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Symptomatic carotid plaques demonstrate less leaky plaque microvasculature compared with the contralateral side: A dynamic contrast-enhanced magnetic resonance imaging study

Journal of the American Heart Association Apr 18, 2019

Crombag GAJC, et al. - In this study involving 88 patients who recently suffered a transient ischemic attack or ischemic stroke and have ipsilateral >2 mm carotid plaque, researchers used noninvasive dynamic contrast-enhanced magnetic resonance imaging to determine if plaque microvasculature (the volume transfer coefficient Ktrans) differed between the ipsilateral symptomatic and contralateral asymptomatic carotid plaque. They detected plaque components as well as features of plaque microvasculature by using 3 T magnetic resonance imaging. Symptomatic carotid plaques exhibited significantly lower Ktrans, indicative for a decrease of plaque microvasculature in symptomatic plaques. A possible association of this with a larger amount of necrotic tissue in symptomatic plaques was suggested.
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