Application and development of contrast-enhanced ultrasound imaging for head-neck vascular disease

doi:10.3969/j.issn.1006-7795.2014.02.001

Abstract

Abstract:

Head-neck artery atherosclerosis disease is frequently observed, which may affects the quality of lives. At present, digital subtraction angiography(DSA), CT angiography(CTA) and magnetic resonance angiography(MRA) have been the mainly screening tests for assessing head-neck artery. DSA is the gold standard in the diagnosis of extracranial vascular stenosis, observing the surface of the plaque and ulcer plaque formation. High resolution MR imaging can identify the intraplaque components and assess vulnerability of plaque. But these methods are unable to visualize intraplaque neovascularization and arterial vasa vasorum(VV) directly. Contrast-enhanced ultrasound(CEUS) can identify and quantify intraplaque neovascularization, assess the vulnerability of carotid plaque. Similarly, DSA is the gold standard in the diagnosis of intracranial vascular diseases, but its invasiveness has certain risk and contrast allergic reaction occurs frequently, and contrast enhanced transcranial color-coded sonography(CE-TCCS) can visualize intracranial blood vessels and identify velocity and direction of the blood flow, making up for DSA. In this paper, the application and development of CEUS in head-neck vascular disease were reviewed.

Key words: contrast-enhanced ultrasound, carotid atherosclerotic, plaques, neovascularization, intracranial aneurysm, intracranial arteriovenous malformation

CLC Number:

R445.1

Li Chen, He Wen. Application and development of contrast-enhanced ultrasound imaging for head-neck vascular disease[J]. Journal of Capital Medical University, 2014, 35(2): 145-149.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2014.02.001

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2014/V35/I2/145

References

[1] 邬冬芳, 何文, 胡向东, 等.颈动脉狭窄超声造影:与DSA相对照[J].中国医学影像技术, 2008, 24(9):1375-1378.
[2] 魏立亚, 何文, 邬冬芳, 等.超声造影在颈动脉疾病诊断中的应用[J].临床超声医学杂志, 2009, 11(6):377-379.
[3] Hammond C J, Mcpherson S J, Patel J V, et al.Assessment of apparent internal carotid occlusion on ultrasound: prospective comparison of contrast-enhanced ultrasound, magnetic resonance angiography and digital subtraction angiography[J]. Eur J Vasc Endovasc Surg, 2008, 35(4):405-412.
[4] 勇强, 牛宏珍, 张蕾, 等.超声声学造影评价颈内动脉闭塞的初步探讨[J].心肺血管病杂志, 2013, 32(3):302-304.
[5] Staub D, Patel M B, Tibrewala A, et al. Vasa vasorum and plaque neovascularization on contrast-enhanced carotid ultrasound imaging correlates with cardiovascular disease and past cardiovascular events[J]. Stroke, 2010, 41(1):41-47.
[6] Coli S, Magnoni M, Sangiorgi G, et al.Contrast-enhanced ultrasound imaging of intraplaque neovascularization in carotid arteries: correlation with histology and plaque echogenicity[J]. J Am Coll Cardiol, 2008, 52(3):223-230.
[7] Vavuranakis M, Sigala F, Vrachatis D A, et al.Quantitative analysis of carotid plaque vasa vasorum by CEUS and correlation with histology after endarterectomy[J]. Vasa, 2013, 42(3):184-195.
[8] Schinkel A F, Krueger C G, Tellez A, et al. Contrast-enhanced ultrasound for imaging vasa vasorum: comparison with histopathology in a swine model of atherosclerosis[J]. Eur J Echocardiogr, 2010, 11(8):659-664.
[9] Owen D R, Shalhoub J, Miller S, et al.Inflammation within carotid atherosclerotic plaque: assessment with late-phase contrast-enhanced US[J]. Radiology, 2010, 255(2):638-644.
[10] Partovi S, Loebe M, Aschwanden M, et al.Contrast-enhanced ultrasound for assessing carotid atherosclerotic plaque lesions[J]. AJR Am J Roentgenol, 2012, 198(1):W13-W19.
[11] 何文, 王立淑, 张惠琴, 等.经颅超声造影在颅内动脉狭窄闭塞性疾病的应用[J].中华医学超声杂志:电子版, 2010, 7(3):419-425.
[12] Kunz A, Hahn G, Mucha D, et al.Echo-enhanced transcranial color-coded duplex sonography in the diagnosis of cerebrovascular events: a validation study[J]. AJNR Am J Neuroradiol, 2006, 27(10):2122-2127.
[13] 张惠琴, 何文, 王立淑, 等.经颅超声造影在大脑中动脉狭窄定位及定量诊断中的初步应用[J].中华医学超声杂志:电子版, 2010, 7(10):1622-1627.
[14] 杨松, 何文, 杜丽娟, 等.超声造影在颅内椎-基底动脉狭窄诊断中的作用[J].中国卒中杂志, 2011, 6(6):463-467.
[15] 杨松, 何文, 张惠琴, 等.经颅超声造影在后循环缺血患者椎-基底动脉病变诊断中的应用[J].中华医学超声杂志:电子版, 2012, 9(8):698-702.
[16] Tateishi Y, Iguchi Y, Kimura K, et al.Contrast-enhanced transcranial color-coded duplex sonography criteria for basilar artery stenosis[J]. J Neuroimaging, 2008, 18(4):407-410.
[17] Holscher T, Sattin J A, Raman R, et al.Real-time cerebral angiography: sensitivity of a new contrast-specific ultrasound technique[J]. AJNR Am J Neuroradiol, 2007, 28(4):635-639.
[18] 冯程, 徐金锋, 魏章洪, 等.微血管造影成像技术在脑动脉检查中的诊断价值[J].河北医药, 2013, 35(16):2423-2425.
[19] 魏章洪, 徐金锋, 罗慧, 等.实时经颅超声血管造影诊断脑动脉闭塞的初步研究[J].中国超声医学杂志, 2013, 29(9):769-771.
[20] Turner C L, Kirkpatrick P J. Detection of intracranial aneurysms with unenhanced and echo contrast enhanced transcranial power Doppler[J]. J Neurol Neurosurg Psychiatry, 2000, 68(4):489-495.
[21] Turner C L, Higgins J N, Gholkar A, et al. Intracranial aneurysms treated with endovascular coils: detection of recurrences using unenhanced and contrast-enhanced transcranial color-coded duplex sonography[J]. Stroke, 2005, 36(12):2654-2659.
[22] Wang L S, He W, Zhang H Q, et al. Comparison of transcranial color Doppler sonography without and with contrast enhancement for detection and characterization of intracranial aneurysms[J]. J Clin Ultrasound, 2012, 40(9):535-539.
[23] 张政, 韩剑虹, 李迎春, 等.256层螺旋CT三维血管成像与三维DSA诊断颅内动脉瘤的对比分析[J].中国脑血管病杂志, 2012, 9(1):21-26.
[24] Chalopin C, Krissian K, Meixensberger J, et al.Evaluation of a semi-automatic segmentation algorithm in 3D intraoperative ultrasound brain angiography[J]. Biomed Tech(Berl), 2013, 58(3):293-302.
[25] Becker G, Perez J, Krone A, et al. Transcranial color-coded real-time sonography in the evaluation of intracranial neoplasms and arteriovenous malformations[J]. Neurosurgery, 1992, 31(3):420-428.
[26] Bartels E, Knauth M. Transcranial color-coded duplex ultrasonography of arteriovenous malformations[J]. Rofo, 2006, 178(1):64-70.
[27] 王立淑, 何文, 张惠琴, 等.经颅彩色多普勒超声及经颅超声造影在颅内动静脉畸形中的应用[J].中华医学超声杂志:电子版, 2010, 7(10):1609-1615.
[28] 张永力, 孙玉明, 刘方军, 等.显微外科手术联合不同方法治疗高级别颅内动静脉畸形[J].中国脑血管病杂志, 2012, 9(10):505-509.
[29] 赵兵, 石会, 钟鸣.颅内动静脉畸形出血的自然史与发生机制[J].中国脑血管病杂志, 2012, 9(10):546-549.
[30] Wang Y, Wang Y, Wang Y, et al. Intraoperative real-time contrast-enhanced ultrasound angiography: a new adjunct in the surgical treatment of arteriovenous malformations[J]. J Neurosurg, 2007, 107(5):959-964.
[31] 贺焱, 何文, 王立淑, 等.术中超声造影在脑动静脉畸形切除术中的应用[J].中华医学超声杂志:电子版, 2010, 7(10):1628-1632.