3D fast Simultaneous Non-contrast Angiography and intraPlaque hemorrhage (SNAP) imaging was recently proposed as a technique for joint MRA and intraplaque hemorrhage (IPH) imaging. This study sought to determine the accuracy of this technique at quantifying carotid atherosclerosis disease compared to conventional intra-arterial digital subtraction angiography (DSA) in patients with at least 50% carotid stenosis. We found that 3D SNAP imaging had excellent agreement with DSA in measuring luminal stenosis and identification of ulceration in carotid arteries. Our findings suggest that, SNAP imaging might be a potential candidate technique for comprehensive evaluation of carotid high-risk atherosclerotic disease.
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