Characterization of atherosclerotic plaque components by high resolution quantitative MR and US imaging

J S Raynaud1, S L Bridal, J F Toussaint

  • 1Service Hospitalier Fridiric Joliot, DRM-CEA, Orsay, France. jraynaud@myologie.infobiogen.fr

Insights

High-resolution MRI and ultrasound imaging can distinguish atherosclerotic plaque components. Both methods, magnetic resonance imaging (MRI) and ultrasound (US), offer complementary data for detailed plaque characterization.

Area of Science:

  • Biomedical Engineering
  • Medical Imaging
  • Cardiovascular Research

Background:

  • Atherosclerotic plaque characterization is crucial for assessing cardiovascular risk.
  • Non-invasive imaging techniques are needed for detailed plaque analysis.

Purpose of the Study:

  • To compare high-resolution MRI and high-frequency US for atherosclerotic plaque characterization.
  • To evaluate the ability of quantitative MRI T2 maps and US integrated attenuation (IA) maps to differentiate plaque components.

Main Methods:

  • 14 excised human artery segments were analyzed using 3 T MRI and 50 MHz US.
  • Conventional and parametric images (MR T2 maps, US IA maps) were compared with histology.
  • Mean values of MR T2 and US attenuation in regions of interest were correlated with tissue types.

Main Results:

  • Both MRI and US significantly distinguished between media/collagen and lipid/collagen plaque (MR: P < .001; US: P < .01).
  • MRI T2 mapping significantly differentiated media from collagen (P < .0001) and iliac from aortic media (P < .05).
  • US IA maps did not achieve the same level of distinction for these specific tissue types.

Conclusions:

  • High-resolution MRI and US imaging provide complementary information for quantitative plaque characterization.
  • Parametric MRI T2 maps and US IA maps demonstrate different sensitivities to tissue composition.
  • These advanced imaging techniques aid in a more comprehensive understanding of atherosclerotic plaque.