This study investigated the morphology, compositions and distribution of carotid artery atherosclerotic plaques in asymptomatic elderly population using 3D multicontrast MR vessel wall imaging. The atherosclerotic plaques were found to be prevalent (62.1%) and more than 12% subjects had high risk plaques (HRP) in this study population. Among carotid arteries without luminal stenosis, the prevalence of plaque and HRP was 43.2% and 8.3%, respectively. Benefiting from the 3D vessel wall imaging with large longitudinal coverage, near 14% of subjects had plaques in either distal ICA or proximal CCA segment which cannot be captured by traditional 2D vessel wall imaging.
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