{Reference Type}: English Abstract {Title}: [Coronary CT angiography derived fractional flow reserve: the consideration and practice of functional evaluation for cerebral arterial diseases]. {Author}: Zhang LJ;Yin YF;Han WS;Zhu W;Zhang LJ;Yin YF;Han WS;Zhu W; {Journal}: Zhonghua Yi Xue Za Zhi {Volume}: 102 {Issue}: 33 {Year}: Sep 2022 6 暂无{DOI}: 10.3760/cma.j.cn112137-20220507-01008 {Abstract}: Cerebrovascular disease is a significant global public health concern, despite the diagnosis and treatment of stroke has made great progress in recent years, however, its mainly guided by anatomical indicators, which still needs to be further improved, and there is an urgent need to explore a more accurate and comprehensive functional imaging assessment method. Rapid development of coronary CT angiography derived fractional flow reserve (CT-FFR) has become an important technique for noninvasive evaluation of coronary artery disease, and these successful application experiences inspiried neurologists to explore the functional evaluation technique of cerebral arteries and demonstrated broad application prospects. In this paper, by analyzing and comparing the coronary CT-FFR technology, the progress, existing problems and possible solutions of the functional evaluation for cerebral arterial stenosis are discussed from the aspects of coronary CT-FFR study, cerebral artery functional evaluation study, and the comparison and consideration of cerebral arterial and coronary CT-FFR.
脑血管疾病是全球重大公共卫生问题,尽管脑卒中诊疗近些年取得很大进展,但以解剖学为指导的脑卒中诊疗仍有待进一步改善,迫切需要更精准、全面的功能影像评估手段。冠状动脉CT血流储备分数(CT-FFR)的快速发展已经成为无创评估冠状动脉疾病的重要技术,这些成功的经验启发神经影像医生探索脑动脉功能评估技术并展示了广阔的应用前景。本文通过分析对比冠状动脉CT-FFR技术,着重从冠状动脉CT-FFR研究、脑动脉功能评估研究及脑动脉与冠状动脉CT-FFR的对照与思考这几个方面探讨了脑动脉狭窄功能评估的进展、存在问题以及可能的解决方案。.