Division of Cardiology, The University of Texas Health Science Center, Audie L Murphy VA Hospital, San Antonio, TX, USA.
Curr Atheroscler Rep. 2013 Feb;15(2):304. doi: 10.1007/s11883-012-0304-6.
Although the prevalent approach in cardiology is largely "stenosis-centric," it has been long known that most acute coronary events are caused by apparently angiographically nonsignificant stenosis. This has led to a gradual paradigm shift from detection of significant stenosis to detection of lesion instability. A number of imaging modalities have been developed that help in this quest; however, none have been as promising as near-infrared spectroscopy used for detection of coronary plaque characteristics. In this article we discuss the various invasive imaging tools available to the interventional cardiologist, with special emphasis on near-infrared spectroscopy as a key emerging imaging technology.
尽管心脏病学的主流方法主要是以“狭窄为中心”，但长期以来人们一直知道，大多数急性冠状动脉事件是由明显无显著狭窄的病变引起的。这导致了从检测显著狭窄到检测病变不稳定性的逐渐范式转变。已经开发了许多成像方式来帮助实现这一目标；然而，没有一种方法像近红外光谱那样有前途，用于检测冠状动脉斑块特征。在本文中，我们讨论了介入心脏病学家可用的各种侵入性成像工具，特别强调近红外光谱作为一种关键的新兴成像技术。
