机构：[a]Department of Radiology, University of Washington, Seattle, WA, USA[b]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经内科首都医科大学宣武医院[c]Department of Biomedical Engineering, Tsinghua University, Beijing, China[d]Department of Surgery, University of Washington, Seattle, WA, USA[e]Department of Bioengineering, University of Washington, Seattle, WA, USA[f]Department of Mechanical Engineering, University of Washington, Seattle, WA, USA[g]Department of Radiology, Beijing Hospital, Beijing, China
Background and aims: Prospective studies have shown a strong association between carotid intraplaque hemorrhage (IPH), detected by magnetic resonance imaging (MRI), and cerebrovascular ischemic events. However, IPH is also observed in a substantial number of asymptomatic patients. We hypothesized that there are differences in the characteristics of IPH+ plaques associated with recent symptoms, compared to IPH+ plaques not associated with recent symptoms. Methods: Patients with recent (<= 2 weeks) anterior circulation ischemic events were scanned using a standardized multisequence protocol. Those showing IPH bilaterally were included and analyzed for differences in T1/T2 signals, plaque morphology, and coexisting plaque characteristics between the ipsilateral symptomatic and contralateral asymptomatic sides. Results: Thirty-one subjects (67 +/- 9 years, 97% males) with bilateral IPH were studied. Despite comparable luminal stenosis (53 +/- 42% vs. 53 +/- 39%, p = 0.99), T1 signal of IPH measured as signal-intensity-ratio compared to muscle was stronger (SIRIPH-to-muscle: 5.8 +/- 2.4 vs. 4.7 +/- 1.8, p = 0.004) and tended to be more extensively distributed (IPH volume: 150 +/- 199 vs. 88 +/- 106 mm(3), p = 0.071) on the symptomatic side. IPH+ plaques on the symptomatic side were longer (24 +/- 6 vs. 21 +/- 7 mm, p = 0.026) and associated with larger necrotic core volume (406 +/- 354 vs. 291 +/- 293 mm(3), p = 0.039) than those on the asymptomatic side. Conclusions: In recently symptomatic patients with bilateral carotid IPH, the symptomatic side showed stronger T1 signals, larger necrotic cores, and longer plaque length than the asymptomatic side. Serial studies on the temporal relationship between these imaging features and clinical events will eventually establish their diagnostic and prognostic value beyond the mere presence of IPH. (C) 2017 Elsevier B.V. All rights reserved.
基金：
the National Institutes of Health (R01 HL103609 and R01 NS083503)
the National Natural Science Foundation of China (Grant #81271536).
第一作者机构：[a]Department of Radiology, University of Washington, Seattle, WA, USA[b]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
共同第一作者：
通讯作者：
通讯机构：[*1]850 Republican St Rm 124, Seattle, WA 98109 USA.
推荐引用方式(GB/T 7714)：
Xianling Wang,Jie Sun,Xihai Zhao,et al.Ipsilateral plaques display higher T1 signals than contralateral plaques in recently symptomatic patients with bilateral carotid intraplaque hemorrhage[J].ATHEROSCLEROSIS.2017,257:78-85.doi:10.1016/j.atherosclerosis.2017.01.001.
APA：
Xianling Wang,Jie Sun,Xihai Zhao,Daniel S. Hippe,Thomas S. Hatsukami...&Chun Yuan.(2017).Ipsilateral plaques display higher T1 signals than contralateral plaques in recently symptomatic patients with bilateral carotid intraplaque hemorrhage.ATHEROSCLEROSIS,257,
MLA：
Xianling Wang,et al."Ipsilateral plaques display higher T1 signals than contralateral plaques in recently symptomatic patients with bilateral carotid intraplaque hemorrhage".ATHEROSCLEROSIS 257.(2017):78-85
