Mellucci Pedro Luciano, Bertanha Matheus, Jaldin Rodrigo Gibin, Yoshida Winston Bonetti, Sobreira Marcone Lima
Universidade Estadual Paulista "Júlio de Mesquita Filho" - UNESP, Faculdade de Medicina de Botucatu - FMB, Botucatu, SP, Brasil.
J Vasc Bras. 2023 Sep 18;22:e20220082. doi: 10.1590/1677-5449.202200822. eCollection 2023.
In the wake of studies targeting atherosclerotic plaques and searching for quantifiable variables that contribute additional information to therapeutic decision-making, plaque assessment using Shear Wave Elastography (SWE) is emerging as a reproducible and promising alternative. We used a single Logiq S8 device (General Electric, Boston, Massachusetts, United States) with an 8.5-11MHz multifrequency linear transducer at 10MHz in longitudinal section. We considered relevant criteria for image acquisition: adequate longitudinal insonation, differentiation of the intima-media complex, delineation of proximal and distal tunica adventitia and the vascular lumen, good visualization of the atherosclerotic plaque, cardiac cycle in ventricular diastole, and absence of incongruous changes. SWE is an emerging and extremely promising method for assessment of carotid plaques that may contribute to therapeutic decision-making based on characteristics related to the atherosclerotic plaque, with inter-device and inter-examiner reproducibility.
在针对动脉粥样硬化斑块进行研究并寻找可为治疗决策提供额外信息的可量化变量之后，使用剪切波弹性成像（SWE）进行斑块评估正成为一种可重复且有前景的替代方法。我们使用一台Logiq S8设备（通用电气公司，美国马萨诸塞州波士顿），配备8.5 - 11MHz多频率线性换能器，在纵向切面以10MHz频率运行。我们考虑了图像采集的相关标准：足够的纵向超声检查、内膜 - 中膜复合体的区分、近端和远端外膜及血管腔的描绘、动脉粥样硬化斑块的良好可视化、心室舒张期的心动周期以及无不一致的变化。SWE是一种新兴且极有前景的评估颈动脉斑块的方法，它可能基于与动脉粥样硬化斑块相关的特征为治疗决策提供帮助，并且具有设备间和检查者间的可重复性。
