Value of multi-slice spiral CT angiography in evaluating the morphological characteristics of carotid atherosclerotic plaques in patients with intracranial ischemic changes

LIU Gang; JIANG Ling; SUN Wei

doi:10.7619/jcmp.20212617

Journal of Clinical Medicine in Practice > 2021 > 25(17): 52-56. > DOI: 10.7619/jcmp.20212617

LIU Gang, JIANG Ling, SUN Wei. Value of multi-slice spiral CT angiography in evaluating the morphological characteristics of carotid atherosclerotic plaques in patients with intracranial ischemic changes[J]. Journal of Clinical Medicine in Practice, 2021, 25(17): 52-56. DOI: 10.7619/jcmp.20212617

Citation:

PDF (620 KB)

Value of multi-slice spiral CT angiography in evaluating the morphological characteristics of carotid atherosclerotic plaques in patients with intracranial ischemic changes

Department of Medical Imaging, Xinhua Hospital of Xinhua Medical Group in Huainan City of Anhui Province, Huainan, Anhui, 232052

More Information

Received Date: June 23, 2021
Available Online: September 12, 2021
Published Date: September 14, 2021

Graphical Abstract

Abstract

Abstract

Objective To investigate the value of multi-slice spiral CT angiography (MSCTA) in evaluating the morphological characteristics of carotid atherosclerotic plaques in patients with intracranial ischemic changes.
Methods A total of 40 patients with intracranial ischemic changes who underwent carotid artery MSCTA examination were retrospectively selected as study group, and 40 cases patients without intracranial ischemic changes during the same period who underwent MSCTA examination were selected as control group. The degree of carotid artery stenosis, detection rate of carotid atherosclerotic plaque, plaque shape, intraplaque ulcer, positive rate of ring sign, reconstruction rate of carotid artery of two groups were compared. The rate of poor prognosis in the study group was recorded. Logistic regression model was used to analyze the value of carotid artery MSCTA examination results in independently evaluating the risk of poor prognosis.
Results Compared with the control group, the proportion of patients with moderate to severe carotid stenosis, the detection rate of carotid atherosclerotic plaque, the rate of irregular plaque, the rate of ulcer plaque, the positive rate of ring sign, and carotid artery remodeling rate in the study group were higher, while the proportions of patients with mild stenosis and without stenosis were lower (P < 0.05). The rate of poor prognosis in the study group was 27.50% (11/40). In the study group, MSCTA examination results showed significant difference in patients with good prognosis and those with poor prognosis (P < 0.05). Logisticregression analysis showed that MSCTA examination results in the study group can effectively and independently assess the risk of poor prognosis.
Conclusion MSCTA can effectively assess the morphological characteristics of carotid atherosclerotic plaque and the degree of carotid artery stenosis in patients with intracranial ischemic changes, and the MSCTA examination results of MSCTA can independently assess the risk of poor prognosis.
- multi-slice spiral CT angiography,
- intracranial ischemic changes,
- carotid atherosclerosis,
- plaque,
- morphological characteristics,
- poor prognosis

FullText(HTML)

References (19)

References

[1]	张明华, 张增强, 崔芳, 等. 无症状头颅磁共振脑缺血灶相关危险因素的病例对照研究[J]. 中国实用内科杂志, 2021, 41(1): 60-63. https://www.cnki.com.cn/Article/CJFDTOTAL-SYNK202101018.htm
[2]	RUSTEMPASIC N, GENGO M. Assesment of carotid Stenosis with CT angiography and color Doppler ultrasonography[J]. Med Arch Sarajevo Bosnia Herzegovina, 2019, 73(5): 321-325. http://www.ncbi.nlm.nih.gov/pubmed/31819305
[3]	张娟. 头颈CTA对急性缺血性脑卒中侧支循环及动脉狭窄的诊断价值[J]. 影像研究与医学应用, 2021, 5(13): 48-49. doi: 10.3969/j.issn.2096-3807.2021.13.023
[4]	李定柯, 田帅娟, 黄玉伟, 等. 多层螺旋CT血管造影在评价冠状动脉狭窄程度及斑块成分中的应用[J]. 中国实用医刊, 2020, 47(21): 89-92. doi: 10.3760/cma.j.cn115689-20200801-03778
[5]	孟令啸. 头颈联合64-MSCTA对短暂性脑缺血发作的诊断价值[J]. 现代医用影像学, 2020, 29(10): 1915-1917. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYY202010038.htm
[6]	王巍. 256层螺旋CT血管造影、颈部血管超声和TCD在缺血性脑血管病患者诊断中的应用[D]. 唐山: 华北理工大学, 2019.
[7]	夏晓亮, 夏云宝, 耿承军, 等. 多排螺旋CT血管成像和彩色多普勒超声评估颈动脉粥样硬化斑块对比研究[J]. 华南国防医学杂志, 2017, 31(11): 740-743. https://www.cnki.com.cn/Article/CJFDTOTAL-HNGY201711009.htm
[8]	沈艳昌, 王琳, 殷旭华. 多层螺旋CTA评估缺血性脑血管病患者颈动脉粥样硬化斑块形态特征的价值[J]. 中国现代神经疾病杂志, 2020, 20(10): 886-892. doi: 10.3969/j.issn.1672-6731.2020.10.008
[9]	朱芹, 韩大伟, 曹诚. 颈动脉超声联合C反应蛋白对短暂性脑缺血发作后发生早期脑梗死预测价值[J]. 临床军医杂志, 2021, 49(2): 169-171. https://www.cnki.com.cn/Article/CJFDTOTAL-JYGZ202102018.htm
[10]	李圭善. 丁苯酞辅助治疗高危性短暂性脑缺血发作的临床效果[J]. 临床合理用药杂志, 2021, 14(10): 52-53. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY202110020.htm
[11]	李琳琳, 喻明, 崔文娟, 等. 血清miR-122-5p水平与短暂性脑缺血发作病人预后的关系[J]. 中国临床神经外科杂志, 2020, 25(10): 686-688. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGLC202010010.htm
[12]	徐伟华. 多层螺旋CT血管造影对冠状动脉粥样硬化性心脏病患者冠脉狭窄程度及斑块稳定性的评价[J]. 影像科学与光化学, 2020, 38(3): 491-495. https://www.cnki.com.cn/Article/CJFDTOTAL-GKGH202003018.htm
[13]	任悠悠, 尤国庆, 耿云平. MSCTA技术在头颈部血管病变诊断中的临床应用[J]. 四川解剖学杂志, 2021, 29(1): 173-174. doi: 10.3969/j.issn.1005-1457.2021.01.081
[14]	陈周祥. 多层螺旋CT脑灌注成像与血管成像联合评价颈动脉狭窄性短暂性脑缺血发作[J]. 影像研究与医学应用, 2021, 5(4): 51-52. doi: 10.3969/j.issn.2096-3807.2021.04.025
[15]	陈鹏. 分析64排螺旋CT血管造影在颈动脉狭窄评价中的优势[J]. 现代医用影像学, 2019, 28(5): 1025-1026. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYY201905028.htm
[16]	郑峰, 唐敏, 费世早. 128排256层螺旋CT血管成像对脑卒中患者颈动脉狭窄的诊断价值[J]. 中国CT和MRI杂志, 2019, 17(8): 32-35. doi: 10.3969/j.issn.1672-5131.2019.08.010
[17]	张伟, 李华, 王少颖. 超声联合螺旋CT对脑梗死患者颈动脉斑块稳定性的评估价值[J]. 中国CT和MRI杂志, 2021, 19(2): 38-40, 55. doi: 10.3969/j.issn.1672-5131.2021.02.011
[18]	邓海. 多层螺旋CT血管成像在糖尿病合并颈动脉粥样硬化性狭窄患者中的应用分析[J]. 数理医药学杂志, 2021, 34(8): 1119-1121. doi: 10.3969/j.issn.1004-4337.2021.08.005
[19]	任雪会, 崔胜宏, 马秀梅, 等. 多层螺旋CT血管造影在评价冠状动脉粥样硬化性心脏病心肌缺血程度价值分析[J]. 中国CT和MRI杂志, 2021, 19(4): 30-32. doi: 10.3969/j.issn.1672-5131.2021.04.010

Cited By

Cited by

Periodical cited type(8)

1.	鲁志兵，李瑞娟，吴志清，肖永娟. 微小核糖核酸-451a在人参养荣汤治疗鼻咽癌放射性黏膜损伤中的机制研究. 临床医药实践. 2024(04): 243-247 .
2.	罗红梅，王颖杰，李京辰，海丽娜. 复方苦参注射液治疗放射性肺损伤有效性的meta分析. 北京医学. 2024(05): 415-420 .
3.	孙丕云，石彧，郭会，于鹏，梁艳艳，吴腾. 益气解毒利咽方灌胃对放射性唾液腺损伤小鼠的治疗作用及机制. 山东医药. 2024(22): 42-46 .
4.	付小燕，王洪. 穴位揿针疗法对鼻咽癌患者化疗后恶心呕吐及生活质量的影响. 山西医药杂志. 2024(10): 775-778 .
5.	杨玲. 复方苦参注射液治疗放疗所致口腔黏膜炎的有效性的Meta分析. 中国医院用药评价与分析. 2024(08): 995-998 .
6.	孙蕊，李东芳. 黎月恒论治鼻咽癌临证经验. 中医药导报. 2023(02): 203-206+224 .
7.	周义浪，田杰，朱国庆，吴晓勇，孙丽娥，徐静. 中医药在恶性肿瘤“全人群、全周期、全方位”管理中的应用与思考. 基层中医药. 2023(06): 19-24 .
8.	张小云，山惠萍，奚兰花，冀胜军. 咀嚼运动联合穴位按摩在鼻咽癌放疗患者放射性口干症中的应用. 护理实践与研究. 2023(22): 3394-3399 .

Other cited types(0)

Get Citation

PDF

XML

Article views (291) PDF downloads (8) Cited by(8)

Turn off MathJax

Article Contents

Abstract

References

Value of multi-slice spiral CT angiography in evaluating the morphological characteristics of carotid atherosclerotic plaques in patients with intracranial ischemic changes

Abstract

References

Cited by

Periodical cited type(8)

Other cited types(0)

Catalog

Export File

Citation

Format

Content