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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The clinical value of head-neck joint high-resolution vessel wall imaging in ischemic stroke
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The clinical value of head-neck joint high-resolution vessel wall imaging in ischemic stroke

机译：缺血性卒中头颈关节高分辨率血管壁成像的临床价值

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Background and Purpose: To study the feasibility and clinical utility of head-neck joint high-resolution vessel wall imaging (HNJ-VWI) in the assessment of ischemic stroke. Methods: We reviewed our institutional HNJ-VWI database. Patients with transient ischemic attack (TIA) or ischemic stroke were included. Abnormal findings of intracranial and/or extracranial artery were assessed on three-dimensional time-of-flight magnetic resonance angiography (3D TOF MRA) and HNJ-VWI modified from high-resolution 3D T1 sequence and classified into three groups including intracranial, extracranial and coexisting based on the locations. Etiologies of stroke were recorded according to Trial of Org 10172 in Acute Stroke Treatment criteria. Results: One hundred and ten consecutive patients were studied. 3D TOF MRA displayed 71.8% (79/110, based on patients) abnormal arteries (stenosis or occlusion), while HNJ-VWI displayed 96.3% (106/110) abnormal arteries (plaque, wall thickness and occlusion) including four isolated extracranial lesions and ten coexisting lesions. The etiologies of TIA/ischemic stroke included large artery atherosclerosis (80 cases), cerebral small vessel disease (6 cases), cardiogenic (2 cases), dissection (6 cases), vasculitis (4 cases), moyamoya disease (6 cases), others (2 cases) and undetermined (4 cases). For patients with atherosclerosis stroke, re-infarctions were more common in coexisting group than intracranial group (extracranial vs. intracranial vs coexisting: 0% vs. 9.1% vs. 43.7%, p = 0.001). Conclusions: HNJ-VWI is a feasible and valuable technique in assessment of ischemic stroke by detecting extracranial and intracranial artery abnormalities with one-step scan. (c) 2020 Elsevier Inc. All rights reserved.
机译：背景与目的：研究头颈关节高分辨率血管壁成像（HNJ-VWI）在缺血性脑卒中评估中的可行性和临床应用。方法：我们回顾了我们的机构HNJ-VWI数据库。包括短暂性脑缺血发作（TIA）或缺血性中风患者。在三维飞行时间磁共振血管造影（3D TOF MRA）和高分辨率3D T1序列改良的HNJ-VWI上评估颅内和/或颅外动脉的异常发现，并根据位置分为颅内、颅外和共存三组。根据急性卒中治疗标准中的Org 10172试验记录卒中病因。结果：对110名连续患者进行了研究。3D TOF MRA显示71.8%（79/110，基于患者）异常动脉（狭窄或闭塞），而HNJ-VWI显示96.3%（106/110）异常动脉（斑块、壁厚和闭塞），包括4个孤立的颅外病变和10个共存病变。TIA/缺血性卒中的病因包括大动脉粥样硬化（80例）、脑小血管病（6例）、心源性（2例）、夹层（6例）、血管炎（4例）、烟雾病（6例）、其他（2例）和未定（4例）。对于动脉粥样硬化性卒中患者，与颅内组相比，合并组再梗死更常见（颅外组与颅内组与合并组：0%与9.1%与43.7%，p=0.001）。结论：HNJ-VWI是一种可行且有价值的技术，通过一步扫描检测颅外和颅内动脉异常来评估缺血性卒中。（c） 2020爱思唯尔公司版权所有。

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