頚動脈プラークイメージングの現状と展望  [in Japanese] Carotid Artery Plaque Imaging : Present Status and New Perspectives  [in Japanese]

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Author(s)

    • 菱川 朋人 Hishikawa Tomohito
    • 岡山大学大学院医歯薬学総合研究科脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine
    • 飯原 弘二 Iihara Koji
    • 国立循環器病研究センター脳神経外科 Department of Cerebrovascular Surgery, National Cerebral and Cardiovascular Center Hospital
    • 山田 直明 Yamada Naoaki
    • 国立循環器病研究センター放射線診療部 Department of Radiology, National Cerebral and Cardiovascular Center Hospital
    • 植田 初江 Ueda Hatsue
    • 国立循環器病研究センター病理部 Department of Pathology, National Cerebral and Cardiovascular Center Hospital
    • 長束 一行 Nagatsuka Kazuyuki
    • 国立循環器病研究センター脳血管内科 Department of Cerebrovascular Division, National Cerebral and Cardiovascular Center Hospital
    • 宮本 享 Miyamoto Susumu
    • 京都大学大学院医学系研究科脳神経外科 Department of Neurosurgery, Kyoto University Graduate School of Medicine
    • 伊達 勲 Date Isao
    • 岡山大学大学院医歯薬学総合研究科脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine

Abstract

現在の頚動脈狭窄症の治療方針は,主に狭窄率によって決定される.頚動脈プラークイメージングは,プラークの本質を客観的にかつ非侵襲的に追究する手法であり,近年その発展は目覚ましい.狭窄率に加えプラークイメージングが頚動脈狭窄症の治療選択に介入することにより,プラーク性状を勘案したより論理的な治療展開が期待される.本論文では超音波,血管内超音波,脳血管造影,magnetic resonance imaging(MRI),positron emission tomography(PET),computed tomography(CT)について概説し,頚動脈プラークイメージングの現状と展望について述べる.

At present, the management of carotid artery (CA) stenosis depends largely on the degree of stenosis. CA plaque imaging is a modality, which assesses the nature of CA plaques objectively and less invasively, that has developed remarkably in recent years. The use of CA plaque imaging in the management of CA stenosis not only reveals the degree of stenosis but it can make the selection of treatment more appropriate by taking the plaque character into consideration. In this manuscript, we introduce ultrasound, intravascular ultrasound, angiography, magnetic resonance imaging (MRI), positron emission tomography (PET) and computed tomography (CT) and describe the present situation and new perspectives of CA plaque imaging.

Journal

  • Japanese Journal of Neurosurgery

    Japanese Journal of Neurosurgery 19(11), 836-843, 2010

    The Japanese Congress of Neurological Surgeons

References:  45

Codes

  • NII Article ID (NAID)
    110007817762
  • NII NACSIS-CAT ID (NCID)
    AN10380506
  • Text Lang
    JPN
  • Article Type
    REV
  • ISSN
    0917-950X
  • Data Source
    CJP  NII-ELS  J-STAGE 
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