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These structures also change shape rapidly in the longitudinal direction of the artery.

Thus, 2D imaging approaches have had to contend with in-plane resolutions of 0.6 mm or less and slice thickness of 2-3 mm.

By considering how carotid atherosclerotic tissues appear on CMR, image interpretation criteria are provided for the key targets.

We examine the carotid atherosclerotic plaque in various stages from the already disrupted plaque back to the early stage of plaque formation to see how CMR can play a role in each stage.

Cardiovascular magnetic resonance (CMR) of the carotid vessel wall provides a new imaging approach with potential to identify the characteristics of the carotid atherosclerotic lesion itself.

Carotid vessel wall CMR uses a combination of bright-blood and black-blood techniques to provide information regarding the structure of the carotid artery and the composition of the atherosclerotic plaque.

This review summarizes the current state of knowledge regarding carotid vessel wall CMR and its potential clinical application for management of carotid atherosclerotic disease.

Even in advanced disease, the vessel wall may only measure a few millimeters in thickness, with the potential existence of multiple substructures across that dimension.The diseased carotid alone is responsible for one third of the 700,000 new or recurrent strokes occurring yearly in the United States.Imaging plays an important role in the management of atherosclerosis, and cardiovascular magnetic resonance (CMR) of the carotid vessel wall is one promising modality in the evaluation of patients with carotid atherosclerotic disease.These structural and compositional features are thought to play the central role in determining the risk posed by a carotid lesion.Thus, carotid vessel wall CMR may be the much needed tool for determining risk above and beyond stenosis.

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