Progress in the application of multimodal MRI in the assessment of plaque characteristics, hemodynamics, collateral circulation and clinical efficacy of intracranial atherosclerosis
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摘要: 颅内动脉粥样硬化疾病是导致全球缺血性卒中最常见的原因之一,且其具有较高的复发风险。在脑卒中的影像学诊断、风险分层、治疗方式的选择及预后评估等方面,多模态MRI技术有着其他影像学技术难以具有的空间分辨率、脑脊液抑制等优势。本文从斑块的影像学特征、血流动力学及侧支代偿状态等多个维度对多模态MRI在评估脑卒中风险中的应用价值进行综述,旨在为脑卒中精准风险分层及预后评估等方面提供参考。Abstract: Intracranial atherosclerosis is one of the most common causes of global ischemic stroke, and it has a high risk of recurrence. In terms of imaging diagnosis, risk stratification, treatment selection, and prognosis evaluation of stroke, multimodal MRI technology has advantages such as spatial resolution and cerebrospinal fluid suppression that other imaging technologies cannot. This article will review the application value of multimodal MRI in assessing stroke risk from multiple dimensions such as the imaging characteristics of plaques, hemodynamics and collateral compensation status, aiming to provide reference for research on precise risk stratification and prognosis evaluation of stroke.
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