Why the study?
Carotid plaque MR imaging is constantly evolving, with ongoing updates on vulnerable plaque characteristics, their role in cryptogenic strokes, and potential impacts on carotid endarterectomy guidelines.
This review highlights the evolving role of MR imaging in identifying high-risk carotid plaque features, its implications in cryptogenic strokes, and its potential to influence carotid endarterectomy guidelines.
MR imaging may refine cryptogenic stroke evaluation; leaves open its influence on carotid endarterectomy guidelines.
MR imaging is well-established as the criterion standard for carotid artery atherosclerosis imaging. The capability of MR imaging to differentiate numerous plaque components has been demonstrated, including those features that are associated with a high risk of sudden changes, thrombosis, or embolization. The field of carotid plaque MR imaging is constantly evolving, with continued insight into the imaging appearance and implications of various vulnerable plaque characteristics. This article will review the most up-to-date knowledge of these high-risk plaque features on MR imaging and will delve into 2 major emerging topics: the role of vulnerable plaques in cryptogenic strokes and the potential use of MR imaging to modify carotid endarterectomy treatment guidelines.
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Benson et al. (2023) studied this question.
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