冠状动脉易损斑块CT及MRI成像的现代研究进展

Modern research progress of CT and MRI imaging for vulnerable plaque of coronary artery

冠状动脉粥样硬化临床诊断与预后评估的决定因素主要是斑块类型,与大小无关。临床研究发现,80%的急性冠脉综合征(ACS)诱因为冠状动脉硬化后出现易损斑块(VP)。ACS起病快,发病前无先兆,早期检测与识别VP可以在斑块破裂、形成血栓栓塞前给予患者对症治疗,对于降低ACS的发病率与改善患者预后意义重大。

The determinant of clinical diagnosis and prognosis evaluation of coronary atherosclerotic is malnly the type of plaque and has nothing to do with the size.Clinical study finds that incentive of 80% acute coronary syndrome （ACS） is vulnerable plaque （VP） appearing after coronary artery hardening.The onset of ACS is quick,there is no aura before the onset of the disease,early detection and recognition of VP can given patients symptomatic treatment before plaque rupturing,thrombosis embolism forming,which has significant significance for the morbidity of ACS and improve the prognosis of patients.