vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2025.1.MIM.1vmireaviz-1100Research ArticleМЕДИЦИНСКАЯ ВИЗУАЛИЗАЦИЯMEDICAL IMAGINGСовременные представления о роли компьютерной томографии в диагностике нестабильных атеросклеротических бляшек сонных артерий (обзор литературы)The role of computed tomography in diagnosing the vulnerability of carotid artery plaques (literature review)https://orcid.org/0000-0001-5607-8550ГаляутдиноваЛ. Э.GalyautdinovaL. E.

Галяутдинова Лина Эриковна - аспирантка кафедры лучевой диагностики и медицинской визуализации.

ул. Аккуратова, д. 2, Санкт-Петербург, 197349

Lina E. Galyautdinova - Postgraduate student, Department of Radiation Diagnostics and Medical Imaging, Almazov National Medical Research Center.

2, Akkuratov St., Saint Petersburg, 197349

Lina_erikovna@mail.ruhttps://orcid.org/0009-0000-5323-9056РахмановаА. А.RakhmanovaA. A.

Рахманова Айдай Асановна - студентка 6 курса лечебного факультета.

ул. Льва Толстого, д. 6-8, Санкт-Петербург, 197022

Ayday A. Rakhmanova - 6-year student, Faculty of General Medicine, First St. Petersburg State Medical University named after Academician I.P. Pavlov.

6-8, Lev Tolstoy St., Saint Petersburg, 197022

arahmanova32@gmail.comhttps://orcid.org/0009-0009-0778-6396ФилинЯ. А.FilinYa. A.

Филин Яна Альбертовна - ординатор кафедры лучевой диагностики и медицинской визуализации с клиникой.

ул. Аккуратова, д. 2, Санкт-Петербург, 197349

Yana A. Filin - Resident, Department of Radiation Diagnostics and Medical Imaging with Clinic, Almazov National Medical Research Center.

2, Akkuratov St., Saint Petersburg, 197349

filin_yana@mail.ruhttps://orcid.org/0000-0003-4442-7228БасекИ. В.BasekI. V.

Басек Илона Владимировна - канд. мед. наук, доцент кафедры лучевой диагностики и медицинской визуализации с клиникой.

ул. Аккуратова, д. 2, Санкт-Петербург, 197349

Ilona V. Basek - Cand. Sci. (Med.), Associate Professor, Department of Radiation Diagnostics and Medical Imaging with Clinic, Almazov National Medical Research Center.

2, Akkuratov St., Saint Petersburg, 197349

Ilona.basek@mail.ruhttps://orcid.org/0000-0001-9528-9377АлексееваД. В.AlekseevaD. V.

Алексеева Дарья Владимировна - канд. мед. наук, ассистент кафедры лучевой диагностики и медицинской визуализации с клиникой.

ул. Аккуратова, д. 2, Санкт-Петербург, 197349

Dar'ya V. Alekseeva - Cand. Sci. (Med.), Assistant, Department of Radiation Diagnostics and Medical Imaging with Clinic, Almazov National Medical Research Center.

2, Akkuratov St., Saint Petersburg, 197349

alekseeva_dv@almazovcentre.ruhttps://orcid.org/0000-0002-1611-5000ТруфановГ. Е.TrufanovG. E.

Труфанов Геннадий Евгеньевич - д-р мед. наук, профессор, заведующий кафедрой лучевой диагностики и медицинской визуализации с клиникой.

ул. Аккуратова, д. 2, Санкт-Петербург, 197349

Gennadiy E. Trufanov - Dr. Sci. (Med.), Professor, Head of the Department of Radiation Diagnostics and Medical Imaging with Clinic, Almazov National Medical Research Center.

2, Akkuratov St., Saint Petersburg, 197349

trufanovge@mail.ruНациональный медицинский исследовательский центр имени В.А. АлмазоваРоссияAlmazov National Medical Research CenterRussian FederationПервый Санкт-Петербургский государственный медицинский университет имени академика И.П. ПавловаРоссияPavlov First Saint Petersburg State Medical UniversityRussian Federation202510032025151138143Copyright © Галяутдинова Л.Э., Рахманова А.А., Филин Я.А., Басек И.В., Алексеева Д.В., Труфанов Г.Е., 20252025Галяутдинова Л.Э., Рахманова А.А., Филин Я.А., Басек И.В., Алексеева Д.В., Труфанов Г.Е.Galyautdinova L.E., Rakhmanova A.A., Filin Y.A., Basek I.V., Alekseeva D.V., Trufanov G.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/1100

 

Атеросклеротическое поражение экстракраниального отдела сонных артерий является одной из основных причин ишемических поражений головного мозга. Компьютерная томография является широкодоступным, неинвазивным методом исследования, позволяющим оценить не только анатомические особенности брахиоцефальных артерий и степень стеноза, но и структуру бляшки. В последние годы появляется всё больше данных о связи ишемического инсульта не только со степенью стеноза, но и с наличием нестабильных атеросклеротических бляшек. Выявление признаков нестабильности бляшки с помощью неинвазивных методов диагностики, таких как КТ-ангиография, в перспективе может позволить оценить риск развития сосудистых событий в бассейнах сонных артерий, снизить потребность в инвазивной диагностике, а также своевременно определить показания для оперативного вмешательства.

Atherosclerotic lesion of the extracranial carotid arteries is one of the main causes of ischemic stroke. Computed tomography is a widely available, non-invasive method that allows us to evaluate not only the anatomical features of the brachiocephalic arteries and the degree of stenosis, but also the structure of the plaque. In recent years, there has been increasing evidence of an association of ischemic stroke not only with the degree of stenosis, but also with the presence of plaque vulnerability. Identification of signs of plaque instability using non-invasive diagnostic methods, such as CT angiography, has the potential to evaluate the risk of vascular events, reduce the need for invasive diagnosis, and facilitate timely identification of indications for surgical intervention.

Компьютерная томография [D014057]Атеросклеротическая бляшка [D058226]Нестабильная бляшка [D058226]Сонные артерии [D002339]Атеросклероз [D050197]Визуализация сосудов [D055504]КТ-ангиография [D056324]Цереброваскулярные заболевания [D002561]Инсульт [D020521]Диагностические методы [D003951]Computed tomography / TomographyX-Ray Computed [D014057]Atherosclerotic plaque / PlaqueAtherosclerotic [D058226]Unstable plaque / PlaqueAtheroscleroticVulnerable [D058226]Carotid arteries [D002339]Atherosclerosis / Atherosclerosis [D050197]Vascular imaging / Vascular Imaging [D055504]CT angiography / Computed Tomography Angiography [D056324]Cerebrovascular disorders / Cerebrovascular Disorders [D002561]Stroke / Stroke [D020521]Diagnostic methods / Diagnostic Techniques and Procedures [D003951]ReferencesЧернявский М.А. и соавт. Российский консенсус по диагностике и лечению пациентов со стенозом сонных артерий. Российский кардиологический журнал. 2022;27(11):76-86.Chernyavsky M.A. et al. 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The authors declare that there are no conflicts of interest present.