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High Resolution Magnetic Resonance Imaging of Resected Plaque

Published online by Cambridge University Press:  02 July 2020

D. Saloner*
Affiliation:
Department of Radiology, VA Medical Center, University of California San Francisco, San Francisco, CA64121
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Extract

Atherosclerotic plaque at the carotid bifurcation is strongly correlated with the incidence of clinically significant events, such as transient ischemie attacks or stroke. Large multi-center trials have demonstrated that surgical removal of the atheroma is more effective in reducing these clinical events than is medical treatment alone. Patients are selected for surgery from an assessment of the severity of disease at the carotid bifurcation. The measure of disease severity is conventionally taken to be the degree of narrowing of the diseased vessel compared to a normal segment of vessel. However, using this criterion alone, many patients receive endarterectomy surgery who would probably not have progressed to other neurological events, while others are excluded who do progress to neurological events. For this reason, there is substantial interest in methods that could evaluate the composition of the atherosclerotic plaque in vivo, with the hope that this information would improve the predictive power of pre-surgical imaging of the diseased vessel.

Type
From Scanning Probe Microscopy to High Resolution Ultrasound: New Versions of the Vasculature
Copyright
Copyright © Microscopy Society of America 1997

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References

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