颈动脉斑块内出血影像学检查的应用进展

Advances in imaging detection of carotid intraplaque hemorrhage

斑块内出血(IPH)是颈动脉易损斑块的关键特征之一,能有效预测颈动脉粥样硬化患者卒中事件的发生。因此,IPH的识别和定量分析对卒中预防有重要意义。现阶段各影像学检查效果尚有争议,影像检查策略有待完善。本文从IPH影像学检测应用进展、IPH检测对卒中事件的预测作用两方面进行综述,为构建卒中风险预测模型和IPH的进一步研究提供参考。

Intraplaque hemorrhage(IPH)is one of the critical characteristics of vulnerable carotid plaques,which may predict the occurrence of stroke in patients with carotid atherosclerosis.Therefore,the identification and quantitative analysis of IPH have essential significance for stroke prevention.At present,the effect of various imaging examinations is still controversial,and the imaging detection strategy is defective.This article reviews the application progress of IPH imaging detection and the predictive effect of IPH detection on stroke,providing a reference for the construction of a stroke risk prediction model and further research of IPH.