颈动脉粥样硬化斑块MR成像.PDFVIP

2003 7 18 7 Radiol Practice, July 2003, Vol 18, No.7 65 MR ## 刘莉, 冯定义, 夏黎明, 邹明丽, 王承缘 = :探讨MR 成像技术在颈动脉粥样硬化斑块检测 的应用, 及其对斑块内成份进行定性分析的可能 性:采用3D-TOFDouble-IR (DIR)T WI T WIPDWI 序列对11位高度疑诊颈动脉粥样硬化的患者及9 位健康 1 2 志愿者进行颈动脉成像部分患者行彩超对照: 11例患者 9例可见明显颈动脉粥样硬化改变TOF 上表现为 管腔内高信号血流 见低信号充盈缺损DIR T WIT WIPDWI 表现为管壁增厚,斑块呈等低均匀信号或等低高 1 2 混杂信号与多普勒彩超对比,MRI 对颈动脉粥样硬化的检出准确率较高: MRI 对颈动脉粥样硬化可达到满意 的诊断,并提示MRI 能分析斑块内成份, 分析斑块成份及性质为临床选择治疗方案及估计预后提供有力的帮助 = 磁共振成像; 动脉粥样硬化; 颈动脉 = R816. 1 = = 1000-0313(2003) 07-0465-03 MR imaging of carotid atherosclerotic plaque LIU Li, FENG Ding-yi, XI L-i ming, et al. Department of Radiology, Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,P. R.China = Abstract Objective:To study the use of MR imaging in diagnosis of carotid arteriosclerosis,and to evaluate thefeasibili- ty of MR imaging in characterizing the morphology of individual atherosclerotic carotid plaques. Methods:Carotid arteries MR imaging was performed in 11 patients and 9 healthy volunteers. ll examinations included four sequences: 3D-TOF,DIR-T WI, 1 PDWI and T WI. Results:Of 11patients, 9 demonstrated changes of carotid arteriosclerosis. ll plaques showed defects in the 2 high intensity of vessel lumen on TOF sequence, and presented moderate, low and/or high intensity on DIR-T WI, PDWI and 1 T WI . ll healthy volunteers showed normal vessel. The accuracy of MRI was higher as compared with ultrasonography. Con- 2 clusion: MR imaging is a promising