<International Circulation>: You gave a presentation on the use of CT, MRI, IVUS and OCT for the detection of coronary vulnerable plaque. Do you have a preference for a particular modality and why?
Prof Eckhart Fleck: The preference for the future I think is the modality which is able to image the complete wall. Momentarily, I regard the MRI (Magnetic resonance imaging) as the modality of choice because you do not expose patients to radiation because you do not need x-rays. In addition it has a high resolution and you can combine it with other agents that directly bind to compounds and then to specific receptors allowing you to really image locally inflammation and actions which may take place in the vessel wall.
《国际循环》:您在大会上发表的演讲是关于CT、MRI、IVUS和OCT检测冠状动脉粥样硬化斑块。您认为哪种检测方法更好?原因是什么?
Fleck教授:我想在未来,我们优先选择的是能够显示整个冠状动脉壁的影像学检查。目前,我认为应当选择MRI,因为MRI不会使患者暴露于射线,因为MRI检查不需要X射线。此外,MRI的分辨率高,可以同时给患者注射直接与某些化合物结合、之后与特定受体结合的物质,这样我们就可以真正地观察到血管壁局部可能发生的炎症反应和变化。