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中华脑科疾病与康复杂志(电子版) ›› 2024, Vol. 14 ›› Issue (02) : 112 -119. doi: 10.3877/cma.j.issn.2095-123X.2024.02.008

综述

高分辨率核磁共振在颅颈大动脉狭窄介入治疗中的临床应用进展
高振轩1, 谢晨2, 曹绍东3, 甘中伟2, 周倍2, 罗朝川2, 王子齐2, 葛煜彤2, 张伟光2,†()   
  1. 1. 100029　北京，中日友好医院神经外科
    2. 150001　哈尔滨，哈尔滨医科大学附属第四医院神经外科
    3. 150001　哈尔滨，哈尔滨医科大学附属第四医院放射科
  • 收稿日期:2023-04-04 出版日期:2024-04-15
  • 通信作者: 张伟光

Progress of clinical application of high-resolution magnetic resonance imaging in craniocervical artery stenosis interventional treatment

Zhenxuan Gao1, Chen Xie2, Shaodong Cao3, Zhongwei Gan2, Bei Zhou2, Chaochuan Luo2, Ziqi Wang2, Yitong Ge2, Weiguang Zhang2,†()   

  1. 1. Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China
    2. Department of Neurosurgery, the Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, China
    3. Department of Radiology, the Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2023-04-04 Published:2024-04-15
  • Corresponding author: Weiguang Zhang
  • Supported by:
    Scientific and technological innovation talents project of the Fourth Affiliated Hospital of Harbin Medical University(HYDSYCXRC202143)
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引用本文：

高振轩, 谢晨, 曹绍东, 甘中伟, 周倍, 罗朝川, 王子齐, 葛煜彤, 张伟光. 高分辨率核磁共振在颅颈大动脉狭窄介入治疗中的临床应用进展[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(02): 112-119.

Zhenxuan Gao, Chen Xie, Shaodong Cao, Zhongwei Gan, Bei Zhou, Chaochuan Luo, Ziqi Wang, Yitong Ge, Weiguang Zhang. Progress of clinical application of high-resolution magnetic resonance imaging in craniocervical artery stenosis interventional treatment[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(02): 112-119.

介入治疗是颅颈大动脉狭窄患者预防缺血性脑卒中事件发生的重要手段，精确地评估未来发生脑卒中的风险和预判介入治疗后并发症的发生可以最大限度地使患者获益。高分辨率核磁共振（HR-MRI）具有优越的空间分辨率和无创的特点，被广泛应用于介入诊疗活动中。本文围绕HR-MRI在介入治疗颅颈大动脉狭窄中的应用进展进行综述。

关键词: 大动脉狭窄, 高分辨率核磁共振, 介入治疗, 缺血性脑卒中

Interventional treatment is one of the most critical approaches to prevent possible ischemic stroke events in patients with craniocervical artery stenosis. Accurately assessing future stroke risk and judging the occurrence of complications after interventional therapy can maximize patients’ benefits. High resolution magnetic resonance imaging (HR-MRI) is widely used in interventional diagnosis and treatment activities due to its superior spatial resolution and non-invasive characteristics. This review aims to summarize the application of HR-MRI in the clinical interventional treatment of large artery stenosis.

Key words: Large artery stenosis, High-resolution magnetic resonance imaging, Interventional treatment, Ischemic stroke
表1 斑块成分信号强度
Tab.1 Signal intensities of plaque components
斑块特征 T1WI T2WI/PDW TOF CE-T1WI
纤维帽 等/高信号 等/高信号 等/高信号 +
脂质坏死核心 等/高信号 低信号 等/高信号 -
斑块内出血        
急性（<1周） 高信号 等/低信号 高信号 -
亚急性（1~6周） 高信号 高信号 高信号 -
慢性（>6周） 低信号 低信号 低信号 -
钙化 低信号 低信号 低信号 -
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