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Original Articles

In Vivo Quantification of Carotid Artery Wall Dimensions

3.0-Tesla MRI Versus B-Mode Ultrasound Imaging

R. Duivenvoorden, MD; E. de Groot, MD, PhD; B.M. Elsen, MD; J.S. Laméris, MD, PhD; R.J. van der Geest, MSc; E.S. Stroes, MD, PhD; J.J.P. Kastelein, MD, PhD and A.J. Nederveen, PhD

From the Departments of Vascular Medicine (R.D., E.d.G., B.M.E., E.S.S., J.J.P.K.) and Radiology (J.S.L., A.J.N.), Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; and the Department of Radiology (R.J.v.d.G.), Leiden University Medical Center, Leiden, The Netherlands.

Correspondence to Aart J. Nederveen, Radiology, Academic Medical Center, Z0-120, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. E-mail a.j.nederveen{at}amc.uva.nl

Received April 28, 2008; accepted January 26, 2009.

Background— Our aim was to compare common carotid mean wall thickness (MWT) measurements by 3.0-T MRI with B-mode ultrasound common carotid intima-media thickness (CCIMT) measurements, a validated surrogate marker for cardiovascular disease.

Methods and Results— B-mode ultrasound and 3.0-T MRI scans of the left and right common carotid arteries were repeated 3 times in 15 healthy younger volunteers (age, 26±2.6 years), 15 healthy older volunteers (age, 57±3.2 years), and 15 subjects with cardiovascular disease and carotid atherosclerosis (age, 63±9.8 years). MWT was 0.711 (SD, 0.229) mm and mean CCIMT was 0.800 (SD, 0.206) mm. MWT and CCIMT were highly correlated (r=0.89, P<0.001). The intraclass correlation coefficients for interscan and interobserver and intraobserver agreements of MRI MWT measurements were larger than 0.95 with small confidence intervals, indicating excellent reproducibility. Power calculations indicate that 89 subjects are required to detect a 4% difference in MRI MWT compared with 469 subjects to detect similar differences with ultrasound IMT in follow-up studies.

Conclusions— The study data for carotid MRI and ultrasound IMT showed strong agreement, indicating that both modalities measure the thickness of the intima and media. The advantage of MRI over ultrasound is that the measurement variability is smaller, enabling smaller sample sizes and potentially shorter study duration in cardiovascular prevention trials.

Key Words: atherosclerosis • intima-media thickness • carotid artery • MRI • ultrasound

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