急性冠脉综合征患者斑块侵蚀诊断的影像学进展

斑块侵蚀是急性冠脉综合征的重要发病机制之一。针对斑块侵蚀的急性冠脉综合征患者，抗栓治疗而非支架治疗是其更为安全有效的治疗选择，因此临床上斑块侵蚀的准确识别至关重要。技术的发展极大地推进了斑块侵蚀的诊断进展，本文从人体尸检研究的重要发现、光学相干断层扫描、血管内超声、近红外光谱、冠状动脉计算机断层扫描血管造影、生物标志物几个方面展开，就上述诊断手段进行回顾与总结。

Imaging advances in the diagnosis of plaque erosion in patients with acute coronary syndromes

Plaque erosion is one of the important pathogenesis of acute coronary syndrome. For patients with acute coronary syndrome with plaque erosion, antithrombotic therapy rather than stent implantation is a safer and more effective treatment option, so the accurate clinical identification of plaque erosion in clinic is quite critical. The development of technology has greatly advanced the diagnosis of plaque erosion. This article reviews and summarizes the diagnostic methods from the human autopsy studies, optical coherence tomography, intravascular ultrasound, near-infrared spectroscopy, coronary computed tomography angiography, and biomarkers.