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Nature Reviews Cardiology 7, 165-173 (March 2010) | doi:10.1038/nrcardio.2009.246
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Hunter R. Underhill
Thomas S. Hatsukami
Zahi A. Fayad
Valentin Fuster
Chun Yuan
MRI of carotid atherosclerosis: clinical implications and future directions
Hunter R. Underhill, Thomas S. Hatsukami, Zahi A. Fayad, Valentin Fuster & Chun Yuan
Abstract
Atherosclerosis is now widely recognized as a multifactorial disease with outcomes that arise from complex factors such as plaque components, blood flow, and inflammation. Despite recent advances in understanding of plaque biology, diagnosis, and treatment, atherosclerosis remains a leading cause of morbidity and mortality. Further research into the development and validation of reliable indicators of the high-risk individual is greatly needed. Carotid MRI is a histologically validated, noninvasive imaging method that can track disease progression and regression, and quantitatively evaluate a spectrum of parameters associated with in vivo plaque morphology and composition. Intraplaque hemorrhage and the lipid-rich necrotic core are the best indicators of lesion severity currently visualized by carotid MRI. However, MRI methods capable of imaging other important aspects of carotid atherosclerotic disease in vivo—including inflammation, neovascularization, and mechanical forces—are emerging and may aid in advancing our understanding of the pathophysiology of this multifactorial disease.
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EISSN: 1759-5010
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To read this article in full you may need to log in, make a payment or gain access through a site license (see right).
nature.com >Journal home >Table of Contents
Review
Nature Reviews Cardiology 7, 165-173 (March 2010) | doi:10.1038/nrcardio.2009.246
Article Tools
Send to a friend
Export citation
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Rights and permissions
Order commercial reprints
Bookmark in Connotea
Search Pubmed for
Hunter R. Underhill
Thomas S. Hatsukami
Zahi A. Fayad
Valentin Fuster
Chun Yuan
MRI of carotid atherosclerosis: clinical implications and future directions
Hunter R. Underhill, Thomas S. Hatsukami, Zahi A. Fayad, Valentin Fuster & Chun Yuan
Abstract
Atherosclerosis is now widely recognized as a multifactorial disease with outcomes that arise from complex factors such as plaque components, blood flow, and inflammation. Despite recent advances in understanding of plaque biology, diagnosis, and treatment, atherosclerosis remains a leading cause of morbidity and mortality. Further research into the development and validation of reliable indicators of the high-risk individual is greatly needed. Carotid MRI is a histologically validated, noninvasive imaging method that can track disease progression and regression, and quantitatively evaluate a spectrum of parameters associated with in vivo plaque morphology and composition. Intraplaque hemorrhage and the lipid-rich necrotic core are the best indicators of lesion severity currently visualized by carotid MRI. However, MRI methods capable of imaging other important aspects of carotid atherosclerotic disease in vivo—including inflammation, neovascularization, and mechanical forces—are emerging and may aid in advancing our understanding of the pathophysiology of this multifactorial disease.
To read this article in full you may need to log in, make a payment or gain access through a site license (see right).
Personal subscribers to Nature Reviews Cardiology can view this article. To do this, associate your subscription with your registration via theMy Account page. If you already have an active subscription,login here to your nature.com account.
If you do not have access to the article you require, you can purchase the article (see below) or access it through asite license. Institutions can add additional archived content to their license at any time.Recommend site license access to your institution.
Login via your institution
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Price: US$32
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You can request this document from a number of document delivery services
British Library Document Supply Centre
CIST Canadian Institute for Scientific and Technical Information
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You can also request this document from your local library through inter library loan services.
Top
Nature Reviews Cardiology
ISSN: 1759-5002
EISSN: 1759-5010
About NPG
Contact NPG
RSS web feeds
Help
Privacy policy
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Accessibility statement
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Nature News
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© 2011 Nature Publishing Group, a division of Macmillan Publishers Limited. All Rights Reserved.
partner ofAGORA, HINARI, OARE, INASP, ORCID, CrossRef and COUNTER
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