中风与神经疾病杂志2025，Vol.42Issue(2)：187-192,6.DOI:10.19845/j.cnki.zfysjjbzz.2025.0037
高分辨磁共振成像在颅内动脉粥样硬化卒中斑块诊断及发病机制中的应用
Application of high-resolution magnetic resonance imaging in plaque diagnosis and pathogenesis identification for intracranial atherosclerosis-related stroke
解正绮 1武剑2
作者信息
- 1. 河北医科大学第一医院,河北 石家庄 050030
- 2. 北京清华长庚医院,北京 102218
- 折叠
摘要
Abstract
Intracranial atherosclerosis(ICAS)is the main cause of ischemic stroke in the world.In clinical prac-tice,ICAS is mainly identified through imaging examinations.In recent years,high-resolution magnetic resonance vessel wall imaging(HRMR-VWI)has gradually become an important means for evaluating the characteristics of ICAS plaques.The application of HRMR-VWI has increased the accuracy in identifying the pathogenesis of acute ischemic stroke,provid-ing a reference for the secondary prevention and clinical individualized treatment of stroke.This article systematically re-views the imaging manifestations of the main components of ICAS plaques on HRMR-VWI,summarizes the progress on HRMR technology,and discusses the relationship between intracranial arterial plaque characteristics and stroke occur-rence and recurrence as well as the relationship between plaque characteristics and stroke mechanisms,aiming to provide a basis for the diagnosis and treatment of ICAS-related ischemic stroke.关键词
缺血性卒中/高分辨率磁共振血管壁成像/动脉粥样硬化/卒中机制Key words
Ischemic stroke/High-resolution magnetic resonance vessel wall imaging/Atherosclerosis/Stroke mechanism分类
临床医学引用本文复制引用
解正绮,武剑..高分辨磁共振成像在颅内动脉粥样硬化卒中斑块诊断及发病机制中的应用[J].中风与神经疾病杂志,2025,42(2):187-192,6.
