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DOI: 10.1148/radiol.2232010659
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(Radiology 2002;223:566-573.)
© RSNA, 2002


Technical Developments

Carotid Artery Atherosclerosis: In Vivo Morphologic Characterization with Gadolinium-enhanced Double-oblique MR Imaging—Initial Results1

Bruce A. Wasserman, MD, William I. Smith, MD, Hugh H. Trout, III, MD, Richard O. Cannon, III, MD, Robert S. Balaban, PhD and Andrew E. Arai, MD

1 From the Department of Radiology, Neuroradiology Division, Johns Hopkins Hospital, 600 N Wolfe St, Phipps B-100, Baltimore, MD 21287-2182 (B.A.W.); the Laboratory of Cardiac Energetics (A.E.A, R.S.B.) and the Cardiology Branch (R.O.C.), National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md; and the Departments of Pathology (W.I.S.) and Surgery (H.H.T.), Suburban Hospital, Bethesda, Md. Received March 22, 2001; revision requested May 1; revision received August 17; accepted September 17. Supported by the intramural program of the National Heart, Lung, and Blood Institute, protocol 98-H-0157. Address correspondence to B.A.W. (e-mail: bwasser@rad.jhu.edu).

In nine subjects with carotid atherosclerosis, double-oblique, contrast material–enhanced, double inversion-recovery, fast spin-echo magnetic resonance (MR) images were acquired through atheroma in the proximal internal carotid artery. Fibrocellular tissue within atheroma selectively enhanced 29% after administration of gadolinium-based contrast agent. Contrast enhancement helped discriminate fibrous cap from lipid core with a contrast-to-noise ratio as good as or better than that with T2-weighted MR images but with approximately twice the signal-to-noise ratio (postcontrast images, 36.6 ± 3.6; T2-weighted images, 17.5 ± 2.1; P < .001).

© RSNA, 2002

Index terms: Arteriosclerosis, 56.754, 9*.7212 • Magnetic resonance (MR), high-resolution, 56.121411, 9*.721 • Magnetic resonance (MR), tissue characterization, 56.121411, 9*.12916 • Magnetic resonance (MR), vascular studies, 9*.12916




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