斑块-RADS分类在二维带超声波中对中风风险分层的预测价值
Yuanfu Ouyang1, Guorong Lyu2, Shaomin Huang1
1Department of Medical Ultrasonics, Sanming Second Hospital, Fifth Clinical Medical College, Fujian University of Traditional Chinese Medicine, Yong'an, China.
Quantitative imaging in medicine and surgery
|February 11, 2026
概括
冠状动脉斑块报告和数据系统 (Plaque-RADS) 通过2D冠状动脉超声波有效预测中风风险. 较高的斑块-RADS类别与中风患病率和复发率的增加相关,支持其临床使用.
科学领域:
- 血管医学 血管医学
- 放射学 放射学是一门学科.
- 神经学 神经学
背景情况:
- 冠状动脉斑块报告和数据系统 (Plaque-RADS) 标准化了冠状动脉斑块风险评估.
- 它使用二维超声波对中风患病率的预测能力需要进一步调查.
研究的目的:
- 评估斑块-RADS类别与中风患病率之间的关联.
- 评估Plaque-RADS在预测中风复发中的实用性.
主要方法:
- 一个前性队列研究,包括2023名接受动脉超声波的患者.
- 使用Plaque-RADS类别1-4进行中风风险分层.
- 多变量逻辑回归和线性趋势测试,以分析与中风和复发的关联.
主要成果:
- 在斑块-RADS类别中,中风患病率显著增加 (3.1%至38.2%).
- 斑块-RADS类别4显示了中风的最高调整几率比率 (8.13).
- 脑卒中复发率显示出与斑块-RADS类别的分级关联,特别是在0-6个月内.
结论:
- 使用2D带超声波的斑块-RADS分类有效地分层了最初的中风风险.
- 该系统还预测了短期的复发性中风风险.
- 支持将Plaque-RADS整合到常规临床实践中进行风险评估.
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