Is Carotid Intima-Media Thickness as Predictive as Other Noninvasive Techniques for the Detection of Coronary Artery Disease?

Arteriosclerosis, Thrombosis, and Vascular Biology - Tập 34 Số 7 - Trang 1341-1345 - 2014
Yiyi Zhang1,2, Eliseo Güallar1,2, Ye Qiao1,2, Bruce A. Wasserman1,2
1From the Departments of Epidemiology and Medicine, and Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD (Y.Z., E.G.); and Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD (Y.Q., B.A.W.).
2Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD (Y.Q., B.A.W.).

Tóm tắt

Carotid intima-media thickness (CIMT) measured by B-mode ultrasound is the most widely used noninvasive imaging method to assess atherosclerosis and cardiovascular risk. CIMT has been consistently associated with coronary artery disease and stroke; however, recent meta-analyses and systematic reviews suggest that its clinical usefulness may be limited because the addition of CIMT to traditional risk factors has not improved the risk prediction of cardiovascular events in the general population. Characterizing the carotid wall by MRI may have greater clinical utility compared with CIMT measurements by ultrasound. Unlike CIMT, MRI measurements of wall thickness include the adventitia and may be sensitive to adventitial thickening that results from vasa vasorum proliferation as a sign of early plaque development. MRI also has the ability to image the entire circumference of the carotid wall, including the outer wall of the carotid bulb where plaque forms in its earliest stage, and identify plaque components such as the lipid core, fibrous cap, and intraplaque hemorrhage that are closely related to plaque vulnerability and cardiovascular risk. Additional research is needed to assess the added prognostic value of MRI measurements of wall and plaque features in risk prediction beyond traditional risk factors.

Từ khóa


Tài liệu tham khảo

10.1161/01.CIR.0000087481.55887.C9

10.1016/S0735-1097(03)00904-5

10.1161/STROKEAHA.110.580027

10.1097/MAJ.0b013e31821caa88

10.1016/j.amjcard.2005.09.098

10.1136/hrt.2003.025080

10.1016/S0002-9149(99)00907-8

10.1016/S0735-1097(03)00905-7

10.1186/1532-429X-10-31

10.1016/j.echo.2013.02.009

10.1093/eurheartj/ehq185

10.1016/j.atherosclerosis.2013.01.025

10.1001/jama.2012.9630

10.7326/0003-4819-151-7-200910060-00010

10.1161/ATVBAHA.113.301844

10.1016/j.jacc.2012.06.034

10.1016/j.diabres.2013.06.008

10.1056/NEJMoa1012592

10.1016/S0140-6736(12)60441-3

10.1161/ATVBAHA.108.173609

10.1016/j.atherosclerosis.2011.06.044

10.1161/01.ATV.5.3.293

10.1161/01.RES.53.4.502

10.7326/0003-4819-153-6-201009210-00272

10.1038/nrcardio.2009.246

10.1002/jmri.1880050117

10.1002/jmri.23856

10.1056/NEJM198401193100307

10.1161/01.CIR.0000146787.16297.E8

10.3174/ajnr.A2863

10.1161/01.CIR.98.15.1541

10.3174/ajnr.A2320

10.1161/STROKEAHA.110.596288

10.1148/radiol.2232010659

10.1161/01.CIR.94.5.932

10.1161/01.ATV.19.11.2756

10.1161/circ.128.suppl_22.A14835

10.1161/circ.124.suppl_21.A15452

10.1080/10976640600675245

10.1002/jmri.20636

10.1161/CIRCIMAGING.108.788059

10.1007/s00330-009-1295-8

10.1002/jmri.22043

10.1002/jmri.20562

10.1002/mrm.21758

10.1016/S0735-1097(03)00362-0

10.1586/erc.11.168

10.1161/01.STR.0000014609.44258.AD

10.1161/01.STR.0000178543.19433.20

10.1016/j.ultrasmedbio.2007.01.013

10.7863/jum.2012.31.10.1567

10.1186/1476-7120-6-42

10.1007/s00234-009-0589-5

10.1161/STROKEAHA.108.529008

10.1016/j.jacc.2009.12.061

10.1161/CIRCIMAGING.108.811752

10.1016/j.nuclcard.2007.10.009

10.2967/jnumed.109.065151

10.1002/1522-2594(200012)44:6<867::AID-MRM7>3.0.CO;2-P

10.1161/01.CIR.0000093185.16083.95

Thông tin
Thông tin xuất bản

Arteriosclerosis, Thrombosis, and Vascular Biology

Tập 34 Số 7

1341-1345

Thông tin tác giả