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Abstract #3820

Value of Improved Motion Sensitized Driven Equilibrium(IMSDE) Sequence in Preoperative Evaluation for Carotid Endarterectomy and Carotid Artery Stenting in Cases of Atherosclerosis: Compared with Digital Subtraction Angiography

Huilin Zhao1, Xihai Zhao2, Jinnan Wang3, 4, Niranjan Balu4, Ye Cao1, Xiaosheng Liu1, Xiangyang Ma5, Chun Yuan4, Jianrong Xu1

1Radiology, Renji hospital, Shanghai Jiaotong Univesity, Shanghai, China; 2Center for Biomedical Imaging Research, Tsinghua University School of Medicine, Beijing, China; 3Philips Research North America, Briarcliff Manor, NY, United States; 4Radiology, University of Washington, Seattle, WA, United States; 5Philips Research Asia, Shanghai, China


The iMSDE sequence provides outstanding blood suppression efficiency and time efficiency. Thus, this new pulse sequence has the potential to become a noninvasive alternative to DSA for quantitative carotid vascular morphology evaluation. This study sought to evaluate the clinical value of the iMSDE techniques in atherosclerotic carotid artery assessment in 29 subjects before carotid endarterectomy (CEA) and carotid artery stenting(CAS), by comparing with DSA. It was found that the iMSDE sequence demonstrated a good consistency with DSA in defining the location and shape of the advanced plaques. Additionally, the iMSDE sequence has the advantage of accurately depicting early atherosclerotic lesions, which can be beneficial for clinical treatment planning.