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Carotid intima-media thickness and distensibility measured by MRI at 3 T versus high-resolution ultrasound

  • Magnetic Resonance
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Abstract

We evaluated an MRI protocol at 3 T for the assessment of morphological and functional properties of the common carotid artery (CCA) in 32 healthy volunteers and 20 patients with high-grade internal carotid artery stenosis. Wall thickness of the CCA was measured by using multislice 2D T2 dark blood fast spin echo sequences and compared with intima-media thickness (IMT) determined by ultrasound. Carotid distensibility coefficient (DC) quantified by blood pressure and CCA diameter change during the cardiac cycle was measured by ECG gated 3D T1 CINE MRI and M-mode ultrasound. Apart from generally higher values in MRI high agreement was found for wall thickness and compliance in volunteers and patients. Remaining differences between both methods may be attributed to slightly different methods for measuring IMT and DC. Our findings indicate that MRI at 3 T is a feasible and promising tool for the comprehensive assessment of normal carotid geometry and function.

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References

  1. Lorenz MW, Markus HS, Bots ML, Rosvall M, Sitzer M (2007) Prediction of clinical cardiovascular events with carotid intima-media thickness: a systematic review and meta-analysis. Circulation 115:459–467

    Article  PubMed  Google Scholar 

  2. O’Rourke MF, Staessen JA, Vlachopoulos C, Duprez D, Plante GE (2002) Clinical applications of arterial stiffness; definitions and reference values. Am J Hypertens 15:426–444

    Article  PubMed  Google Scholar 

  3. van Popele NM, Grobbee DE, Bots ML et al (2001) Association between arterial stiffness and atherosclerosis: the Rotterdam Study. Stroke 32:454–460

    PubMed  Google Scholar 

  4. Harloff A, Strecker C, Reinhard M et al (2006) Combined measurement of carotid stiffness and intima-media thickness improves prediction of complex aortic plaques in patients with ischemic stroke. Stroke 37:2708–2712

    Article  PubMed  Google Scholar 

  5. Saam T, Hatsukami TS, Takaya N et al (2007) The vulnerable, or high-risk, atherosclerotic plaque: noninvasive MR imaging for characterization and assessment. Radiology 244:64–77

    Article  PubMed  Google Scholar 

  6. Saam T, Underhill HR, Chu B et al (2008) Prevalence of American Heart Association type VI carotid atherosclerotic lesions identified by magnetic resonance imaging for different levels of stenosis as measured by duplex ultrasound. J Am Coll Cardiol 51:1014–1021

    Article  PubMed  Google Scholar 

  7. Sanz J, Fayad ZA (2008) Imaging of atherosclerotic cardiovascular disease. Nature 451:953–957

    Article  PubMed  CAS  Google Scholar 

  8. Crowe LA, Gatehouse P, Yang GZ et al (2003) Volume-selective 3D turbo spin echo imaging for vascular wall imaging and distensibility measurement. J Magn Reson Imaging 17:572–580

    Article  PubMed  Google Scholar 

  9. Crowe LA, Ariff B, Keegan J et al (2005) Comparison between three-dimensional volume-selective turbo spin-echo imaging and two-dimensional ultrasound for assessing carotid artery structure and function. J Magn Reson Imaging 21:282–289

    Article  PubMed  Google Scholar 

  10. Mani V, Aguiar SH, Itskovich VV et al (2006) Carotid black blood MRI burden of atherosclerotic disease assessment correlates with ultrasound intima-media thickness. J Cardiovasc Magn Reson 8:529–534

    Article  PubMed  Google Scholar 

  11. Leeson CP, Robinson M, Francis JM et al (2006) Cardiovascular magnetic resonance imaging for non-invasive assessment of vascular function: validation against ultrasound. J Cardiovasc Magn Reson 8:381–387

    Article  PubMed  CAS  Google Scholar 

  12. Wiesmann F, Petersen SE, Leeson PM et al (2004) Global impairment of brachial, carotid, and aortic vascular function in young smokers: direct quantification by high-resolution magnetic resonance imaging. J Am Coll Cardiol 44:2056–2064

    Article  PubMed  Google Scholar 

  13. Balu N, Chu B, Hatsukami TS, Yuan C, Yarnykh VL (2008) Comparison between 2D and 3D high-resolution black-blood techniques for carotid artery wall imaging in clinically significant atherosclerosis. J Magn Reson Imaging 27:918–924

    Article  PubMed  Google Scholar 

  14. Koktzoglou I, Chung Y-C, Carroll TJ, Simonetti OP, Morasch MD, Li D (2007) Three-dimensional black-blood MR imaging of carotid arteries with segmented steady-state free precession: initial experience. Radiology 243:220–228

    Article  PubMed  Google Scholar 

  15. Varghese A, Merrifield RD, Crowe LA et al (2006) Evaluation of carotid artery wall volume measurement using novel semiautomated analysis software. J Magn Reson Imaging 24:1401–1408

    Article  PubMed  Google Scholar 

  16. Underhill HR, Kerwin WS, Hatsukami TS, Yuan C (2006) Automated measurement of mean wall thickness in the common carotid artery by MRI: a comparison to intima-media thickness by B-mode ultrasound. J Magn Reson Imaging 24:379–387

    Article  PubMed  Google Scholar 

  17. Boussel L, Serusclat A, Skilton MR et al (2007) The reliability of high resolution MRI in the measurement of early stage carotid wall thickening. J Cardiovasc Magn Reson 9:771–776

    Article  PubMed  Google Scholar 

  18. Alizadeh Dehnavi R, Doornbos J et al (2007) Assessment of the carotid artery by MRI at 3 T: a study on reproducibility. J Magn Reson Imaging 25:1035–1043

    Article  PubMed  Google Scholar 

  19. Harloff A, Handke M, Geibel A et al (2005) Do stroke patients with normal carotid arteries require TEE for exclusion of relevant aortic plaques? J Neurol Neurosurg Psychiatry 76:1654–1658

    Article  PubMed  CAS  Google Scholar 

  20. Touboul PJ, Hennerici MG, Meairs S et al (2007) Mannheim carotid intima-media thickness consensus (2004–2006). An update on behalf of the Advisory Board of the 3rd and 4th Watching the Risk Symposium, 13th and 15th European Stroke Conferences, Mannheim, Germany, 2004, and Brussels, Belgium, 2006. Cerebrovasc Dis 23:75–80

  21. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310

    PubMed  CAS  Google Scholar 

  22. Crowe LA, Keegan J, Gatehouse PD et al (2005) 3D volume-selective turbo spin echo for carotid artery wall imaging with navigator detection of swallowing. J Magn Reson Imaging 22:583–588

    Article  PubMed  Google Scholar 

  23. de Groot E, van Leuven SI, Duivenvoorden R et al (2008) Measurement of carotid intima-media thickness to assess progression and regression of atherosclerosis. Nat Clin Pract Cardiovasc Med 5:280–288

    Article  PubMed  Google Scholar 

  24. Koops A, Ittrich H, Petri S et al (2007) Multicontrast-weighted magnetic resonance imaging of atherosclerotic plaques at 3.0 and 1.5 Tesla: ex-vivo comparison with histopathologic correlation. Eur Radiol 17:279–286

    Article  PubMed  Google Scholar 

  25. Lotz J, Döker R, Noeske R et al (2005) In vitro validation of phasecontrast flow measurements at 3 T in comparison to 1.5 T: precision, accuracy, and signal-to-noise ratios. J Magn Reson Imaging 21:604–610

    Article  PubMed  Google Scholar 

  26. Yarnykh VL, Terashima M, Hayes CE et al (2006) Multicontrast black-blood MRI of carotid arteries: comparison between 1.5 and 3 tesla magnetic field strengths. J Magn Reson Imaging 23:691–698

    Article  PubMed  Google Scholar 

  27. Anumula S, Song HK, Wright AC, Wehrli FW (2005) High-resolution black-blood MRI of the carotid vessel wall using phased-array coils at 1.5 and 3 Tesla. Acad Radiol 12:1521–1526

    Article  PubMed  Google Scholar 

  28. Breuer FA, Kellman P, Griswold MA, Jakob PM (2005) Dynamic autocalibrated parallel imaging using temporal GRAPPA (TGRAPPA). Magn Reson Med 53:981–985

    Article  PubMed  Google Scholar 

  29. Tsao J, Boesiger P, Pruessmann KP (2003) k-t BLAST and k-t SENSE: dynamic MRI with high frame rate exploiting spatiotemporal correlations. Magn Reson Med 50:1031–1042

    Article  PubMed  Google Scholar 

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Correspondence to Andreas Harloff.

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Harloff, A., Zech, T., Frydrychowicz, A. et al. Carotid intima-media thickness and distensibility measured by MRI at 3 T versus high-resolution ultrasound. Eur Radiol 19, 1470–1479 (2009). https://doi.org/10.1007/s00330-009-1295-8

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  • DOI: https://doi.org/10.1007/s00330-009-1295-8

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