Journal of Diagnostics Concepts & Practice >
Preliminary study on dynamic contrast-enhanced MRI in identifying vulnerability of carotid atherosclerotic plaques
Received date: 2019-02-28
Online published: 2019-08-25
Objective: To explore the ability of 3.0T dynamic contrast-enhanced MR imaging (DCE-MRI) in identi-fying the vulnerability of carotid atherosclerotic plaques. Methods: From September 2016 to June 2017, 66 patients with carotid intima thickening ≥2 mm were enrolled in this study. All participants underwent vessel wall MR imaging (VW-MRI) and DCE-MRI. With the classification of plaques according to MRI-modified AHA Lesion-Type (LT), pharmacokine-tic parameters (PPs) of DCE-MRI were measured, including Ktrans, kep, ve and vp. Correlations between PPs and LTs and the ability of these parameters to distinguish stable and vulnerable plaques suspected on MRI were assessed. Results: Signi-ficant positive correlation between Ktrans and LT Ⅲ to Ⅵ was found (P=0.532, P<0.001), so as was the correlation between kep and LT Ⅲ to Ⅵ (P=0.409, P<0.001). Stable and vulnerable plaques suspected on MRI could potentially be distinguished by Ktrans (sensitivity 83%, specificity 100%) and kep (sensitivity 77%, specificity 91%). Conclusions: Ktrans and kep from DCE-MRI can provide quantitative information for the differentiation of vulnerable plaques suspected on MRI from stable ones. These two parameters could be adopted as imaging markers for plaque characterization and risk stratification.
CAO Ye, LIU Xiaosheng, GE Xiaoqian, ZHOU Bin . Preliminary study on dynamic contrast-enhanced MRI in identifying vulnerability of carotid atherosclerotic plaques[J]. Journal of Diagnostics Concepts & Practice, 2019 , 18(04) : 436 -441 . DOI: 10.16150/j.1671-2870.2019.04.011
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