高分辨率血管壁成像评估颅内动脉瘤稳定性的研究进展
Research Progress in Evaluating the Stability of Intracranial Aneurysms with High Resolution Vascular Wall Imaging
摘要: 与传统血管成像技术(CTA、MRA及DSA)相比,高分辨血管壁成像技术不仅可以提供动脉瘤不同时期的形态学特征,更可以清晰的显示血管壁的结构,钆对比剂注射后还可以反映出血管壁的炎性改变,通过评估动脉瘤壁强化,从而评估颅内动脉瘤的稳定性。本文对HR-VWI在评估颅内动脉瘤稳定性的研究进展进行综述。
Abstract: Compared with traditional angiography techniques (CTA, MRA and DSA), high-resolution vascular wall imaging can not only provide the morphological characteristics of aneurysms at different peri-ods, but also clearly display the structure of the vascular wall. After injection of gadolinium contrast agent, it can also reflect the inflammatory changes of the vascular wall, and evaluate the stability of intracranial aneurysms by evaluating the strengthening of the aneurysm wall. This article reviews the research progress of HR-VWI in evaluating the stability of intracranial aneurysms.
文章引用:曾星, 贾琳. 高分辨率血管壁成像评估颅内动脉瘤稳定性的研究进展[J]. 临床医学进展, 2024, 14(1): 1111-1116. https://doi.org/10.12677/ACM.2024.141160

参考文献

[1] Vlak, M.H., Algra, A., Brandenburg, R. and Je Rinkel, G. (2011) Prevalence of Unruptured Intracranial Aneurysms, with Emphasis on Sex, Age, Comorbidity, Country, and Time Period: A Systematic Review and Meta-Analysis. The Lancet Neurology, 10, 626-636. [Google Scholar] [CrossRef
[2] Tminan, N. and Rinkel, G.J. (2016) Unruptured Intracranial Aneurysms: Development, Rupture and Preventive Management. Nature Reviews Neu-rology, 12, 699-713. [Google Scholar] [CrossRef] [PubMed]
[3] de Rooij, N.K., Linn, F.H., van der Plas, J.A., et al. (2007) Incidence of Subarachnoid Haemorrhage: A Systematic Review with Emphasis on Region, Age, Gender and Time Trends. Journal of Neurology, Neurosurgery and Psychiatry, 78, 1365-1372. [Google Scholar] [CrossRef] [PubMed]
[4] Bijlenga, P., Gondar, R., Schilling, S., et al. (2017) PHASES Score for the Management of Intracranial Aneurysm: A Cross-Sectional Population-Based Retrospective Study. Stroke, 48, 2105-2112. [Google Scholar] [CrossRef
[5] Wiebers, D.O., Whisnant, J.P., Huston III., J., et al. (2003) Unruptured Intracranial Aneurysms: Natural History, Clinical Outcome, and Risks of Surgical and Endovascular Treat-ment. Lancet, 362, 103-110. [Google Scholar] [CrossRef
[6] Etminan, N. and Rinkel, G.J. (2015) Cerebral Aneurysms: Cerebral Aneurysm Guidelines—More Guidance Needed. Nature Reviews Neurology, 11, 490-491. [Google Scholar] [CrossRef] [PubMed]
[7] Santarosa, C., Cord, B., Koo, A., Bhogal, P., Malhotra, A., Pay-abvash, S., Minja, F.J. and Matouk, C.C. (2020) Vessel Wall Magnetic Resonance Imaging in Intracranial Aneurysms: Principles and Emerging Clinical Applications. Interventional Neuroradiology, 26, 135-146. [Google Scholar] [CrossRef] [PubMed]
[8] Matouk, C.C., Mandell, D.M., Gunel, M., Bulsara, K.R., Mal-hotra, A., Hebert, R., Johnson, M.H., Mikulis, D.J. and Minja, F.J. (2013) Vessel Wall Magnetic Resonance Imaging Identifies the Site of Rupture in Patients with Multiple Intracranial Aneurysms: Proof of Principle. Neurosurgery, 72, 492-496. [Google Scholar] [CrossRef
[9] Agahata, S., Nagahata, M., Obara, M., Kondo, R., Minagawa, N., Sato, S., Sato, S., Mouri, W., Saito, S. and Kayama, T. (2016) Wall Enhancement of the Intracranial An-eurysms Revealed by Magnetic Resonance Vessel Wall Imaging Using Three-Dimensional Turbo Spin-Echo Sequence with Motion-Sensitized Driven-Equilibrium: A Sign of Ruptured Aneurysm? Clinical Neuroradiolog, 26, 277-283. [Google Scholar] [CrossRef] [PubMed]
[10] Edjlali, M., Guedon, A., Ben Hassen, W., Boulouis, G., Ben-zakoun, J., Rodriguez-Regent, C., Trystram, D., Nataf, F., Meder, J.F., Turski, P., Oppenheim, C. and Naggara, O. (2018) Circumferential Thick Enhancement at Vessel Wall MRI Has High Specificity for Intracranial Aneurysm Instabil-ity. Radiology, 289, 181-187. [Google Scholar] [CrossRef] [PubMed]
[11] Fu, Q., Guan, S., Liu, C., Wang, K. and Cheng, J. (2018) Clinical Significance of Circumferential Aneurysmal Wall Enhancement in Symptomatic Patients with Unruptured Intracranial Aneurysms: A High-Resolution MRI Study. Clinical Neuroradiology, 28, 509-514. [Google Scholar] [CrossRef] [PubMed]
[12] Petridis, A.K., Filis, A., Chasoglou, E., Fischer, I., Dibue-Adjei, M., Bostelmann, R., Steiger, H.J., Turowski, B. and May, R. (2018) Aneurysm Wall Enhancement in Black Blood MRI Correlates with Aneurysm Size. Black Blood MRI Could Serve as an Objective Criterion of Aneurysm Stability in Near Future. Clinics and Practice, 8, Article 1089. [Google Scholar] [CrossRef] [PubMed]
[13] Roa, J.A., Sabotin, R.P., Varon, A., Raghuram, A., Patel, D., Morris, T.W., Ishii, D., Lu, Y., Hasan, D.M. and Samaniego, E.A. (2021) Performance of Aneurysm Wall Enhancement Com-pared with Clinical Predictive Scales: PHASES, ELAPSS, and UIATS. World Neurosurgery, 147, e538-e551. [Google Scholar] [CrossRef] [PubMed]
[14] Samaniego, E.A., Roa, J.A. and Hasan, D. (2019) Vessel Wall Imaging in Intracranial Aneurysms. Journal of NeuroInterventional Surgery, 11, 1105-1112. [Google Scholar] [CrossRef] [PubMed]
[15] Wang, G.X., Wen, L., Lei, S., Ran, Q., Yin, J.B., Gong, Z.L. and Zhang, D. (2018) Wall Enhancement Ratio and Partial Wall Enhancement on MRI Associated with the Rupture of Intracranial Aneurysms. Journal of NeuroInterventional Surgery, 10, 566-570. [Google Scholar] [CrossRef] [PubMed]
[16] Matsushige, T., Shimonaga, K., Ishii, D., Sakamoto, S., Hosogai, M., Hashimoto, Y., Kaneko, M., Ono, C., Mizoue, T. and Kurisu, K. (2019) Vessel Wall Imaging of Evolving Unruptured Intracranial Aneurysms. Stroke, 50, 1891-1894. [Google Scholar] [CrossRef
[17] Quan, K., Song, J., Yang, Z., Wang, D., An, Q., Huang, L., Liu, P., Li, P., Tian, Y., Zhou, L. and Zhu, W. (2019) Validation of Wall Enhancement as a New Imaging Biomarker of Unruptured Cerebral Aneurysm. Stroke, 50, 1570-1573. [Google Scholar] [CrossRef
[18] Zhang, Y., Fu, Q., Wang, Y., Cheng, J., Ren, C., Guan, S. and Zhu, C. (2020) Qualitative and Quantitative Wall Enhancement Analyses in Unruptured Aneurysms Are Associated with an Increased Risk of Aneurysm Instability. Frontiers in Neuroscience, 14, Article 580205. [Google Scholar] [CrossRef] [PubMed]
[19] Zhong, W., Su, W., Li, T., Tan, X., Chen, C., Wang, Q., Wang, D., Su, W. and Wang, Y. (2021) Aneurysm Wall Enhancement in Unruptured Intracranial Aneurysms: A Histopathological Evaluation. Journal of the American Heart Association, 10, e018633. [Google Scholar] [CrossRef
[20] Shimizu, K., Kataoka, H., Imai, H., Yamamoto, Y., Yamada, T., Miyata, H., Koseki, H., Abekura, Y., Oka, M., Kushamae, M., Ono, I., Miyamoto, S., Nakamura, M. and Aoki, T. (2021) Hemodynamic Force as a Potential Regulator of Inflammation-Mediated Focal Growth of Saccular Aneurysms in a Rat Model. Journal of Neuropathology & Experimental Neurology, 80, 79-88. [Google Scholar] [CrossRef] [PubMed]
[21] Larsen, N., Fluh, C., Saalfeld, S., Voss, S., Hille, G., Trick, D., Wodarg, F., Synowitz, M., Jansen, O. and Berg, P. (2020) Multimodal Validation of Focal Enhancement in Intracranial Aneu-rysms as a Surrogate Marker for Aneurysm Instability. Neuroradiology, 62, 1627-1635. [Google Scholar] [CrossRef] [PubMed]
[22] Xiao, W., Qi, T., He, S., Li, Z., Ou, S., Zhang, G., Liu, X., Huang, Z. and Liang, F. (2018) Low Wall Shear Stress Is Associated with Local Aneurysm Wall Enhancement on High-Resolution MR Vessel Wall Imaging. American Journal of Neuroradiology, 39, 2082-2087. [Google Scholar] [CrossRef
[23] Zhang, M., Peng, F., Tong, X., Feng, X., Li, Y., Chen, H., Niu, H., Zhang, B., Song, G., Li, Y., Liu, P., Liu, A. and Li, R. (2021) Associations between Haemodynamics and Wall Enhancement of Intracranial Aneurysm. Stroke and Vascular Neurology, 6, 467-475. [Google Scholar] [CrossRef] [PubMed]
[24] Hartman, J.B., Watase, H., Sun, J., Hippe, D.S., Kim, L., Levitt, M., Sekhar, L., Balu, N., Hatsukami, T., Yuan, C. and Mossa-Basha, M. (2019) Intracranial Aneurysms at Higher Clinical Risk for Rupture Demonstrate Increased Wall Enhancement and Thinning on Multicontrast 3D Vessel Wall MRI. The British Journal of Radiology, 92, Article ID: 20180950. [Google Scholar] [CrossRef] [PubMed]
[25] Hu, P., Yang, Q., Wang, D.D., Guan, S.C. and Zhang, H.Q. (2016) Wall Enhancement on High-Resolution Magnetic Resonance Im-aging May Predict an Unsteady State of an Intracranial Saccular Aneurysm. Neuroradiology, 58, 979-985. [Google Scholar] [CrossRef] [PubMed]
[26] Matsushige, T., Shimonaga, K., Mizoue, T., Hosogai, M., Hash-imoto, Y., Kaneko, M., Ono, C., Ishii, D., Sakamoto, S. and Kurisu, K. (2019) Focal Aneurysm Wall Enhancement on Magnetic Resonance Imaging Indicates Intraluminal Thrombus and the Rupture Point. World Neurosurgery, 127, e578-e584. [Google Scholar] [CrossRef] [PubMed]
[27] Gade, P.S., Tulamo, R., Lee, K.W., Mut, F., Ol-likainen, E., Chuang, C.Y., Jae Chung, B., Niemela, M., Rezai Jahromi, B., Aziz, K., Yu, A., Charbel, F.T., Amin-Hanjani, S., Frosen, J., Cebral, J.R. and Robertson, A.M. (2019) Calcification in Human Intracranial Aneurysms Is Highly Prevalent and Displays Both Atherosclerotic and Nonatherosclerotic Types. Arteriosclerosis, Thrombosis, and Vascular Biology, 39, 2157-2167. [Google Scholar] [CrossRef
[28] Larsen, N., von der Brelie, C., Trick, D., Riedel, C.H., Lind-ner, T., Madjidyar, J., Jansen, O., Synowitz, M. and Fluh, C. (2018) Vessel Wall Enhancement in Unruptured Intracrani-al Aneurysms: An Indicator for Higher Risk of Rupture? High-Resolution MR Imaging and Correlated Histologic Find-ings. American Journal of Neuroradiology, 39, 1617-1621. [Google Scholar] [CrossRef
[29] Shimonaga, K., Matsushige, T., Ishii, D., Sakamoto, S., Hosogai, M., Kawasumi, T., Kaneko, M., Ono, C. and Kurisu, K. (2018) Clini-copathological Insights from Vessel Wall Imaging of Unruptured Intracranial Aneurysms. Stroke, 49, 2516-2519. [Google Scholar] [CrossRef
[30] Ishii, D., Zanaty, M., Roa, J.A., Li, L., Lu, Y., Sabotin, R., Allan, L., Samaniego, E.A. and Hasan, D.M. (2021) Concentration of Lp(a) (Lipoprotein[a]) in Aneurysm Sac Is Asso-ciated with Wall Enhancement of Unruptured Intracranial Aneurysm. Stroke, 52, 1465-1468. [Google Scholar] [CrossRef
[31] Matsushige, T., Shimonaga, K., Mizoue, T., Hosogai, M., Hashimoto, Y., Takahashi, H., Kaneko, M., Ono, C., Ishii, D., Sakamoto, S. and Kurisu, K. (2019) Lessons from Vessel Wall Imaging of Intracranial Aneurysms: New Era of Aneurysm Evaluation beyond Morphology. Neurologia Medi-co-Chirurgica, 59, 407-414. [Google Scholar] [CrossRef] [PubMed]
[32] Texakalidis, P., Hilditch, C.A., Lehman, V., Lanzino, G., Pereira, V.M. and Brinjikji, W. (2018) Vessel Wall Imaging of Intracranial Aneurysms: Systematic Review and Meta-Analysis. World Neurosurgery, 117, e451. [Google Scholar] [CrossRef] [PubMed]
[33] Gariel, F., Ben Hassen, W., Boulouis, G., Bourcier, R., Trystram, D., Legrand, L., Rodriguez-Regent, C., Saloner, D., Oppenheim, C., Naggara, O. and Edjlali, M. (2020) Increased Wall Enhancement during Follow-Up as a Predictor of Subsequent Aneurysmal Growth. Stroke, 51, 1868-1872. [Google Scholar] [CrossRef
[34] Vergouwen, M.D.I., Backes, D., van der Schaaf, I.C., Hendrikse, J., Kleinloog, R., Algra, A. and Rinkel, G.J.E. (2019) Gadolinium Enhancement of the Aneurysm Wall in Unruptured Intracranial Aneurysms Is Associated with an Increased Risk of Aneurysm Instability: A Follow-Up Study. American Journal of Neuroradiology, 40, 1112-1116. [Google Scholar] [CrossRef