Why the study?
More precise identification of vulnerable carotid plaques and a better definition of the comparative diagnostic yield of imaging approaches are needed to improve clinical management.
Emphasizes the need for comparative studies of imaging modalities to better identify vulnerable carotid plaques and predict stroke outcomes.
Insufficient comparative data limits carotid plaque assessment in practice; leaves open optimal modality selection for stroke risk stratification.
To improve practical management of such patients-in addition to the patient's vulnerability for systemic reasons-a more precise identification of the vulnerable plaque is needed. A better definition of the diagnostic yield of each imaging approach in comparison with the others should be pursued for a cost-effective translation of the single techniques. Practical translation to guide future clinical practice should be based on improved knowledge of the specific pathophysiologic correlates and on a comparative modality approach, linked to subsequent stroke outcomes.
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Fabiani et al. (2020) studied this question.
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