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Carotid Plaque-RADS, a novel stroke risk classification system

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机构: [1]Department of Radiology, University of Cagliari, Cagliari, Italy. [2]Vascular Screening and Diagnostic Centre, Nicosia, Cyprus University of Nicosia Medical School, Nicosia, Cyprus and Department of Vascular Surgery, Imperial College, London, United Kingdom [3]Neuroradiology, Stanford University and Healthcare System, Stanford, CA, USA [4]Department of Radiology, University of North Carolina, Chapel Hill, NC 27599 [5]Vascular Medicine/Angiology, University Hospital Basel and University of Basel, Basel, Switzerland [6]Department of Vascular Surgery, University of Patras Medical School, Patras, Greece [7]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China [8]Department of Vascular Surgery, Central Clinic of Athens, Athens, Greece. Electronic address [9]Department of Radiology, University of Washington, Seattle, USA [10]Department of Neuroradiology, Université Paris-Descartes-Sorbonne-Paris-Cité, IMABRAININSERM- UMR1266, DHU-Neurovasc, Centre Hospitalier Sainte-Anne, Paris, France. [11]Department of Vascular Surgery, University of Cagliari, Cagliari, Italy. [12]University Medical Center Utrecht, Utrecht, Netherlands [13]Clinical Science, Umeå University, Neurosciences, Umeå, Sweden [14]Department of Radiology (M.M.-B.), University of North Carolina, Chapel Hill, North Carolina [15]Department of Surgery, University of Washington, Seattle, WA, USA [16]Institute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany Munich Cluster for Systems Neurology (SyNergy), Munich, Germany German Center for Neurodegenerative Diseases (DZNE), Munich, Germany [17]Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, USA [18]Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, The Netherlands. [19]Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands. [20]Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium [21]Lysholm Department of Neuroradiology and the Neuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, UK. [22]The Leicester Vascular Institute, Glenfield Hospital, Leicester UK LE3 9QP [23]Department of Pathology, University of Cagliari, Cagliari, Italy. [24]Stroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA 95661, USA [25]Department of Neuroradiology, Walter Reed National Military Medical Center and Uniformed Services University of Health Sciences, 8901 Rockville Pike, Bethesda, MD 20889 [26]Radiological Sciences, Division of Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham [27]University of Utah Department of Radiology, USA [28]Department of Neurology and Stroke Center, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland [29]Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA [30]Vascular Screening and Diagnostic Centre, Nicosia, Cyprus Vascular Noninvasive Diagnostic Centre, London, United Kingdom [31]The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, 367 East Park building, 600 N Wolfe St, Baltimore, MD, 21287, USA [32]Department of Radiology and Nuclear Medicine, CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, Maastricht, the Netherlands [33]Christ’s College, Cambridge UK [34]Department of Neurosurgery, Mayo Clinic, Rochester, MN. [35]Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London School, University College London, London, UK [36]Joint Department of Medical Imaging, University Health Network, Toronto, Ontario, Canada [37]Department of Radiology Mayo Clinic Rochester MN. [38]Institute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany. [39]Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA. [40]Department of Radiology Weill Cornell Medical College New York NY. [41]Walter Reed National Military Medical Center and Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA [42]Department of Neurology, University of Maryland Medical Center, Baltimore, Maryland, USA [43]Department of Cardiovascular Pathology, CVPath Institute, Gaithersburg, MD, USA [44]Department of Neurology and Neurosurgery, University College London Hospitals, London, UK [45]Department of Medical Imaging, University of Toronto, Toronto M5S 1A1, Canada [46]Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA [47]Institute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany [48]Department of Radiology, University Hospital, LMU Munich, Munich, Germany & Die Radiologie, Rosenheim, Germany.
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Carotid artery atherosclerosis is highly prevalent in the general population and is a well-established risk factor for acute ischemic stroke. Although the morphological characteristics of vulnerable plaques are well recognized, there is a lack of consensus in reporting and interpreting carotid plaque features.The aim of this document is to establish a consistent and comprehensive approach for imaging and reporting carotid plaque by introducing the Plaque-Reporting And Data System (RADS) score.A panel of experts recognized the necessity to develop a classification system for carotid plaque and its defining characteristics. Employing a multi-modality analysis approach, the Plaque-RADS categories were established through consensus, drawing on existing literature.We present a universal classification that is applicable to both researchers and clinicians. The Plaque-RADS score offers a morphological assessment in addition to the prevailing quantitative parameter of "stenosis". The Plaque-RADS score spans from grade 1 (indicating complete absence of plaque) to grade 4 (representing complicated plaque). Accompanying visual examples are included to facilitate a clear understanding of the Plaque-RADS categories.Plaque-RADS is a standardized and reliable system of reporting carotid plaque composition and morphology via different imaging modalities, such as US, CT, and MRI. This scoring system has the potential to help in the precise identification of patients who may benefit from exclusive medical intervention and those who require alternative treatments, thereby enhancing patient care. A standardized lexicon and structured reporting promise to enhance communication between radiologists, referring clinicians, and scientists.Copyright © 2023. Published by Elsevier Inc.

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 核医学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 核医学
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出版当年[2022]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者:
第一作者机构: [1]Department of Radiology, University of Cagliari, Cagliari, Italy. [*1]University of Cagliari - Azienda Ospedaliero Universitaria di Cagliari – polo di Monserrato, Provincia di Cagliari, Italy
通讯作者:
通讯机构: [1]Department of Radiology, University of Cagliari, Cagliari, Italy. [*1]University of Cagliari - Azienda Ospedaliero Universitaria di Cagliari – polo di Monserrato, Provincia di Cagliari, Italy
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