Imaging the carotid atherosclerotic plaque
Sandra Neumann1, Elena G Milano2,3, Chiara Bucciarelli-Ducci1,4,5
1Research and Imaging Centre (CRIC) Bristol, University of Bristol, Bristol, UK.
Vascular Biology (Bristol, England)
|September 14, 2020
Summary
This review covers key imaging techniques for carotid artery atherosclerosis, including ultrasound, X-ray, MRI, and PET. These methods aid in risk stratification and monitoring plaque development.
Area of Science:
- Cardiovascular Imaging
- Medical Diagnostics
Background:
- Atherosclerotic plaque in the carotid artery poses a significant risk for stroke.
- Accurate imaging is crucial for risk stratification and treatment planning.
Purpose of the Study:
- To provide a concise overview of current in vivo imaging techniques for carotid artery atheroscletoric plaque.
- To discuss the advantages, limitations, and clinical applications of each modality.
Main Methods:
- Review of established imaging modalities: ultrasound, X-ray, magnetic resonance imaging (MRI), and positron emission tomography (PET).
- Discussion of advanced techniques like computed tomography angiography (CTA) and magnetic resonance angiography (MRA).
Main Results:
- Ultrasound is a primary clinical tool, while CTA and MRA are valuable for significant stenosis.
- Advancements in PET imaging offer insights into plaque composition and metabolic activity.
Conclusions:
- The choice of imaging technique depends on clinical context, availability, and cost.
- Ongoing advancements enhance understanding of plaque rupture risk, patient monitoring, and early detection.
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