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迈向颈动脉易损斑块的体内光声成像。

Towards in vivo photoacoustic imaging of vulnerable plaques in the carotid artery.

作者信息

Muller Jan-Willem, van Hees Roy, van Sambeek Marc, Boutouyrie Pierre, Rutten Marcel, Brands Peter, Wu Min, Lopata Richard

机构信息

Photoacoustics and Ultrasound Laboratory Eindhoven (PULS/e), Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.

Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands.

出版信息

Biomed Opt Express. 2021 Jun 17;12(7):4207-4218. doi: 10.1364/BOE.430064. eCollection 2021 Jul 1.

Abstract

The main indicator for endarterectomy is the grade of stenosis, which results in severe overtreatment. Photoacoustic imaging (PAI) can provide patient-specific assessment of plaque morphology, and thereby vulnerability. A pilot study of PAI on carotid plaques in patients (n=16) was performed intraoperatively with a hand-held PAI system. By compensating for motion, the photoacoustic (PA) signal-to-noise ratio (SNR) could be increased by 5 dB in vivo. PA signals from hemorrhagic plaques had different characteristics compared to the signals from the carotid blood pool. This study is a key step towards a non-invasive application of PAI to detect vulnerable plaques.

摘要

动脉内膜切除术的主要指标是狭窄程度,这导致了严重的过度治疗。光声成像(PAI)可以提供针对患者的斑块形态评估,从而评估其易损性。使用手持式PAI系统对16例患者的颈动脉斑块进行了术中PAI初步研究。通过补偿运动,体内光声(PA)信噪比(SNR)可提高5 dB。出血性斑块的PA信号与颈动脉血池的信号具有不同的特征。这项研究是PAI无创检测易损斑块应用的关键一步。

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