Cardiovascular magnetic resonance in carotid atherosclerotic disease
Li Dong1, William S Kerwin, Marina S Ferguson
1Department of Radiology, University of Washington, Seattle, WA, USA. lido2@u.washington.edu
Insights
Cardiovascular magnetic resonance (CMR) of the carotid artery wall offers detailed insights into atherosclerosis, aiding in the evaluation and management of patients at risk for stroke. This advanced imaging technique provides crucial information beyond traditional stenosis measurements.
Area of Science:
- Cardiovascular Imaging
- Vascular Biology
- Medical Diagnostics
Background:
- Atherosclerosis is a chronic inflammatory disease leading to cardiovascular events like stroke.
- Carotid artery disease contributes significantly to stroke incidence in the United States.
- Current imaging methods for carotid atherosclerosis have limitations.
Purpose of the Study:
- To review the current state of carotid vessel wall cardiovascular magnetic resonance (CMR).
- To discuss the potential clinical applications of carotid vessel wall CMR in managing atherosclerotic disease.
- To highlight advances in CMR for comprehensive assessment of carotid artery morphology.
Main Methods:
- Review of existing literature on carotid vessel wall CMR.
- Analysis of studies evaluating CMR for carotid atherosclerotic disease.
- Synthesis of data on CMR's ability to assess vessel wall morphology.
Main Results:
- Advances in carotid vessel wall CMR enable detailed assessment of intra-wall morphology.
- CMR provides disease-specific information that complements luminal stenosis evaluation.
- Evidence suggests potential for carotid vessel wall CMR in screening and management.
Conclusions:
- Carotid vessel wall CMR is a promising imaging modality for evaluating atherosclerotic disease.
- This technique offers valuable insights into disease progression and risk stratification.
- Further clinical adoption of carotid vessel wall CMR is supported by trial data.
Abstract:
Atherosclerosis is a chronic, progressive, inflammatory disease affecting many vascular beds. Disease progression leads to acute cardiovascular events such as myocardial infarction, stroke and death. 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. Advances in carotid vessel wall CMR allow comprehensive assessment of morphology inside the wall, contributing substantial disease-specific information beyond luminal stenosis. Although carotid vessel wall CMR has not been widely used to screen for carotid atherosclerotic disease, many trials support its potential for this indication. This review summarizes the current state of knowledge regarding carotid vessel wall CMR and its potential clinical application for management of carotid atherosclerotic disease.
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