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November 5, 2004Arteriosclerosis Thrombosis and Vascular BiologyOpen Access

Quantitative Evaluation of Carotid Plaque Composition by In Vivo MRI

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Key result

In vivo MRI quantification of carotid plaque composition was statistically equivalent to histology for lipid-rich/necrotic core (23.7% vs 20.3%; P=0.1), loose matrix, and dense fibrous tissue.

Why the study?

Does in vivo MRI accurately quantify carotid atherosclerotic plaque components compared to histology in subjects scheduled for carotid endarterectomy?

Population

31 subjects scheduled for carotid endarterectomy

Comparison

In vivo MRI imaging with a 1.5T scanner using… vs Histology sections matched to corresponding MR…

Design

Cross-sectional

Authors

TSTobias SaamCardiac ImagingMFMarina S. FergusonWorcester Polytechnic InstituteVYVasily L. YarnykhNational Research Tomsk State University

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Implication

Supports noninvasive MRI for carotid plaque quantification except calcification; leaves open clinical adoption pending prospective validation.

Study Design

Type

Observational (n=31)

Structured PICO

Does in vivo MRI accurately quantify carotid atherosclerotic plaque components compared to histology in subjects scheduled for carotid endarterectomy?

P
Population
31 subjects scheduled for carotid endarterectomy
I
Intervention
In vivo MRI imaging with a 1.5T scanner using time-of-flight-, T1-, proton density-, and T2-weighted images
C
Comparator
Histology sections matched to corresponding MR imaging locations
O
Outcome
Area measurements of major plaque components (lipid-rich/necrotic core, calcification, loose matrix, and dense fibrous tissue) as percentages of the total wall areasurrogate

Main Result

Absolute Event Rate: 23.7% vs 20.3%

p-value: p=0.1

In vivo MRI accurately and reproducibly quantifies major carotid atherosclerotic plaque components, with the exception of calcification, when compared to histology.

Cite This Study

Saam et al. (2004) conducted an observational in Carotid atherosclerotic plaque (n=31). In vivo MRI vs. Histology was evaluated on Area measurement of lipid-rich/necrotic core (LR/NC) as a percentage of total wall area (p=0.1). In vivo MRI quantification of carotid plaque composition was statistically equivalent to histology for lipid-rich/necrotic core (23.7% vs 20.3%; P=0.1), loose matrix, and dense fibrous tissue.

synapsesocial.com/papers/6a07893cc9983f2ec4c64092https://doi.org/10.1161/01.atv.0000149867.61851.31
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quantitative assessment of carotid plaque composition using multicontrast MRI and registered histology2003 · 175 citations
  2. 2Accuracy and uniqueness of three in vivo measurements of atherosclerotic carotid plaque morphology with black blood MRI2003 · 74 citations
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