterial wall used as an edema marker. T2-STIR images showed that the carotid signal intensity (SI) divided by the sternocleid muscle SI of the injured carotid artery was on average 223% (P = 0.03) higher than that of the uninjured carotid artery. Using a threshold value of 4SD, T2-STIR detected edema in the vessel wall (i.e., hyperintense signal intensity) with a sensitivity of 100% and a specificity of 75%. Agreement was observed between carotid artery wall hyperintense signal intensity and Evans blue uptake (X(2) = 17.1, P < 0.001). The relative signal intensity correlated in a linear fashion with the amount of fibrinogen detected by histopathology (ρ = 0.9, P < 0.001). None of the multi-contrast weighted sequences detected edema in the carotid artery with reasonable sensitivity or specificity. T2-STIR CMR allowed carotid artery wall edema detection and may therefore be a useful non-invasive diagnostic tool for determination of inflammatory activity in the carotid artery wall.

摘要

炎症在不稳定和破裂颈动脉粥样硬化斑块导致栓塞性缺血性卒中中起着重要作用。血管壁的炎症可能导致水肿的形成。本研究使用 T2 加权短 tau 反转恢复序列(T2-STIR)探讨了急性球囊损伤诱导的颈动脉壁水肿是否可通过心血管磁共振(CMR)检测到。通过球囊损伤在六头猪的颈动脉中单侧诱导水肿。在损伤后 4 至 9 天(平均 6 天),使用 T2-STIR 和多对比度加权序列评估颈动脉。CMR 图像与组织病理学匹配,用 Evans 蓝进行验证,并与作为水肿标志物的动脉壁中纤维蛋白原的量相关。T2-STIR 图像显示,受伤颈动脉的颈动脉信号强度(SI)除以胸锁乳突肌 SI 的平均值为 223%(P = 0.03)高于未受伤颈动脉。使用 4SD 的阈值,T2-STIR 以 100%的灵敏度和 75%的特异性检测到血管壁水肿(即高信号强度)。颈动脉壁高信号强度与 Evans 蓝摄取之间存在一致性(X(2) = 17.1,P < 0.001)。相对信号强度与组织病理学检测到的纤维蛋白原量呈线性相关(ρ = 0.9,P < 0.001)。任何多对比度加权序列都无法以合理的灵敏度或特异性检测到颈动脉水肿。T2-STIR CMR 允许检测颈动脉壁水肿,因此可能是一种有用的非侵入性诊断工具,用于确定颈动脉壁的炎症活动。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索