• Neuroimaging Clin. N. Am. · Feb 2016

    Review

    Three-Dimensional Ultrasound of Carotid Plaque.

    • J David Spence and Grace Parraga.
    • Stroke Prevention and Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, Ontario N6G 2V4, Canada. Electronic address: dspence@robarts.ca.
    • Neuroimaging Clin. N. Am. 2016 Feb 1; 26 (1): 69-80.

    AbstractMeasurement of plaque burden is different from measurement of carotid intima-media thickness (IMT). Carotid total plaque area is a stronger predictor of cardiovascular risk than IMT, and in contrast to progression of IMT, which does not predict cardiovascular events, progression of total plaque area and total plaque volume strongly predict cardiovascular events. Measurement of plaque burden is useful in genetic research, and in evaluation of new therapies for atherosclerosis. Perhaps more importantly, it can be used for management of patients. A strategy called "treating arteries instead of treating risk factors" markedly reduces risk among patients with asymptomatic carotid stenosis.Copyright © 2016 Elsevier Inc. All rights reserved.

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