In carotid atherosclerosis, the vulnerable feature that has drawn the most attention is intraplaque hemorrhage (IPH). Clinically, MPRAGE has been used to detect IPH. However, IPH has several drawbacks. The
susceptibility difference between arterial blood, vessel wall and different
types of plaque makes QSM a potential tool for carotid plaque imaging. The purpose of this
work was to develop an optimized protocol for both intraplaque hemorrhage and
calcification imaging using Quantitative Susceptibility Mapping (QSM) and demonstrate
initial clinical validation of QSM as a tool for characterizing components of carotid
plaque.
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