Volume 65, Issue 3 pp. 627-637
Full Paper

Carotid plaque assessment using fast 3D isotropic resolution black-blood MRI

Niranjan Balu

Corresponding Author

Niranjan Balu

Department of Radiology, University of Washington, Seattle, Washington, USA

Vascular Imaging Laboratory, 815, Mercer Street, Box 358050, Seattle, Washington 98019===Search for more papers by this author
Vasily L. Yarnykh

Vasily L. Yarnykh

Department of Radiology, University of Washington, Seattle, Washington, USA

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Baocheng Chu

Baocheng Chu

Department of Radiology, University of Washington, Seattle, Washington, USA

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Jinnan Wang

Jinnan Wang

Clinical Sites Research Program, Philips Research North America, Briarcliff Manor, New York, USA

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Thomas Hatsukami

Thomas Hatsukami

Department of Surgery, University of Washington, Seattle, Washington, USA

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Chun Yuan

Chun Yuan

Department of Radiology, University of Washington, Seattle, Washington, USA

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First published: 12 October 2010
Citations: 132

Abstract

Black-blood MRI is a promising tool for carotid atherosclerotic plaque burden assessment and compositional analysis. However, current sequences are limited by large slice thickness. Accuracy of measurement can be improved by moving to isotropic imaging but can be challenging for patient compliance due to long scan times. We present a fast isotropic high spatial resolution (0.7 × 0.7 × 0.7 mm3) three-dimensional black-blood sequence (3D-MERGE) covering the entire cervical carotid arteries within 2 min thus ensuring patient compliance and diagnostic image quality. The sequence is optimized for vessel wall imaging of the carotid bifurcation based on its signal properties. The optimized sequence is validated on patients with significant carotid plaque. Quantitative plaque morphology measurements and signal-to-noise ratio measures show that 3D-MERGE provides good blood suppression and comparable plaque burden measurements to existing MRI protocols. 3D-MERGE is a promising new tool for fast and accurate plaque burden assessment in patients with atherosclerotic plaque. Magn Reson Med, 2011. © 2010 Wiley-Liss, Inc.

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