Visualization of lenticulostriate artery by intracranial dark-blood vessel wall imaging and its relationships with lacunar infarction in basal ganglia: a retrospective study
Visualization of lenticulostriate artery by intracranial dark-blood vessel wall imaging and its relationships with lacunar infarction in basal ganglia: a retrospective study
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颅内暗血管壁成像显示豆纹动脉及其与基底节腔隙性梗死的关系：一项回顾性研究
DOI：
10.1007/s00330-020-07642-7
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发表时间：
2021-02-10
影响因子：
5.9
通讯作者：
Xia, Shuang
中科院分区：
文献类型：
--
作者：
Xie, Weiwei;Wang, Chen;Xia, Shuang
目的基底节区腔隙性脑梗死与纹状体动脉（LSA）关系密切。本研究旨在使用3T系统上的高分辨率血管壁成像（VWI）显示LSA，并探讨LSA与LI之间的相关性。方法回顾性分析五十六例基底节区LI患者和44例年龄匹配的对照组的临床资料。将原始VWI图像重新格式化为最小强度投影冠状切片，以进一步观察LSA。采用单因素和多因素Logistic回归分析基底节区LI的危险因素。对LSAs与LI、同侧MCA-M1斑块进行相关性分析和线性回归分析。结果基底节区LSAs的数目和长度与无LIs的基底节区相比差异有统计学意义（P <0.01）。LSA总数和同侧MCA-M1斑块与基底节LI独立相关。LSA的平均长度与LI的数量（r =-0.33，p = 0.002）和体积（r =-0.37，p = 0.001）呈负相关。年龄、饮酒史和LSA的平均长度与基底节LI的发生相关，LSA的平均长度与较大体积的LI相关。结论基底节区LI的发生与LSA减少和同侧MCA-M1斑块的数量有关。年龄增加、饮酒史、LSAs缩短与LI增加相关。
Objectives There is close relationship between lenticulostriate arteries (LSAs) and lacunar infarctions (LIs) of the basal ganglia. The study aims to visualize the LSAs using high-resolution vessel wall imaging (VWI) on 3T system and explore the correlation between LSAs and LIs. Methods Fifty-six patients with LIs in basal ganglia, and 44 age-matched control patients were enrolled and analyzed retrospectively. The raw VWI images were reformatted into coronal slices in minimum intensity projection for further observation of LSAs. The risk factors of LIs in basal ganglia were analyzed by univariate and multivariate logistic regression. The correlation and linear regression analysis between the LSAs and LIs, ipsilateral MCA-M1 plaques were investigated. Results The total number (p < 0.01) and length (p < 0.01) of LSAs were statistically different between basal ganglias with and without LIs. The total number of LSAs and ipsilateral MCA-M1 plaques were independently related to LIs in basal ganglias. The mean length of LSAs were negatively correlated with number (r = - 0.33, p = 0.002) and volume (r = - 0.37, p = 0.001) of LIs. Age, drinking history, and mean length of LSAs were associated with LI occurrence in basal ganglia, and mean length of LSAs was correlated with larger volume of LIs. Conclusions Number of LSA reduction and ipsilateral MCA-M1 plaques were associated with the presence of LIs in basal ganglias. Age increasing, drinking history, and shorter LSAs were correlated with the increasing of LIs.