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MRI is able to visualize the wall and vessel lumen and has good soft tissue contrast which allows for the assessment of morphologic and compositional features of carotid artery plaques. It has been reported that presence of vulnerable plaque is related with an increased incidence of cerebral ischemic events. It is also reported that unstable carotid plaques which contain large amount of lipid-rich necrotic core (LRNC) and intraplaque hemorrhage (IPH) are related with an increased incidence of ischemic complications during or after carotid artery stenting (CAS). MRI assessment of LRNC and IPH has a good sensitivity and specificity. Also, it enables a volumetric analysis. In this review, we describe the current understanding of the magnetic resonance (MR) carotid plaque imaging and its clinical application for CAS.

Magnetic Resonance Carotid Plaque Imaging