Wall thickening pattern in atherosclerotic basilar artery stenosis
Our aim was to investigate wall thickening (WT) pattern of atherosclerotic basilar artery stenosis with three-dimensional volumetric isotropic turbo spin echo acquisition (3D VISTA), and the relationship with clinical characteristics. Twenty consecutive patients with atherosclerotic basilar artery s...
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| Veröffentlicht in: | Neurological sciences 2016-02, Vol.37 (2), p.269-276 |
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| creator | Zhu, Xianjin Liu, Lei He, Xinxin Zhang, Xuebin Hu, Libin Du, Bin Wang, Wu Jiang, Weijian Liu, Zunjing |
| description | Our aim was to investigate wall thickening (WT) pattern of atherosclerotic basilar artery stenosis with three-dimensional volumetric isotropic turbo spin echo acquisition (3D VISTA), and the relationship with clinical characteristics. Twenty consecutive patients with atherosclerotic basilar artery stenosis were prospectively enrolled. All cross-sectional slices on VISTA images of basilar arteries were assessed, and classified as eccentric or concentric WT. Clinical characteristics and degree of stenosis were compared between the patients with different wall WT pattern. Wall abnormalities were identified in 568 cross-sectional slices in basilar arteries of 20 patients including eccentric WT in 497 (87.5 %) slices, and concentric WT in 71 (12.5 %) slices. In 11 of 20 patients, all the cross-sectional slices (293 slices) showed eccentric WT. In 9 of 20 patients, the cross-sectional slices (275 slices) showed both eccentric WT (204 slices, 74.2 %) and concentric WT (71 slices, 25.8 %). No lesion showed only concentric WT. At the slices of maximum luminal narrowing sites, only one patient showed concentric WT. Symptomatic stenosis was more common in the patients with mixed WT (eccentric and concentric), compared to patients with only eccentric WT (100 vs 54.5 %,
p
= 0.038). Atherosclerotic basilar artery stenosis could show both eccentric and concentric WT based on each slice analysis. Concentric WT was found in near half of the patients, but tended to locate in minimal slices. No lesion was entirely concentric. Lesions with mixed WT (concentric and eccentric) might represent advanced atherosclerosis with high risk of ischemic event. |
| doi_str_mv | 10.1007/s10072-015-2404-x |
| format | Article |
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p
= 0.038). Atherosclerotic basilar artery stenosis could show both eccentric and concentric WT based on each slice analysis. Concentric WT was found in near half of the patients, but tended to locate in minimal slices. No lesion was entirely concentric. Lesions with mixed WT (concentric and eccentric) might represent advanced atherosclerosis with high risk of ischemic event.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s10072-015-2404-x</identifier><identifier>PMID: 26520844</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Aged ; Echo-Planar Imaging - methods ; Female ; Humans ; Intracranial Arteriosclerosis - pathology ; Magnetic Resonance Angiography - methods ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Original Article ; Prospective Studies ; Psychiatry ; Severity of Illness Index ; Vertebrobasilar Insufficiency - pathology</subject><ispartof>Neurological sciences, 2016-02, Vol.37 (2), p.269-276</ispartof><rights>Springer-Verlag Italia 2015</rights><rights>Springer-Verlag Italia 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-937f278fa04b327c4398db059b21c8c04a85ebad470dc88eaaca8b9bf79899323</citedby><cites>FETCH-LOGICAL-c541t-937f278fa04b327c4398db059b21c8c04a85ebad470dc88eaaca8b9bf79899323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10072-015-2404-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10072-015-2404-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26520844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Xianjin</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>He, Xinxin</creatorcontrib><creatorcontrib>Zhang, Xuebin</creatorcontrib><creatorcontrib>Hu, Libin</creatorcontrib><creatorcontrib>Du, Bin</creatorcontrib><creatorcontrib>Wang, Wu</creatorcontrib><creatorcontrib>Jiang, Weijian</creatorcontrib><creatorcontrib>Liu, Zunjing</creatorcontrib><title>Wall thickening pattern in atherosclerotic basilar artery stenosis</title><title>Neurological sciences</title><addtitle>Neurol Sci</addtitle><addtitle>Neurol Sci</addtitle><description>Our aim was to investigate wall thickening (WT) pattern of atherosclerotic basilar artery stenosis with three-dimensional volumetric isotropic turbo spin echo acquisition (3D VISTA), and the relationship with clinical characteristics. Twenty consecutive patients with atherosclerotic basilar artery stenosis were prospectively enrolled. All cross-sectional slices on VISTA images of basilar arteries were assessed, and classified as eccentric or concentric WT. Clinical characteristics and degree of stenosis were compared between the patients with different wall WT pattern. Wall abnormalities were identified in 568 cross-sectional slices in basilar arteries of 20 patients including eccentric WT in 497 (87.5 %) slices, and concentric WT in 71 (12.5 %) slices. In 11 of 20 patients, all the cross-sectional slices (293 slices) showed eccentric WT. In 9 of 20 patients, the cross-sectional slices (275 slices) showed both eccentric WT (204 slices, 74.2 %) and concentric WT (71 slices, 25.8 %). No lesion showed only concentric WT. At the slices of maximum luminal narrowing sites, only one patient showed concentric WT. Symptomatic stenosis was more common in the patients with mixed WT (eccentric and concentric), compared to patients with only eccentric WT (100 vs 54.5 %,
p
= 0.038). Atherosclerotic basilar artery stenosis could show both eccentric and concentric WT based on each slice analysis. Concentric WT was found in near half of the patients, but tended to locate in minimal slices. No lesion was entirely concentric. Lesions with mixed WT (concentric and eccentric) might represent advanced atherosclerosis with high risk of ischemic event.</description><subject>Aged</subject><subject>Echo-Planar Imaging - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Arteriosclerosis - pathology</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Severity of Illness Index</subject><subject>Vertebrobasilar Insufficiency - pathology</subject><issn>1590-1874</issn><issn>1590-3478</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1LAzEQhoMoVqs_wIssePGyms9NctTiFxS8KB5DNs22W7fZmmSh_fdm2SoiCF5mBuaZd5h5AThD8ApByK9DH3EOEcsxhTTf7IEjxCTMCeVif1cjwekIHIewhBAiisghGOGCYSgoPQK3b7ppsriozbt1tZtnax2j9S6rXabjwvo2mCbFWJus1KFutM-0T8Q2C9G6NtThBBxUugn2dJfH4PX-7mXymE-fH54mN9PcMIpiLgmvMBeVhrQkmBtKpJiVkMkSIyMMpFowW-oZ5XBmhLBaGy1KWVZcCikJJmNwOeiuffvR2RDVqg7GNo12tu2CQrwQjBcFZP9BKaGo4DShF7_QZdt5lw7pKSwZFpgkCg2USQ8J3lZq7euV9luFoOpdUIMXKnmhei_UJs2c75S7cmVn3xNfz08AHoCQWm5u_Y_Vf6p-AsWlk9M</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Zhu, Xianjin</creator><creator>Liu, Lei</creator><creator>He, Xinxin</creator><creator>Zhang, Xuebin</creator><creator>Hu, Libin</creator><creator>Du, Bin</creator><creator>Wang, Wu</creator><creator>Jiang, Weijian</creator><creator>Liu, Zunjing</creator><general>Springer Milan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Wall thickening pattern in atherosclerotic basilar artery stenosis</title><author>Zhu, Xianjin ; Liu, Lei ; He, Xinxin ; Zhang, Xuebin ; Hu, Libin ; Du, Bin ; Wang, Wu ; Jiang, Weijian ; Liu, Zunjing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-937f278fa04b327c4398db059b21c8c04a85ebad470dc88eaaca8b9bf79899323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Echo-Planar Imaging - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Arteriosclerosis - pathology</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Severity of Illness Index</topic><topic>Vertebrobasilar Insufficiency - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Xianjin</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>He, Xinxin</creatorcontrib><creatorcontrib>Zhang, Xuebin</creatorcontrib><creatorcontrib>Hu, Libin</creatorcontrib><creatorcontrib>Du, Bin</creatorcontrib><creatorcontrib>Wang, Wu</creatorcontrib><creatorcontrib>Jiang, Weijian</creatorcontrib><creatorcontrib>Liu, Zunjing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Xianjin</au><au>Liu, Lei</au><au>He, Xinxin</au><au>Zhang, Xuebin</au><au>Hu, Libin</au><au>Du, Bin</au><au>Wang, Wu</au><au>Jiang, Weijian</au><au>Liu, Zunjing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Wall thickening pattern in atherosclerotic basilar artery stenosis</atitle><jtitle>Neurological sciences</jtitle><stitle>Neurol Sci</stitle><addtitle>Neurol Sci</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>37</volume><issue>2</issue><spage>269</spage><epage>276</epage><pages>269-276</pages><issn>1590-1874</issn><eissn>1590-3478</eissn><abstract>Our aim was to investigate wall thickening (WT) pattern of atherosclerotic basilar artery stenosis with three-dimensional volumetric isotropic turbo spin echo acquisition (3D VISTA), and the relationship with clinical characteristics. Twenty consecutive patients with atherosclerotic basilar artery stenosis were prospectively enrolled. All cross-sectional slices on VISTA images of basilar arteries were assessed, and classified as eccentric or concentric WT. Clinical characteristics and degree of stenosis were compared between the patients with different wall WT pattern. Wall abnormalities were identified in 568 cross-sectional slices in basilar arteries of 20 patients including eccentric WT in 497 (87.5 %) slices, and concentric WT in 71 (12.5 %) slices. In 11 of 20 patients, all the cross-sectional slices (293 slices) showed eccentric WT. In 9 of 20 patients, the cross-sectional slices (275 slices) showed both eccentric WT (204 slices, 74.2 %) and concentric WT (71 slices, 25.8 %). No lesion showed only concentric WT. At the slices of maximum luminal narrowing sites, only one patient showed concentric WT. Symptomatic stenosis was more common in the patients with mixed WT (eccentric and concentric), compared to patients with only eccentric WT (100 vs 54.5 %,
p
= 0.038). Atherosclerotic basilar artery stenosis could show both eccentric and concentric WT based on each slice analysis. Concentric WT was found in near half of the patients, but tended to locate in minimal slices. No lesion was entirely concentric. Lesions with mixed WT (concentric and eccentric) might represent advanced atherosclerosis with high risk of ischemic event.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>26520844</pmid><doi>10.1007/s10072-015-2404-x</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Echo-Planar Imaging - methods Female Humans Intracranial Arteriosclerosis - pathology Magnetic Resonance Angiography - methods Male Medicine Medicine & Public Health Middle Aged Neurology Neuroradiology Neurosciences Neurosurgery Original Article Prospective Studies Psychiatry Severity of Illness Index Vertebrobasilar Insufficiency - pathology |
| title | Wall thickening pattern in atherosclerotic basilar artery stenosis |
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