High-Resolution Magnetic Resonance Imaging of Cervicocranial Artery Dissection Imaging Features Associated With Stroke
High-Resolution Magnetic Resonance Imaging of Cervicocranial Artery Dissection Imaging Features Associated With Stroke
复制标题
与中风相关的颈颅动脉解剖成像特征的高分辨率磁共振成像
DOI：
10.1161/strokeaha.119.026362
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发表时间：
2019-11-01
期刊：
影响因子：
8.3
通讯作者：
Yang, Qi
中科院分区：
文献类型：
--
作者：
Wu, Ye;Wu, Fang;Yang, Qi
背景和目的-我们旨在系统地研究与急性缺血性卒中相关的高分辨率磁共振成像颈颅动脉夹层（CCAD）的特征。方法-招募 CCAD 患者并将其分为卒中组和非卒中组。回顾了每个解剖节段的病变位置、双腔、内膜瓣、壁内血肿、假性动脉瘤、不规则表面、腔内血栓和其他定量参数的存在。使用多元逻辑回归来检查 CCAD 影像学特征与缺血性卒中之间的关联。结果 - 总共分析了 118 名 CCAD 患者的 145 条受影响血管。前循环、壁内血肿、表面不规则、腔内血栓和高分辨率磁共振成像严重狭窄（>70%）在 CCAD 脑卒中患者中更为常见（54.4% vs 36.4%；P=0.030，96.2% vs 84.8%；P=0.017，74.7% vs 37.9%；P
Background and Purpose- We aimed to systematically investigate the characteristics of cervicocranial artery dissection (CCAD) on high-resolution magnetic resonance imaging that are associated with acute ischemic stroke. Methods- Patients with CCAD were recruited and divided into stroke and nonstroke groups. The lesion location, the presence of a double lumen, intimal flap, intramural hematoma, pseudoaneurysm, irregular surface, intraluminal thrombus, and other quantitative parameters of each dissected segment were reviewed. Multiple logistic regression was used to examine the association between imaging features of CCAD and ischemic stroke. Results- A total of 145 affected vessels from 118 patients with CCAD were analyzed. Anterior circulation, intramural hematoma, irregular surface, intraluminal thrombus, and severe stenosis (>70%) on high-resolution magnetic resonance imaging were more prevalent in CCAD patient with stroke (54.4% versus 36.4%; P=0.030, 96.2% versus 84.8%; P=0.017, 74.7% versus 37.9%; P