  已经证明非侵入性颈动脉成像方法能够将斑块特征表征为未来事件的预测因子，为风险分层和患者管理提供了重大贡献。尽管已建议采用单一模式的评分系统（如AHA分型 、改良的AHA MRI分型、颈动脉斑块超声评分等），但目前还没有针对各种成像方式的通用分类系统，并根据斑块形态和成分对动脉粥样硬化病变的严重程度进行评分。该研究提出的Plaque-RADS评分旨在创建一个直观、准确、可靠和可靠的评分系统。标准化评分系统，可与各种成像方式结合使用，为首次或复发性大动脉脑血管事件提供风险评估。  Carotid Plaque-RADS, a novel stroke risk classification system Luca Saba et JACC. Cardiovascular imaging, S1936-878X(23)00431-X IF：14.0   关注公众号并回复【85】可领取文献 注：文末设置了【今日之问】，投票猜一猜吧！  Abstract   'Background: Carotid artery atherosclerosis is highly prevalent in the general population and is a wellestablished risk factor for acute ischemic stroke. Although the morphological characteristics of vulnerable plaques are well recognized, there is a lack of consensus in reporting and interpreting carotid plaque features. Objectives: The aim of this document is to establish a consistent and comprehensive approach for imaging and reporting carotid plaque by introducing the Plaque-Reporting And Data System (RADS) score. Methods: A panel of experts recognized the necessity to develop a classification system for carotid plaque and its defining characteristics. Employing a multi-modality analysis approach, the Plaque-RADS categories were established through consensus, drawing on existing literature. Results: We present a universal classification that is applicable to both researchers and clinicians. The Plaque-RADS score offers a morphological assessment in addition to the prevailing quantitative parameter of 'stenosis'. The Plaque-RADS score spans from grade 1 (indicating complete absence of plaque) to grade 4 (representing complicated plaque). Accompanying visual examples are included to facilitate a clear understanding of the Plaque-RADS categories. Conclusion: Plaque-RADS is a standardized and reliable system of reporting carotid plaque composition and morphology via different imaging modalities, such as US, CT, and MRI. This scoring system has the potential to help in the precise identification of patients who may benefit from exclusive medical intervention and those who require alternative treatments, thereby enhancing patient care. A standardized lexicon and structured reporting promise to enhance communication between radiologists, referring clinicians, and scientists.'  atherosclerosis[ˌæθərəʊsklɪəˈrəʊsɪs]：动脉粥样硬化 ischemic[ɪsˈkimɪk]：缺血的 lexicon[ˈleksɪkən]：词典 翻译 背景：颈动脉粥样硬化在普通人群中非常普遍，是急性缺血性卒中的一个公认的危险因素。尽管易损斑块的形态特征已被广泛认识，但在报告和解释颈动脉斑块特征方面仍缺乏共识。 目的：本文件的目的是通过引入斑块报告和数据系统(RADS)评分，为颈动脉斑块的成像和报告建立一种一致和全面的方法。 方法：一个专家小组认识到开发颈动脉斑块分类系统及其定义特征的必要性。采用多模式分析方法，在现有文献的基础上，通过协商一致建立了Plaque-RADS类别。 结果：我们提出了一个既适用于研究人员又适用于临床医生的通用分类。Plaque-RADS评分除了提供主要的定量参数“狭窄”外，还提供了一种形态学评估。Plaque-RADS评分从1级(表示完全没有斑块)到4级(表示复杂斑块)。附随的视觉示例包括，以便于清楚地了解Plaque-RADS类别。 结论：Plaque-RADS是一种标准化和可靠的系统，可以通过不同的成像方式，如US、CT和MRI，报告颈动脉斑块的成分和形态。这一评分系统有可能帮助准确识别哪些患者可能受益于专门的医疗干预，哪些患者需要替代治疗，从而加强对患者的护理。标准化的词典和结构化的报告承诺加强放射科医生、推荐临床医生和科学家之间的沟通。 Figure
图示：分步流程图将颈动脉粥样硬化斑块分为不同的Plaque-RADS类别
图示：基于影像表现和出现症状的归因风险的Plaque-RADS类别的总结
图示：不同Plaque-RADS类别1至4的示意图 MWT=最大壁厚 LRNC=富含脂质/坏死核心 FC=纤维帽 IPH=斑块内出血 CEA=颈动脉内膜切除术 上期【今日之问】答案 上期的【今日之问】答案是：（F）多隔胆囊 你答对了嘛？ “多隔胆囊又叫蜂巢样胆囊，是一种少见的先天性异常,由多个黏膜间隔将胆囊分隔为多个相互连通的腔,它是由于发育中的胆囊不完全的空泡形成或上皮层过度内折所致。” 本期【今日之问】 点击播放视频 END |
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