MR Angiography and Imaging for the Evaluation of Middle Cerebral Artery Atherosclerotic Disease

被引:81
|
作者
Degnan, A. J. [1 ]
Gallagher, G. [2 ]
Teng, Z. [1 ]
Lu, J. [3 ]
Liu, Q. [3 ]
Gillard, J. H. [1 ]
机构
[1] Cambridge Univ Hosp NHS Fdn Trust, Univ Dept Radiol, Cambridge CB2 2QQ, England
[2] NHS Fdn Trust, Peterborough & Stamford Hosp Trust, Cambridge, England
[3] Changhai Hosp, Div Radiol, Shanghai, Peoples R China
关键词
MAGNETIC-RESONANCE ANGIOGRAPHY; INTRACRANIAL VASCULAR STENOSIS; DIGITAL-SUBTRACTION-ANGIOGRAPHY; ACUTE ISCHEMIC STROKE; HIGH-RESOLUTION MRI; RISK-FACTORS; INTRAPLAQUE HEMORRHAGE; TRANSCRANIAL DOPPLER; AUTOPSY PREVALENCE; OCCLUSIVE DISEASE;
D O I
10.3174/ajnr.A2697
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Intracranial atherosclerotic disease may constitute the most common cause of ischemic stroke worldwide; yet, in the developed world, imaging research has largely focused on extracranial atherosclerosis. Many studies in populations of Asian, African, and Hispanic descent demonstrate the preponderance of intracranial stenosis compared with carotid stenosis. This review examines the clinical presentations of MCA atherosclerosis and stenosis and the use of noninvasive MR imaging in the assessment of intracranial vasculature. MRA is a well-validated technique that offers great advantage over traditional angiography. Advances in high-resolution MR imaging of MCA stenosis have the potential to yield excellent visualization of plaque. Future developments in high-resolution MR imaging to depict intracranial atherosclerosis are explored in this review; these advances will guide endovascular therapy and the comparison of novel interventions.
引用
收藏
页码:1427 / 1435
页数:9
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