• Review •
Research progress of MR vessel wall imaging of responsible blood vessels of ischemic stroke
Cite this article as: Wang XY, Xu C. Research progress of MR vessel wall imaging of responsible blood vessels of ischemic stroke. Chin J Magn Reson Imaging, 2020, 11(6): 459-461. DOI:10.12015/issn.1674-8034.2020.06.015.
| [Abstract] Previous studies have suggested that the responsible vessels for ischemic stroke are the narrow vessels corresponding to the infarcted area, especially when intracranial vessel stenosis> 50% may cause a stroke. However, more and more studies have found that patients with stroke without obvious stenosis on the MRA have found corresponding atherosclerotic plaques on the MR wall imaging of the intracranial artery. Therefore, we believe that the vulnerability of plaque may be the main cause of ischemic stroke. MR wall imaging of intracranial arteries can clearly show the wall conditions of intracranial vessels. Therefore, this article reviews the characteristics of the vessel wall of the responsible vessels in ischemic stroke and how to quantify the vulnerable plaques in the responsible vessels. |
| [Keywords] magnetic resonance vessel wall imaging；stroke；responsible blood vessels；vulnerable plaque；magnetic resonance angiography |
WANG Xiaoyu Department of Medical Imaging, Shanxi Medical University, Taiyuan 030001, China
XU Cheng* Department of Magnetic Resonance, Affiliated People's Hospital of Shanxi Medical University, Taiyuan 030001, China
*Corresponding to: Xu C, E-mail: xucheng0509@163.com
Conflicts of interest None.
| Received 2020-01-08 |
| Accepted 2020-04-15 |
| DOI: 10.12015/issn.1674-8034.2020.06.015 |
| Cite this article as: Wang XY, Xu C. Research progress of MR vessel wall imaging of responsible blood vessels of ischemic stroke. Chin J Magn Reson Imaging, 2020, 11(6): 459-461. DOI:10.12015/issn.1674-8034.2020.06.015. |
[1]
国家卫生健康委员会脑卒中防治工程委员会神经影像专业委员会，中华医学会放射学分会神经学组．脑血管病影像规范化应用中国指南．中华放射学杂志, 2019, 53(11): 916-940.
[2]
Campbell Bruce CV, De Silva DA, Macleod MR, et al. Ischaemic stroke. Nat Rev Dis Primers, 2019, 5: 70.
[3]
Qureshi AI, Caplan LR. Intracranial atherosclerosis. Adv Neurol, 2014, 383(9921): 65-69.
[4]
Zhu C, Tian X, Degnan AJ, et al. Clinical significance of intraplaque hemorrhage in low and high-grade basilar artery stenosis on high-resolution MRI. AJNR Am J Neuroradiol, 2018, 39(7): 1286-1292.
[5]
Teng ZZ, Peng WJ, Zhan Q, et al. An assessment on the incremental value of high-resolution magnetic resonance imaging to identify culprit plaques in atherosclerotic disease of the middle cerebral artery. Eur Radiol, 2016, 26(7): 2206-2214.
[6]
Warfarin-aspirin symptomatic intracranial disease (WASID). Trial investigators, design, progress and challenges of a double-blind trial of warfarin versus aspirin for symptomatic intracranial arterial stenosis. Neuroepidemiology, 2003, 22(2): 106-117.
[7]
Huang J, Jiao S, Zhao XH, et al. Characteristics of patients with enhancing intracranial atherosclerosis and association between plaque enhancement and recent cerebrovascular ischemic events: a high-resolution magnetic resonance imaging study. Acta Radiol, 2019, 60(10): 1301-1307.
[8]
Kim JM, Jung KH, Sohn CH, et al. Intracranial plaque enhancement from high resolution vessel wall magnetic resonance imaging predicts stroke recurrence. Int J Stroke, 2016, 11(2): 171-179.
[9]
Degnan AJ, Gallagher G, Teng Z, et al. MR angiography and imaging for the evaluation of middle cerebral artery atherosclerotic disease. Am J Neuroradiol, 2012, 33(8): 1427-1435.
[10]
Chung JW, Kim BJ, Choi BS, et al. High-resolution magnetic resonance imaging reveals hidden etiologies of symptomatic vertebral arterial lesions. J Stroke Cerebrovascular Dis, 2014, 23(2): 293-302.
[11]
Arenillas JF, Dieleman N, Bos D. Intracranial arterial wall imaging: Techniques, clinical applicability, and future perspectives. Int J Stroke, 2019, 14(6): 564-573.
[12]
Sui BB, Gao PY. High-resolution vessel wall magnetic resonance imaging of carotid and intracranial vessels. Acta Radiol, 2019, 60(10): 1329-1340.
[13]
Xu X, Wei YF, Zhang XD, et al. Value of higher-resolution MRI in assessing middle cerebral atherosclerosis and predicting capsular warning syndrome. J Magn Reson Imaging, 2016, 44(5): 1277-1283.
[14]
Liang JY, Guo J, Liu DX, et al. Application of high-resolution CUBE sequence in exploring stroke mechanisms of atherosclerotic stenosis of middle cerebral artery. J Stroke Cerebrovasc Dis, 2019, 28(1): 156-162.
[15]
Kolk AGVD, Zwanenburg JJM, Brundel M, et al. Intracranial vessel wall imaging at 7.0 T MRI. Stroke, 2011, 42(9): 2478-2484.
[16]
Qiao Y, Zeiler SR, Mirbagheri S, et al. Intracranial plaque enhancement in patients with cerebrovascular events on high-spatial-resolution MR images. Radiology, 2014, 271(2): 534-542.
[17]
de Havenon A, Muhina HJ, Parker DL, et al. Effect of time elapsed since gadolinium administration on atherosclerotic plaque enhancement in clinical vessel wall MR imaging studies. AJNR Am J Neuroradiol, 2019, 40(10): 1709-1711.
[18]
Kim SK, Kwak HS, Chung GH, et al. Why is middle cerebral artery plaque augmented by contrast media? A phantom study using middle cerebral artery stenotic silicon model. Neuroradiology, 2019, 61(10): 1173-1180.
[19]
Skarpathiotakis M, Mandell DM, Swartz RH, et al. Intracranial atherosclerotic plaque enhancement in patients with ischemic stroke. AJNR Am J Neuroradiol, 2013, 34(2): 299-304.
[20]
Kwee RM, Qiao Y, Liu L, et al. Temporal course and implications of intracranial atherosclerotic plaque enhancement on high-resolution vessel wall MRI. Neuroradiology, 2019, 61(6): 651-657.
[21]
Lu SS, Ge S, Su CQ, et al. MRI of plaque characteristics and relationship with downstream perfusion and cerebral infarction in patients with symptomatic middle cerebral artery stenosis. J Magn Reson Imaging, 2018, 48(1): 66-73.
[22]
Ma N, Xu ZQ, Lyu JH, et al. Association of perforator stroke after basilar artery stenting with negative remodeling. Stroke, 2019, 50(3): 745-749.
[23]
Qiao Y, Anwar Z, Intrapiromkul J, et al. Patterns and implications of intracranial arterial remodeling in stroke patients. Stroke, 2016, 47(2): 434-40.
[24]
Wang YT, Liu XK, Wu X, et al. Culprit intracranial plaque without substantial stenosis in acute ischemic stroke on vessel wall MRI: A systematic review. Atherosclerosis, 2019, 287: 112-121.
[25]
Shi Z, Zhu CC, Degnan AJ, et al. Identification of high-risk plaque features in intracranial atherosclerosis: initial experience using a radiomic approach. Eur Radiol, 2018, 28(9): 3912-3921.
[26]
Yaghi S, Bernstein RA, Passman R, et al. Cryptogenic stroke: Research and practice. Circ Res, 2017, 120(3): 527-540.
[27]
Kim YS, Lim SH, Oh KW, et al. The advantage of high-resolution MRI in evaluating basilar plaques: a comparison study with MRA. Atherosclerosis, 2012, 224(2): 411-416.
[28]
Mazighi M, Labreuche J, Gongora-Rivera F, et al. Autopsy prevalence of intracranial atherosclerosis in patients with fatal stroke. Stroke, 2008, 39(4): 1142-1147.
[29]
Bodle JD, Feldmann E, Swartz RH, et al. High-resolution magnetic resonance imaging: an emerging tool for evaluating intracranial arterial disease. Stroke, 2013, 44(1): 287-292.
[30]
Xu WH, Li ML, Gao S, et al. Plaque distribution of stenotic middle cerebral artery and its clinical relevance. Stroke, 2011, 42(10): 2957-2959.
[31]
Yoon YS, Lee DH, Kang DW, et al. Single subcortical infarction and atherosclerotic plaques in the middle cerebral artery: high-resolution magnetic resonance imaging findings. Stroke, 2013, 44(9): 2462-2467.
[32]
Yu YN, Li ML, Xu YY, et al. Middle cerebral artery geometric features are associated with plaque distribution and stroke. Neurology, 2018, 91(19): e1760-e1769.
[33]
Yu J, Li ML, Xu YY, et al. Plaque distribution of low-grade basilar artery atherosclerosis and its clinical relevance. BMC Neurol, 2017, 17(1): 8.
[34]
Cho HJ, Kim KH, Kim EJ, et al. Clinical implications of basilar artery plaques in the pontine infarction with normal basilar angiogram: A high-resolution magnetic resonance imaging study. J Stroke Cerebrovasc Dis, 2018, 27(12): 3591-3598.
[35]
Cao Y, Sun Y, Zhou B, et al. Atherosclerotic plaque burden of middle cerebral artery and extracranial carotid artery characterized by MRI in patients with acute ischemic stroke in China: association and clinical relevance. Neurol Res, 2017, 39(4): 344-350.
[36]
Dieleman N, Yang WJ, Abrigo JM, et al. Magnetic resonance imaging of plaque morphology, burden, and distribution in patients with symptomatic middle cerebral artery stenosis. Stroke, 2016, 47(7): 1797-1802.
[37]
Wang MN, Wu F, Yang YJ, et al. Quantitative assessment of symptomatic intracranial atherosclerosis and lenticulostriate arteries in recent stroke patients using whole-brain high-resolution cardiovascular magnetic resonance imaging. J Cardiovasc Magn Reson, 2018, 20(1): 35.
[38]
Meng Y, Li ML, Yu YN, et al. Quantitative score of the vessel morphology in middle cerebral artery atherosclerosis. J Neurol Sci, 2019, 399: 111-117.
[39]
Lindenholz A, van der KA, van der SI, et al. Intracranial atherosclerosis assessed with 7-T MRI: Evaluation of patients with ischemic stroke or transient ischemic attack. Radiology, 2020, 295(1): 162-170.
[40]
Liu S, Luo Y, Wang C, et al. Combination of plaque characteristics, pial collaterals, and hypertension contributes to misery perfusion in patients with symptomatic middle cerebral artery stenosis. J Magn Reson Imaging, 2020, 51(1): 195-204.
