Three-Dimensional Ultrasound of Carotid Plaque

被引:19
|
作者
Spence, J. David [1 ]
Parraga, Grace [2 ]
机构
[1] Univ Western Ontario, Robarts Res Inst, Stroke Prevent & Atherosclerosis Res Ctr, London, ON N6G 2V4, Canada
[2] Univ Western Ontario, Robarts Res Inst, Imaging Res Labs, Dept Med Biophys, London, ON N6G 2V4, Canada
关键词
Carotid arteries; Atherosclerosis; Plaque; Measurement; INTIMA-MEDIA THICKNESS; QUANTITATIVE SPECTRAL-ANALYSIS; JUXTALUMINAL HYPOECHOIC AREA; 3D ULTRASOUND; HIGH-RISK; ANTIHYPERTENSIVE DRUGS; CARDIOVASCULAR RISK; VOLUME MEASUREMENTS; TEXTURE ANALYSIS; BLOOD VELOCITY;
D O I
10.1016/j.nic.2015.09.006
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Measurement of plaque burden is different from measurement of carotid intima-media thickness (IMT). Carotid total plaque area is a stronger predictor of cardiovascular risk than IMT, and in contrast to progression of IMT, which does not predict cardiovascular events, progression of total plaque area and total plaque volume strongly predict cardiovascular events. Measurement of plaque burden is useful in genetic research, and in evaluation of new therapies for atherosclerosis. Perhaps more importantly, it can be used for management of patients. A strategy called "treating arteries instead of treating risk factors" markedly reduces risk among patients with asymptomatic carotid stenosis.
引用
收藏
页码:69 / +
页数:13
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