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动脉粥样硬化的影像学检查

Imaging of atherosclerosis.

作者信息

Takx Richard A P, Partovi Sasan, Ghoshhajra Brian B

机构信息

Cardiac MR PET CT Program, Harvard Medical School, Massachusetts General Hospital, 165 Cambridge Street, Suite 400, Boston, MA, 02114-2750, USA.

Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.

出版信息

Int J Cardiovasc Imaging. 2016 Jan;32(1):5-12. doi: 10.1007/s10554-015-0730-y. Epub 2015 Aug 4.

Abstract

Cardiovascular disease (CVD) is a major health concern worldwide and atherosclerosis is the main cause of CVD. Atherosclerosis is a systemic and chronic inflammatory disease, which is characterized by plaque formation and can affect different vascular beds. Imaging of atherosclerosis could guide therapeutic interventions. Ultrasound, computed tomography, magnetic resonance imaging (MRI), positron emission tomography (PET) and interventional angiography are the main imaging modalities available for the assessment of atherosclerotic burden and for potential prediction of future events. In addition, the introduction of new hybrid imaging techniques like PET/MRI allow for the simultaneous evaluation of anatomical and metabolic characteristics tissues. This article provides an overview of coronary and non-coronary atherosclerosis and summarizes the current understanding of different available imaging techniques. The integration of these techniques in clinical practice may allow for superior risk stratification and therapeutic planning as well as monitoring of interventional and medication based treatment strategies.

摘要

心血管疾病(CVD)是全球主要的健康问题,动脉粥样硬化是心血管疾病的主要原因。动脉粥样硬化是一种全身性慢性炎症性疾病,其特征是斑块形成,可影响不同的血管床。动脉粥样硬化成像可指导治疗干预。超声、计算机断层扫描、磁共振成像(MRI)、正电子发射断层扫描(PET)和介入血管造影是可用于评估动脉粥样硬化负担和预测未来事件的主要成像方式。此外,像PET/MRI这样的新型混合成像技术的引入,能够同时评估组织的解剖和代谢特征。本文概述了冠状动脉和非冠状动脉粥样硬化,并总结了目前对不同现有成像技术的理解。将这些技术整合到临床实践中,可能有助于进行更优的风险分层和治疗规划,以及监测基于介入和药物的治疗策略。

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