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3D high-resolution contrast enhanced MRI of carotid atheroma — a technical update
Authors:Chengcheng Zhu  Umar Sadat  Andrew J Patterson  Zhongzhao Teng  Jonathan H Gillard  Martin J Graves
Institution:1. University Department of Radiology, University of Cambridge, Cambridge, CB2 0QQ, UK;2. Vascular Surgery Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ, UK
Abstract:

Objective

Development of a fast 3D high-resolution magnetic resonance imaging (MRI) protocol for improved carotid artery plaque imaging.

Methods

Two patients with carotid atherosclerosis disease underwent 3D high-resolution MRI which included time-of-flight and T1-weighted variable flip angle, fast-spin-echo (FSE) imaging, pre- and post-intravenous gadolinium-based contrast agent administration.

Results

Good quality images with intrinsic blood suppression were obtained pre- and post-contrast administration using a 3D FSE sequence. The plaque burden, lipid core volume, hemorrhage volume and fibrous cap thickness were well determined.

Conclusions

3D high-resolution MR imaging of carotid plaque using TOF and 3D FSE can achieve high isotropic resolution, large coverage, and excellent image quality within a short acquisition time.
Keywords:Carotid atheroma  3D Fast Spin Echo  Lipid core  Hemorrhage  Fibrous cap
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