高分辨力磁共振血管壁成像在颅内血管炎性疾病中的研究进展
摘要
近年来,高分辨力磁共振血管壁成像(HR-VWI)在颅内血管壁病变的评估中展现出巨大的潜能。该技术不仅可弥补传统腔内成像技术的不足,还能在血管壁病因学分析中发挥作用。HR-VWI技术可直接显示血管壁病变的特征,提高颅内血管疾病的诊断准确性。本文拟从HR-VWI技术的发展简史,该技术在颅内血管炎性病变的影像诊断、鉴别诊断等几个方面进行综述,旨在为临床提供更多有价值的信息。
引文
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[2] Dieleman N,van der Kolk AG,Zwanenburg JJ,et al.Imaging intracranial vessel wall pathology with magnetic resonance imaging:current prospects and future directions[J].Circulation,2014,130(2):192-201.
[3] Wang J,Helle M,Zhou Z,et al.Joint blood and cerebrospinal fluid suppression for intracranial vessel wall MRI[J].Magn Reson Med,2016,75(2):831-838.
[4] Mossa-Basha M,Alexander M,Gaddikeri S,et al.Vessel wall imaging for intracranial vascular disease evaluation[J].J Neurointerv Surg,2016,8(11):1154-1159.
[5] Saba L,Anzidei M,Sanfilippo R,et al.Imaging of the carotid artery[J].Atherosclerosis,2012,220(2):294-309.
[6] Choi YJ,Jung SC,Lee DH.Vessel wall imaging of the intracranial and cervical carotid arteries[J].J Stroke,2015,17(3):238-255.
[7] Jiang L,Li D,Yan F,et al.Evaluation of takayasu arteritis activity by delayed contrast-enhanced magnetic resonance imaging[J].Inter J Cardiol,2012,155(2):262-267.
[8] 黄俊,刘崎.3.0T高分辨力MR大脑中动脉管壁成像研究[J].放射学实践,2012,27(5):556-559.
[9] Hajj-Ali RA,Calabrese LH.Diagnosis and classification of central nervous system vasculitis[J].J Autoimmun,2014,48-49:149-152.
[10] Berlit P,Kraemer M.Cerebral vasculitis in adults:what are the steps in order to establish the diagnosis?Red flags and pitfalls[J].Clin Exp Immunol,2014,175(3):419-424.
[11] Giannini C,Salvarani C,Hunder G,et al.Primary central nervous system vasculitis:pathology and mechanisms[J].Acta Neuropathol,2012,123(6):759-772.
[12] Yang WJ,Wong KS,Chen XY.Intracranial atherosclerosis:from microscopy to high-resolution magnetic resonance imaging[J].J Stroke,2017,19(3):249-260.
[13] Vera-Lastra O,Sepúlveda-Delgado J,Cruz-Domínguez MDP,et al.Primary and secondary central nervous system vasculitis:clinical manifestations,laboratory findings,neuroimaging,and treatment analysis[J].Clin Rheumatol,2015,34(4):729-738.
[14] Millon A,Sigovan M,Boussel L,et al.Low WSS induces intimal thickening,while large WSS variation and inflammation induce medial thinning,in an animal model of atherosclerosis[J].PLoS One,2015,10(11):e0141880.
[15] Singhal AB.Diagnostic challenges in RCVS,PACNS,and other cerebral arteriopathies[J].Cephalalgia,2011,31(10):1067-1070.
[16] Brinjikji W,Mossabasha M,Huston J,et al.Intracranial vessel wall imaging for evaluation of steno-occlusive diseases and intracranial aneurysms[J].J Neuroradiol,2017,44(2):123-134.
[17] 胡学强,董会卿.原发性中枢神经系统血管炎诊断和治疗中国专家共识[J].中国神经免疫学和神经病学杂志,2017,24(4):229-239.
[18] Mandell DM,Matouk CC,Farb RI,et al.Vessel wall MRI to differentiate between reversible cerebral vasoconstriction syndrome and central nervous system vasculitis:preliminary results[J].Stroke,2012,43(3):860-862.
[19] Obusez EC,Hui F,Hajj-Ali RA,et al.High-resolution MRI vessel wall imaging:spatial and temporal patterns of reversible cerebral vasoconstriction syndrome and central nervous system vasculitis[J].AJNR,2014,35(8):1527-1532.
[20] Pfefferkorn T,Linn J,Habs M,et al.Black blood MRI in suspected large artery primary angiitis of the central nervous system[J].J Neuroimaging,2013,23(3):379-383.
[21] Qiao Y,Zeiler SR,Mirbagheri S,et al.Intracranial plaque enhancement in patients with cerebrovascular events on high-spatial-resolution MR images[J].Radiology,2014,271(2):534-542.
[22] Lucke M,Hajj-Ali RA.Advances in primary angiitis of the central nervous system[J].Curr Cardiol Rep,2014,16(10):533.