采用磁化准备梯度回波成像对全弓置换患者的高危主动脉斑块进行术前评估
Preoperative Assessment of High-Risk Aortic Plaque by Magnetization-Prepared Rapid Acquisition with Gradient-Echo Imaging in a Patient with Total Arch Replacement.
作者信息
Seike Yoshimasa, Minatoya Kenji, Sasaki Hiroaki, Tanaka Hiroshi, Itonaga Tatsuya, Oda Tatsuya, Inoue Yosuke, Noguchi Teruo, Ishibashi-Ueda Hatsue, Kobayashi Junjiro
机构信息
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
出版信息
Ann Vasc Dis. 2015;8(4):337-9. doi: 10.3400/avd.cr.15-00080. Epub 2015 Nov 27.
Abstract
We present a case of a 70-year-old male who underwent surgical repair of an aortic arch aneurysm. Preoperative assessment of high-risk aortic plaque was performed using magnetization-prepared rapid acquisition with gradient-echo (MPRAGE) imaging. This preoperative image was compared with a histological analysis of plaque specimens from the aortic arch and neck vessels. A high signal intensity on MPRAGE images coincided with intraplaque hemorrhage. MPRAGE, which could detect a fragile plaque in the aorta, could be a powerful modality to prevent intraoperative stroke during cardiovascular surgery.
摘要
我们报告一例70岁男性接受主动脉弓动脉瘤手术修复的病例。术前使用磁化准备快速梯度回波（MPRAGE）成像对高危主动脉斑块进行评估。将该术前图像与主动脉弓和颈部血管斑块标本的组织学分析进行比较。MPRAGE图像上的高信号强度与斑块内出血一致。MPRAGE能够检测主动脉中的易损斑块，可能是预防心血管手术中术中中风的有力手段。
相似文献
1
Preoperative Assessment of High-Risk Aortic Plaque by Magnetization-Prepared Rapid Acquisition with Gradient-Echo Imaging in a Patient with Total Arch Replacement.采用磁化准备梯度回波成像对全弓置换患者的高危主动脉斑块进行术前评估
Ann Vasc Dis. 2015;8(4):337-9. doi: 10.3400/avd.cr.15-00080. Epub 2015 Nov 27.
2
Associations of High Intensities on Magnetization-Prepared Rapid Acquisition with Gradient Echo with Aortic Complicated Lesions in Ischemic Stroke Patients.磁化准备快速采集梯度回波与缺血性脑卒中患者主动脉复杂病变的高强度关联。
Cerebrovasc Dis. 2019;47(1-2):15-23. doi: 10.1159/000497068. Epub 2019 Feb 14.
3
Assessment of necrotic core with intraplaque hemorrhage in atherosclerotic carotid artery plaque by MR imaging with 3D gradient-echo sequence in patients with high-grade stenosis. Clinical article.高狭窄程度患者应用 3D 梯度回波序列磁共振成像评估动脉粥样硬化性颈动脉斑块内的坏死核心伴斑块内出血。临床文章。
J Neurosurg. 2010 Oct;113(4):890-6. doi: 10.3171/2010.3.JNS091057.
4
Association of carotid intraplaque hemorrhage and territorial acute infarction in patients with acute neurological symptoms using carotid magnetization-prepared rapid acquisition with gradient-echo.利用颈动脉磁化准备快速梯度回波采集技术，对有急性神经症状患者的颈动脉斑块内出血与局部急性梗死之间的关联进行研究。
J Korean Neurosurg Soc. 2015 Feb;57(2):94-9. doi: 10.3340/jkns.2015.57.2.94. Epub 2015 Feb 26.
5
Carotid magnetization-prepared rapid acquisition with gradient-echo signal is associated with acute territorial cerebral ischemic events detected by diffusion-weighted MRI.颈动脉磁化准备快速采集梯度回波信号与弥散加权 MRI 检测到的急性区域性脑缺血事件相关。
Circ Cardiovasc Imaging. 2012 May 1;5(3):376-82. doi: 10.1161/CIRCIMAGING.111.967398. Epub 2012 Apr 11.
6
Flow independent black blood imaging with a large FOV from the neck to the aortic arch: A feasibility study at 3 tesla.从颈部到主动脉弓的大视野血流独立黑血成像：3特斯拉的可行性研究
Magn Reson Imaging. 2024 May;108:77-85. doi: 10.1016/j.mri.2024.02.001. Epub 2024 Feb 6.
7
Identification of carotid lipid-rich necrotic core and calcification by 3D magnetization-prepared rapid acquisition gradient-echo imaging.通过三维磁化准备快速采集梯度回波成像识别颈动脉富含脂质的坏死核心和钙化。
Magn Reson Imaging. 2018 Nov;53:71-76. doi: 10.1016/j.mri.2018.07.004. Epub 2018 Jul 17.
8
Motion-insensitive carotid intraplaque hemorrhage imaging using 3D inversion recovery preparation stack of stars (IR-prep SOS) technique.使用三维反转恢复准备的星形堆叠（IR-prep SOS）技术进行运动不敏感的颈动脉斑块内出血成像。
J Magn Reson Imaging. 2017 Feb;45(2):410-417. doi: 10.1002/jmri.25365. Epub 2016 Jul 7.
9
Quantification of Carotid Intraplaque Hemorrhage: Comparison between Manual Segmentation and Semi-Automatic Segmentation on Magnetization-Prepared Rapid Acquisition with Gradient-Echo Sequences.颈动脉斑块内出血的定量分析：基于磁化准备快速梯度回波序列的手动分割与半自动分割的比较
Diagnostics (Basel). 2019 Nov 11;9(4):184. doi: 10.3390/diagnostics9040184.
10
Non-contrast-enhanced magnetic resonance venography using magnetization-prepared rapid gradient-echo (MPRAGE) in the preoperative evaluation of living liver donor candidates: Comparison with conventional computed tomography venography.利用磁化准备快速梯度回波序列（MPRAGE）的非增强磁共振静脉成像在活体肝供体候选者术前评估中的应用：与传统计算机断层扫描静脉成像的比较
Eur J Radiol. 2017 May;90:89-96. doi: 10.1016/j.ejrad.2017.02.028. Epub 2017 Feb 21.
引用本文的文献
1
Early results of total arch replacement under partial sternotomy.部分胸骨切开术下行全弓置换术的早期结果
Gen Thorac Cardiovasc Surg. 2018 Jun;66(6):327-333. doi: 10.1007/s11748-018-0913-2. Epub 2018 Mar 29.
本文引用的文献
1
What is the best strategy for brain protection in patients undergoing aortic arch surgery? A single center experience of 636 patients.在主动脉弓手术患者中，什么是最佳的脑保护策略？单中心 636 例患者的经验。
Ann Thorac Surg. 2012 May;93(5):1502-8. doi: 10.1016/j.athoracsur.2012.01.106. Epub 2012 Apr 4.
2
Aortic arch occlusion technique using a balloon during open proximal anastomosis.在开放性近端吻合术中使用球囊的主动脉弓阻断技术。
Gen Thorac Cardiovasc Surg. 2012 Apr;60(4):247-8. doi: 10.1007/s11748-011-0828-7. Epub 2012 Mar 28.
3
Characterization of atherosclerotic plaque of carotid arteries with histopathological correlation: vascular wall MR imaging vs. color Doppler ultrasonography (US).颈动脉粥样硬化斑块的特征及其组织病理学相关性：血管壁磁共振成像与彩色多普勒超声检查对比
J Magn Reson Imaging. 2008 Aug;28(2):478-85. doi: 10.1002/jmri.21250.
4
Association between signal hyperintensity on T1-weighted MR imaging of carotid plaques and ipsilateral ischemic events.颈动脉斑块T1加权磁共振成像信号高强化与同侧缺血性事件之间的关联。
AJNR Am J Neuroradiol. 2007 Feb;28(2):287-92.
5
Pathology of the thin-cap fibroatheroma: a type of vulnerable plaque.薄帽纤维粥样瘤的病理学：一种易损斑块类型。
J Interv Cardiol. 2003 Jun;16(3):267-72. doi: 10.1034/j.1600-0854.2003.8042.x.
6
Prevalence of complicated carotid atheroma as detected by magnetic resonance direct thrombus imaging in patients with suspected carotid artery stenosis and previous acute cerebral ischemia.在疑似颈动脉狭窄和既往有急性脑缺血的患者中，通过磁共振直接血栓成像检测到的复杂性颈动脉粥样硬化的患病率。
Circulation. 2003 Jun 24;107(24):3053-8. doi: 10.1161/01.CIR.0000074204.92443.37. Epub 2003 Jun 9.
7
Characterization of complicated carotid plaque with magnetic resonance direct thrombus imaging in patients with cerebral ischemia.脑缺血患者中应用磁共振直接血栓成像对复杂颈动脉斑块的特征分析
Circulation. 2003 Jun 24;107(24):3047-52. doi: 10.1161/01.CIR.0000074222.61572.44. Epub 2003 Jun 9.
Zotero 插件