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颈动脉疾病中颈动脉的结构特性——一项回顾性计算机断层扫描血管造影研究

The structural properties of carotid arteries in carotid artery diseases - a retrospective computed tomography angiography study.

作者信息

Özdemir Halil İbrahim

机构信息

Department of Radiology, Ege University, Faculty of Medicine, Bornova/Izmir, Turkey.

出版信息

Pol J Radiol. 2020 Feb 10;85:e82-e89. doi: 10.5114/pjr.2020.93367. eCollection 2020.

DOI:10.5114/pjr.2020.93367
PMID:32467741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7247020/
Abstract

PURPOSE

Aim of the study was to find answers to the following questions: What haemodynamic changes may occur in patients with stenotic, aneurysmal, dissection of the carotid artery and its branches? How do these changes differ in patients with normal and carotid disease?

MATERIAL AND METHODS

In order to achieve this aim, the cranio-cervical CT angiography images of patients who were referred to our clinic for any reason and received the diagnosis of carotid stenosis, carotid dissection, and extra or intracranial aneurysm were reviewed retrospectively.

RESULTS

Significant differences were detected in the carotid arteries of normal patients and those with aneurysm and dissection. When normal and aneurismal patients were compared, right and left ICA diameters ( = 0.000, = 0.002, respectively), total ICA diameters ( = 0.000), carotid left Ø diameters ( = 0.026), right and left total Ø diameters ( = 0.024), and Murray's and our cosine values of Ø angles ( = 0.001 and p = 0.022, respectively) were found to be different. Also, in a comparison made between normal patients and patients with dissection, right CCA ( = 0.000), ICA ( = 0.001), ECA ( = 0.004) diameters, total CCA ( = 0.001), ICA ( = 0.009), and ECA ( = 0.003) diameters were also found to be different.

CONCLUSIONS

This study showed that the presence of aneurysm plays an important role in the remodelling of the carotid arteries. Also, it is understood that Murray's laws are still valid for the detection of structural deterioration in carotid artery diseases. Hence, it is believed that these data can be used in artificial intelligence studies.

摘要

目的

本研究的目的是回答以下问题：患有颈动脉及其分支狭窄、动脉瘤、夹层的患者可能会发生哪些血流动力学变化？这些变化在正常患者和患有颈动脉疾病的患者中有何不同？

材料与方法

为实现这一目标，回顾性分析了因任何原因转诊至我院并被诊断为颈动脉狭窄、颈动脉夹层以及颅外或颅内动脉瘤的患者的颅颈CT血管造影图像。

结果

在正常患者与患有动脉瘤和夹层的患者的颈动脉中检测到显著差异。比较正常患者和患有动脉瘤的患者时，发现右侧和左侧颈内动脉直径（分别为 = 0.000， = 0.002）、颈内动脉总直径（ = 0.000）、左侧颈动脉Ø直径（ = 0.026）、右侧和左侧总Ø直径（ = 0.024）以及Ø角的Murray值和我们的余弦值（分别为 = 0.001和p = 0.022）存在差异。此外，在正常患者与患有夹层的患者的比较中，还发现右侧颈总动脉（ = 0.000）、颈内动脉（ = 0.001）、颈外动脉（ = 0.004）直径、颈总动脉总直径（ = 0.001）、颈内动脉（ = 0.009）和颈外动脉（ = 0.003）直径也存在差异。

结论

本研究表明，动脉瘤的存在在颈动脉重塑中起重要作用。此外，可以理解，Murray定律在检测颈动脉疾病的结构恶化方面仍然有效。因此，相信这些数据可用于人工智能研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/1d9a5820bf97/PJR-85-40004-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/0eb752fee09c/PJR-85-40004-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/ea4d96e6f4d3/PJR-85-40004-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/a9d33ff80d02/PJR-85-40004-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/183f0664e1e5/PJR-85-40004-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/f7e3632a5c2c/PJR-85-40004-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/1d9a5820bf97/PJR-85-40004-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/0eb752fee09c/PJR-85-40004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/7c9dd7ba0d7d/PJR-85-40004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/54f44984e8c9/PJR-85-40004-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/4c449321c394/PJR-85-40004-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/ea4d96e6f4d3/PJR-85-40004-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/a9d33ff80d02/PJR-85-40004-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/183f0664e1e5/PJR-85-40004-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/f7e3632a5c2c/PJR-85-40004-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8985/7247020/1d9a5820bf97/PJR-85-40004-g009.jpg

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