Li J, Li D, Yang D, et al. - Researchers performed a prospective study to evaluate the association between irregular carotid plaque surface and plaque compositional features and its predictive values for future VEs utilizing magnetic resonance (MR) vessel wall imaging. They enrolled a sum of 140 individuals with cerebrovascular symptoms. They tested the carotid artery stenosis and maximum wall thickness (Max WT). They ascertained the presence/absence of irregular carotid plaque surface, calcification, lipid-rich necrotic core (LRNC), intraplaque hemorrhage (IPH), and fibrous cap rupture. All individuals were followed-up for at least 1 year to record the VEs after the baseline examination. MR vessel wall imaging determined the morphology of carotid atherosclerotic plaque surface, particularly irregular plaque surface, is an independent predictor for subsequent vascular events.