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美国超声心动图学会关于颈动脉斑块超声评估用于动脉粥样硬化特征分析和心血管风险评估的建议。

Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography.

机构信息

Queen's University, Kingston, Ontario, Canada.

Baylor College of Medicine, Houston, Texas.

出版信息

J Am Soc Echocardiogr. 2020 Aug;33(8):917-933. doi: 10.1016/j.echo.2020.04.021. Epub 2020 Jun 27.

DOI:10.1016/j.echo.2020.04.021
PMID:32600741
Abstract

Atherosclerotic plaque detection by carotid ultrasound provides cardiovascular disease risk stratification. The advantages and disadvantages of two-dimensional (2D) and three-dimensional (3D) ultrasound methods for carotid arterial plaque quantification are reviewed. Advanced and emerging methods of carotid arterial plaque activity and composition analysis by ultrasound are considered. Recommendations for the standardization of focused 2D and 3D carotid arterial plaque ultrasound image acquisition and measurement for the purpose of cardiovascular disease stratification are formulated. Potential clinical application towards cardiovascular risk stratification of recommended focused carotid arterial plaque quantification approaches are summarized.

摘要

颈动脉超声检测动脉粥样硬化斑块可进行心血管疾病风险分层。本文回顾了二维(2D)和三维(3D)超声方法在颈动脉动脉斑块定量方面的优缺点。还考虑了颈动脉动脉斑块活性和成分分析的先进和新兴超声方法。制定了用于心血管疾病分层目的的标准化聚焦 2D 和 3D 颈动脉动脉斑块超声图像采集和测量的建议。总结了推荐的聚焦颈动脉动脉斑块定量方法在心血管风险分层方面的潜在临床应用。

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