Diagnostics Accuracy of Magnetic Resonance Imaging in Detection of Atherosclerotic Plaque Characteristics in Carotid Arteries Compared to Histology: A Systematic Review

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F24%3AA250387C" target="_blank" >RIV/61988987:17110/24:A250387C - isvavai.cz</a>

Výsledek na webu

<a href="https://onlinelibrary.wiley.com/doi/10.1002/jmri.29522" target="_blank" >https://onlinelibrary.wiley.com/doi/10.1002/jmri.29522</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/jmri.29522" target="_blank" >10.1002/jmri.29522</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Diagnostics Accuracy of Magnetic Resonance Imaging in Detection of Atherosclerotic Plaque Characteristics in Carotid Arteries Compared to Histology: A Systematic Review

Popis výsledku v původním jazyce

<jats:sec><jats:label/>Carotid plaque composition represents one of the main risk factors of future ischemic stroke. MRI provides excellent soft tissue contrast that can distinguish plaque characteristics. Our objective was to analyze the diagnostic accuracy of MRI imaging in the detection of carotid plaque characteristics compared to histology in patients with symptomatic and asymptomatic carotid atherosclerosis through a systematic review. After prospective registration in PROSPERO (ID CRD42022329690), Medline Ovid, <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://embase.com">Embase.com</jats:ext-link>, Cochrane Library, and Web of Science Core were searched without any search limitation up to May 27, 2022 to identify eligible articles. Of the 8168 studies, 53 (37 × 1.5 T MRI, 17 × 3 T MRI) evaluated MRI accuracy in the detection of 13 specific carotid plaque characteristics in 169 comparisons. MRI demonstrated high diagnostic accuracy for detection of calcification (3 T MRI: mean sensitivity 92%/mean specificity 90%; 1.5 T MRI: mean sensitivity 81%/mean specificity 91%), fibrous cap (1.5 T: 89%/87%), unstable plaque (1.5 T: 89%/87%), intraplaque hemorrhage (1.5 T: 86%/88%), and lipid‐rich necrotic core (1.5 T: 89%/79%). MRI also proved to have a high level of tissue discrimination for the carotid plaque characteristics investigated, allowing potentially for a better risk assessment and follow‐up of patients who may benefit from more aggressive treatments. These results emphasize the role of MRI as the first‐line imaging modality for comprehensive assessment of carotid plaque morphology, particularly for unstable plaque.</jats:sec><jats:sec><jats:title>Evidence Level</jats:title>2</jats:sec><jats:sec><jats:title>Technical Efficacy</jats:title>Stage 2</jats:sec>

Název v anglickém jazyce

Diagnostics Accuracy of Magnetic Resonance Imaging in Detection of Atherosclerotic Plaque Characteristics in Carotid Arteries Compared to Histology: A Systematic Review

Popis výsledku anglicky

<jats:sec><jats:label/>Carotid plaque composition represents one of the main risk factors of future ischemic stroke. MRI provides excellent soft tissue contrast that can distinguish plaque characteristics. Our objective was to analyze the diagnostic accuracy of MRI imaging in the detection of carotid plaque characteristics compared to histology in patients with symptomatic and asymptomatic carotid atherosclerosis through a systematic review. After prospective registration in PROSPERO (ID CRD42022329690), Medline Ovid, <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://embase.com">Embase.com</jats:ext-link>, Cochrane Library, and Web of Science Core were searched without any search limitation up to May 27, 2022 to identify eligible articles. Of the 8168 studies, 53 (37 × 1.5 T MRI, 17 × 3 T MRI) evaluated MRI accuracy in the detection of 13 specific carotid plaque characteristics in 169 comparisons. MRI demonstrated high diagnostic accuracy for detection of calcification (3 T MRI: mean sensitivity 92%/mean specificity 90%; 1.5 T MRI: mean sensitivity 81%/mean specificity 91%), fibrous cap (1.5 T: 89%/87%), unstable plaque (1.5 T: 89%/87%), intraplaque hemorrhage (1.5 T: 86%/88%), and lipid‐rich necrotic core (1.5 T: 89%/79%). MRI also proved to have a high level of tissue discrimination for the carotid plaque characteristics investigated, allowing potentially for a better risk assessment and follow‐up of patients who may benefit from more aggressive treatments. These results emphasize the role of MRI as the first‐line imaging modality for comprehensive assessment of carotid plaque morphology, particularly for unstable plaque.</jats:sec><jats:sec><jats:title>Evidence Level</jats:title>2</jats:sec><jats:sec><jats:title>Technical Efficacy</jats:title>Stage 2</jats:sec>

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30224 - Radiology, nuclear medicine and medical imaging

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

J MAGN RESON IMAGING

ISSN

1053-1807

e-ISSN

1522-2586

Svazek periodika

—

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

27

Strana od-do

1067-1093

Kód UT WoS článku

001268140900001

EID výsledku v databázi Scopus

2-s2.0-85197805055