CT and MR Imaging of Carotid Wall and Plaque
Saba Luca, Mannelli Lorenzo, Balestrieri Antonella, Serra Alessandra, Bassareo PierPaolo, Politi Carola, Crivelli Paola, Micheletti Giulio, Conti Maurizio, Suri Jasjit S.,
소속 상세정보
( Saba Luca )
Azienda Ospedaliero Universitaria di Cagliari Department of Radiology
( Mannelli Lorenzo )
IRCCS SDN
( Balestrieri Antonella )
Azienda Ospedaliero Universitaria di Cagliari Department of Radiology
( Serra Alessandra )
Azienda Ospedaliero Universitaria di Cagliari Department of Nuclear Medicine
( Bassareo PierPaolo )
Azienda Ospedaliero Universitaria di Cagliari Department of Radiology
( Politi Carola )
Azienda Ospedaliero Universitaria di Cagliari Department of Radiology
( Crivelli Paola )
Azienda Ospedaliero Universitaria di Sassari Department of Radiology
( Micheletti Giulio )
Azienda Ospedaliero Universitaria di Cagliari Department of Radiology
( Conti Maurizio )
Azienda Ospedaliero Universitaria di Sassari Department of Radiology
( Suri Jasjit S. )
AtheroPoint Stroke Monitoring and Diagnostic Division
Abstract
Imaging of the carotid artery wall is the focus of several ongoing research studies that are investigating the optimal approach to identify so-called “vulnerable plaques”. Even when standard arterial luminal imaging fails to indicate a stenosis in stroke patients, a non-stenotic plaque may be responsible for the stroke. Indeed, over the past decade there has been a paradigm shift in the diagnosis and risk stratification of patients with carotid artery disease, whereby nowadays more emphasis is put on plaque characterization, mainly by using computed tomography (CT) and magnetic resonance (MR), in addition to the usual assessment of stenosis and surface irregularities. In this review, we will discuss current state-of-the-art CT and MR techniques to characterize vulnerable plaques and summarize current developments in imaging-based assessment of carotid plaques, in order to identify ideal candidates for revascularization and to monitor the effects of medical therapy.
키워드
Stroke; Carotid; Wall imaging
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