Porcu Michele, Anzidei Michele, Suri Jasjit S, A Wasserman Bruce, Anzalone Nicoletta, Lucatelli Pierleone, Loi Federico, Montisci Roberto, Sanfilippo Roberto, Rafailidis Vasileios, Saba Luca
Department of Medical Imaging, AOU of Cagliari, University of Cagliari, Cagliari, Italy.
Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy.
J Neuroradiol. 2020 Nov;47(6):464-472. doi: 10.1016/j.neurad.2019.03.009. Epub 2019 Apr 4.
Intraplaque hemorrhage (IPH) is one of the main factors involved in atherosclerotic plaque (AP) instability. Its recognition is crucial for the correct staging and management of patients with carotid artery plaques to limit ischemic stroke. Imaging plays a crucial role in identifying IPH, even if the great variability of intraplaque vascularization and the limitations of our current imaging technologies make it difficult. The intent of this review is to give a general overview of the main features of intraplaque vascularization and IPH on Ultrasound (US), Computed Tomography (CT), Magnetic Resonance (MR) and Nuclear Medicine, and a brief description on the future prospectives.
斑块内出血（IPH）是动脉粥样硬化斑块（AP）不稳定的主要因素之一。其识别对于颈动脉斑块患者的正确分期和管理以限制缺血性卒中至关重要。成像在识别IPH中起着关键作用，尽管斑块内血管形成的巨大变异性以及我们当前成像技术的局限性使其变得困难。本综述的目的是对超声（US）、计算机断层扫描（CT）、磁共振（MR）和核医学上斑块内血管形成和IPH的主要特征进行总体概述，并对未来前景作简要描述。
