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Abstract #2040

Comparison of plaque imaging and luminal stenosis to discriminate clinical presentation in middle cerebral artery disease

Wenjia Peng 1,2 , Zhongzhao Teng 2,3 , Adam J Brown 4 , Jianmin Yuan 2 , Qi Liu 1 , Jonathan H Gillard 2 , and Jianping Lu 1

1 Department of Radiology, Changhai Hospital, Shanghai, Shanghai, China, 2 University Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 3 Department of Engineering, University of Cambridge, Cambridge, United Kingdom, 4 Division of Cardiovascular Medicine, University of Cambridge, Cambridge, United Kingdom

Intracranial atherosclerosis is a major substrate for stroke, accounting for 5-10% of strokes in western societies and 33-55% of strokes in Asian populations. Plaque wall MR imaging is capable of depicting high risk morphological and compositional features, such as intraplaque hemorrhage and fibrous cap rupture. However, it is unclear if this technique could provide complementary information to lumen stenosis to discriminate clinical presentation in patients with middle cerebral artery (MCA) atherosclerotic disease. The result obtained in this study indicated that high-resolution MCA plaque wall imaging using 2D Turbo MR sequences provided limited additional value to luminal stenosis.

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