基底动脉斑块参数与梗死体积的相关性研究

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Abstract Objective To measure the infarct volume and basilar artery plaque parameters in patients with brainstem infarction by resolution magnetic resonance imaging of vascular walls,and to determine the relationship between plaque parameters and infarct volume.Methods A total of 22 patients with brainstem infarction initially diagnosed in Hongqi Hospital Affiliated to Mudanjiang Medical University from October 2017 to June 2018 were enrolled for high-resolution magnetic resonance imaging.The infarct volume,lumen area at the narrowest level,vascular area at the narrowest level,maximum wall thickness and minimum wall thickness were measured by software.The wall area,narrowest patch area,stenosis rate,reconstruction index,patch load and eccentricity index were calculated.The correlation between plaque parameters and infarct volume was analyzed.Results The infarction volume of the 22 patients included in the analysis was(309.07±253.97)mm3,the lumen area at the narrowest level was(4.54±4.13)mm2,the vascular area at the narrowest level was(15.60±8.04)mm2,the wall area was(11.09±4.89)mm2,the plaque area at the narrowest level was(3.63±2.81)mm2,the maximum wall thickness was(1.30±0.32)mm,the minimum wall thickness was(0.60±0.22)mm,and the stenosis rate was 3%～88%.The results of reconstruction mode showed that 7 cases were positive reconstruction,9 cases were negative reconstruction,and 6 cases showed no obvious reconstruction.Negative reconstruction was as common as positive reconstruction.Pearson correlation analysis results showed that the infarct volume was positively correlated with the stenosis rate(r=0.45,P=0.04)and negatively correlated with the reconstruction index(r=-0.47,P=0.03).Conclusion 3.0 T high resolution magnetic resonance measurement of basilar artery plaque parameters can be used to guide clinical treatment and disease monitoring,which is conducive to improving long-term prognosis.

Key words： Brain stem infarction High resolution magnetic resonance Basilar artery Plate parameters Infarct volume

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	Articles by authors
	LU Xin
	YANG Yin-dong
	YANG Xiao-fan
	CHEN Lan-juan
	XIE Jin-jin
	HOU Zong-yi

Cite this article:

LU Xin,YANG Yin-dong,YANG Xiao-fan, et al. Study on correlation between basilar artery plaque parameters and infarct volume[J]. 中国当代医药, 2020, 27(10): 56-59.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I10/56

[1]	Arenillas JF.Intracranial atherosclerosis：current concepts[J].Stroke，2011，42（S1）：S20-S23.
[2]	许玉园，徐蔚海.高分辨磁共振血管壁成像在大脑中动脉粥样硬化疾病诊断中的应用[J].中国实用内科杂志，2016，36（4）：304-306.
[3]	Saam T，Yuan C，Chu B，et al.Predictors of carotid atherosclerotic plaque progression as measured by noninvasive magnetic resonance imaging[J].Atherosclerosis，2007，194（2）：e34-e42.
[4]	曹烨，赵辉林，刘晓晟，等.磁共振测定颈动脉斑块负荷与脑梗死缺血灶体积的关系[J].实用放射学杂志，2011，27（5）：670-673.
[5]	Pedraza S，Puig J，Blasco G，et al.Reliability of the ABC/2 method in determining acute infarct volume[J].J Neuroimaging，2012，22（2）：155-159.
[6]	Ma N，Jiang WJ，Lou X，et al.Arterial remodeling of advanced basilar atherosclerosis：a 3-Tesla MRI study[J].Neurology，2010，75（3）：253-258.
[7]	Samuels OB，Joseph GJ，Lynn MJ，et al.A standardized method for measuring intracranial arterial stenosis[J].Amer J Neuroradiol，2000，21（4）：643-646.
[8]	杜真真，张灿飞，汤媛媛，等.大动脉粥样硬化性脑梗死不同发病机制的危险因素分析[J].中华老年心脑血管病杂志，2016，18（4）：394-397.
[9]	张雯丽，卜宁，李晓会，等.高分辨磁共振对急性脑梗死患者的颅内动脉评估[J].中风与神经疾病杂志，2019，36（4）：317-321.
[10]	王拥军.颈动脉高分辨磁共振与缺血性卒中[J].中国卒中杂志，2014，9（2）：91-93.
[12]	李春玲，蔺田芳.高分辨率磁共振成像技术对大脑中动脉粥样硬化斑块的评价分析[J].医学影像学杂志，2018.
[11]	Herfkens RJ，Higgins CB，Hricak H，et al.Nuclear magnetic resonance imaging of atherosclerotic disease[J].Radiology，1983，148（1）：161-166.
[13]	Mandell DM，Mossa-Basha M，Qiao Y，et al.Intracranial vessel wall MRI：principles and expert consensus recommendations of the American Society of Neuroradiology[J].Amer J Neuroradiol，2017，38（2）：218-229.
[14]	刘雅宝，纪盛章，张伯生，等.颈动脉斑块与急性脑梗死体积的相关性研究[J].中国临床医学影像杂志，2018，29（3）：153-157.
[15]	张红梅，孙雪园，陈新，等.MRI3D-SPACE 探讨基底动脉斑块位置和增强度与梗死的关系[J].医学影像学杂志，2016，26（2）：189-193.
[16]	韦程纲，谭洁莹，徐向东，等.磁共振高分辨扫描在基底动脉斑块中的应用[J].广东医学，2018，39（4）：544-547.
[17]	郭俊华，陆小波，刘彩玲.颈动脉狭窄程度对急性脑梗死患者神经功能及血浆纤维蛋白原水平的影响研究[J].实用心脑肺血管病杂志，2016，24（10）：33-36.
[18]	张连雪，杨本强，王子文，等.大脑中动脉粥样硬化性狭窄管腔重构模式的高分辨率磁共振研究[J].中风与神经疾病杂志，2017，34（8）：676-679.
[19]	赵登玲，滕皋军，陈晓晖，等.高分辨率磁共振对粥样硬化性大脑中动脉重构的分析[J].中华医学杂志，2014，94（37）：2893-2896.
[20]	徐立燕，王雁.高分辨率磁共振成像对颅内大动脉粥样硬化的评估价值[J].中华神经医学杂志，2017，16（12）：1242-1246.