Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Other Publications
    • ajnr

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

Welcome to the new AJNR, Updated Hall of Fame, and more. Read the full announcements.


AJNR is seeking candidates for the position of Associate Section Editor, AJNR Case Collection. Read the full announcement.

 

Research ArticleExtracranial Vascular

Reassessing the Carotid Artery Plaque “Rim Sign” on CTA: A New Analysis with Histopathologic Confirmation

J.C. Benson, V. Nardi, A.A. Madhavan, M.C. Bois, L. Saba, L. Savastano, A. Lerman and G. Lanzino
American Journal of Neuroradiology March 2022, 43 (3) 429-434; DOI: https://doi.org/10.3174/ajnr.A7443
J.C. Benson
aFrom the Departments of Radiology (J.C.B., A.A.M.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.C. Benson
V. Nardi
bCardiovascular Medicine (V.N.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for V. Nardi
A.A. Madhavan
aFrom the Departments of Radiology (J.C.B., A.A.M.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A.A. Madhavan
M.C. Bois
cLaboratory Medicine and Pathology (M.C.B., A.L.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M.C. Bois
L. Saba
eDepartment of Medical Sciences (L. Saba), University of Cagliari, Cagliari, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for L. Saba
L. Savastano
dNeurosurgery (L. Savastano, G.L.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for L. Savastano
A. Lerman
cLaboratory Medicine and Pathology (M.C.B., A.L.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Lerman
G. Lanzino
dNeurosurgery (L. Savastano, G.L.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for G. Lanzino
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Cole JW
    . Large artery atherosclerotic occlusive disease. Continuum (Minneap Minn) 2017;23:133–57 doi:10.1212/CON.0000000000000436 pmid:28157748
    CrossRefPubMed
  2. 2.↵
    1. Benson JC,
    2. Cheek H,
    3. Aubry MC, et al
    . Cervical carotid plaque MRI: review of atherosclerosis imaging features and their histologic underpinnings. Clin Neuroradiol 2021;31:295–306 doi:10.1007/s00062-020-00987-y pmid:33398451
    CrossRefPubMed
  3. 3.↵
    1. Brinjikji W,
    2. Huston J,
    3. Rabinstein AA, et al
    . Contemporary carotid imaging: from degree of stenosis to plaque vulnerability. J Neurosurg 2016;124:27–42 doi:10.3171/2015.1.JNS142452 pmid:26230478
    CrossRefPubMed
  4. 4.↵
    1. Alkhouli M,
    2. Holmes D,
    3. Klaas JP, et al
    . Carotid intraplaque hemorrhage: an underappreciated cause of unexplained recurrent stroke. JACC Cardiovasc Interv 2021;14:1950–52 doi:10.1016/j.jcin.2021.04.033 pmid:34147380
    CrossRefPubMed
  5. 5.↵
    1. Fitzpatrick LA,
    2. Berkovitz N,
    3. Dos Santos MP, et al
    . Vulnerable carotid plaque imaging and histopathology without a dedicated MRI receiver coil. Neuroradiol J 2017;30:120–28 doi:10.1177/1971400916678244 pmid:28071288
    CrossRefPubMed
  6. 6.↵
    1. Singh N,
    2. Moody AR,
    3. Roifman I, et al
    . Advanced MRI for carotid plaque imaging. Int J Cardiovasc Imaging 2016;32:83–89 doi:10.1007/s10554-015-0743-6 pmid:26293362
    CrossRefPubMed
  7. 7.↵
    1. Murgia A,
    2. Erta M,
    3. Suri JS, et al
    . CT imaging features of carotid artery plaque vulnerability. Ann Transl Med 2020;8:1261 doi:10.21037/atm-2020-cass-13 pmid:33178793
    CrossRefPubMed
  8. 8.
    1. Baradaran H,
    2. Foster T,
    3. Harrie P, et al
    . Carotid artery plaque characteristics: current reporting practices on CT angiography. Neuroradiology 2021;63:1013–18 doi:10.1007/s00234-020-02610-w pmid:33236220
    CrossRefPubMed
  9. 9.↵
    1. Saba L,
    2. Brinjikji W,
    3. Spence JD
    , et al. Roadmap consensus on carotid artery plaque imaging and impact on therapy strategies and guidelines: an international, multispecialty, expert review and position statement. AJNR Am J Neuroradiol 2021;42:1566–75 doi:10.3174/ajnr.A7223 pmid:34326105
    Abstract/FREE Full Text
  10. 10.↵
    1. Saba L,
    2. Francone M,
    3. Bassareo PP, et al
    . CT attenuation analysis of carotid intraplaque hemorrhage. AJNR Am J Neuroradiol 2018;39:131–37 doi:10.3174/ajnr.A5461 pmid:29191874
    Abstract/FREE Full Text
  11. 11.↵
    1. Wintermark M,
    2. Jawadi SS,
    3. Rapp JH, et al
    . High-resolution CT imaging of carotid artery atherosclerotic plaques. AJNR Am J Neuroradiol 2008;29:875–82 doi:10.3174/ajnr.A0950 pmid:18272562
    Abstract/FREE Full Text
  12. 12.↵
    1. McLaughlin MS,
    2. Hinckley PJ,
    3. Treiman SM, et al
    . Optimal prediction of carotid intraplaque hemorrhage using clinical and lumen imaging markers. AJNR Am J Neuroradiol 2015;36:2360–66 doi:10.3174/ajnr.A4454 pmid:26338923
    Abstract/FREE Full Text
  13. 13.↵
    1. U-King-Im JM,
    2. Fox AJ,
    3. Aviv RI, et al
    . Characterization of carotid plaque hemorrhage. Stroke 2010;41:1623–29 doi:10.1161/STROKEAHA.110.579474 pmid:20576955
    Abstract/FREE Full Text
  14. 14.↵
    1. Gupta A,
    2. Baradaran H,
    3. Mtui EE, et al
    . Detection of symptomatic carotid plaque using source data from MR and CT angiography: a correlative study. Cerebrovasc Dis 2015;39:151–61 doi:10.1159/000373918 pmid:25721945
    CrossRefPubMed
  15. 15.↵
    1. Eisenmenger LB,
    2. Aldred BW,
    3. Kim SE, et al
    . Prediction of carotid intraplaque hemorrhage using adventitial calcification and plaque thickness on CTA. AJNR Am J Neuroradiol 2016;37:1496–1503 doi:10.3174/ajnr.A4765 pmid:27102316
    Abstract/FREE Full Text
  16. 16.↵
    1. Yuan J,
    2. Usman A,
    3. Das T, et al
    . Imaging carotid atherosclerosis plaque ulceration: comparison of advanced imaging modalities and recent developments. AJNR Am J Neuroradiol 2017;38:664–71 doi:10.3174/ajnr.A5026 pmid:28007772
    Abstract/FREE Full Text
  17. 17.↵
    1. Menon BK,
    2. Singh J,
    3. Al-Khataami A, et al
    ; for the Calgary CTA Study Group. The donut sign on CT angiography: an indicator of reversible intraluminal carotid thrombus? Neuroradiology 2010;52:1055–56 doi:10.1007/s00234-010-0738-x pmid:20625710
    CrossRefPubMed
  18. 18.↵
    1. Singh R-J,
    2. Chakraborty D,
    3. Dey S, et al
    . Intraluminal thrombi in the cervico-cephalic arteries. Stroke 2019;50:357–64 doi:10.1161/STROKEAHA.118.023015 pmid:30595130
    CrossRefPubMed
  19. 19.↵
    1. Benson JC,
    2. Lanzino G,
    3. Nardi V, et al
    . Semiautomated carotid artery plaque composition: are intraplaque CT imaging features associated with cardiovascular risk factors? Neuroradiology 2021;63:1617–26 doi:10.1007/s00234-021-02662-6 pmid:33543361
    CrossRefPubMed
  20. 20.↵
    1. Baradaran H,
    2. Eisenmenger LB,
    3. Hinckley PJ, et al
    . Optimal carotid plaque features on computed tomography angiography associated with ischemic stroke. J Am Heart Assoc 2021;10:e019462 doi:10.1161/JAHA.120.019462 pmid:33586471
    CrossRefPubMed
  21. 21.↵
    1. Shaalan WE,
    2. Cheng H,
    3. Gewertz B, et al
    . Degree of carotid plaque calcification in relation to symptomatic outcome and plaque inflammation. J Vasc Surg 2004;40:262–69 doi:10.1016/j.jvs.2004.04.025 pmid:15297819
    CrossRefPubMedWeb of Science
  22. 22.↵
    1. Gupta A,
    2. Mtui EE,
    3. Baradaran H, et al
    . CT angiographic features of symptom-producing plaque in moderate-grade carotid artery stenosis. AJNR Am J Neuroradiol 2015;36:349–54 doi:10.3174/ajnr.A4098 pmid:25213881
    Abstract/FREE Full Text
  23. 23.↵
    1. Trelles M,
    2. Eberhardt KM,
    3. Buchholz M, et al
    . CTA for screening of complicated atherosclerotic carotid plaque: American Heart Association type VI lesions as defined by MRI. AJNR Am J Neuroradiol 2013;34:2331–37 doi:10.3174/ajnr.A3607 pmid:23868157
    Abstract/FREE Full Text
  24. 24.↵
    1. Saba L,
    2. Yuan C,
    3. Hatsukami TS, et al
    ; Vessel Wall Imaging Study Group of the American Society of Neuroradiology. Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study Group and Expert Consensus Recommendations of the American Society of Neuroradiology. AJNR Am J Neuroradiol 2018;39:E9–E31 doi:10.3174/ajnr.A5488 pmid:29326139
    Abstract/FREE Full Text
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 43 (3)
American Journal of Neuroradiology
Vol. 43, Issue 3
1 Mar 2022
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Reassessing the Carotid Artery Plaque “Rim Sign” on CTA: A New Analysis with Histopathologic Confirmation
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
J.C. Benson, V. Nardi, A.A. Madhavan, M.C. Bois, L. Saba, L. Savastano, A. Lerman, G. Lanzino
Reassessing the Carotid Artery Plaque “Rim Sign” on CTA: A New Analysis with Histopathologic Confirmation
American Journal of Neuroradiology Mar 2022, 43 (3) 429-434; DOI: 10.3174/ajnr.A7443

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Reassessing the Carotid Artery Plaque “Rim Sign” on CTA: A New Analysis with Histopathologic Confirmation
J.C. Benson, V. Nardi, A.A. Madhavan, M.C. Bois, L. Saba, L. Savastano, A. Lerman, G. Lanzino
American Journal of Neuroradiology Mar 2022, 43 (3) 429-434; DOI: 10.3174/ajnr.A7443
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • MR Imaging of Carotid Artery Atherosclerosis: Updated Evidence on High-Risk Plaque Features and Emerging Trends
  • Crossref (10)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Embolic strokes of undetermined source: a clinical consensus statement of the ESC Council on Stroke, the European Association of Cardiovascular Imaging and the European Heart Rhythm Association of the ESC
    George Ntaios, Helmut Baumgartner, Wolfram Doehner, Erwan Donal, Thor Edvardsen, Jeff S Healey, Bernard Iung, Hooman Kamel, Scott E Kasner, Eleni Korompoki, Babak B Navi, Christian Pristipino, Luca Saba, Renate B Schnabel, Emma Svennberg, Gregory Y H Lip
    European Heart Journal 2024 45 19
  • MR Imaging of Carotid Artery Atherosclerosis: Updated Evidence on High-Risk Plaque Features and Emerging Trends
    J.C. Benson, L. Saba, G. Bathla, W. Brinjikji, V. Nardi, G. Lanzino
    American Journal of Neuroradiology 2023 44 8
  • Carotid stenosis and cryptogenic stroke
    Luca Saba, Riccardo Cau, Giacomo Spinato, Jasjit S. Suri, Marta Melis, Gianluca De Rubeis, Pierluigi Antignani, Ajay Gupta
    Journal of Vascular Surgery 2024 79 5
  • Quantifying Carotid Stenosis: History, Current Applications, Limitations, and Potential: How Imaging Is Changing the Scenario
    Luca Saba, Roberta Scicolone, Elias Johansson, Valentina Nardi, Giuseppe Lanzino, Stavros K. Kakkos, Gianluca Pontone, Andrea D. Annoni, Kosmas I. Paraskevas, Allan J. Fox
    Life 2024 14 1
  • Prevalence of High-Risk CTA-Based Carotid Plaque-RADS Subtypes in Patients With Embolic Stroke of Undetermined Source
    Jae W. Song, Huy Q. Phi, Manisha Koneru, Quy Cao, Jeremy Rubin, Yu Sakai, Lamya Ibrahim, Sonya E. Zhou, John H. Woo, Scott E. Kasner, Luca Saba, Brett L. Cucchiara
    Stroke 2025 56 3
  • Risk factors for recurrent ischemic events in symptomatic carotid artery stenosis on CT angiography
    Takeyoshi Tsutsui, Kiyofumi Yamada, Taichi Ikedo, Yoshiaki Morita, Eika Hamano, Hirotoshi Imamura, Hisae Mori, Koji Iihara, Hiroharu Kataoka
    Vascular Medicine 2024 29 2
  • Carotid plaque characteristics by computed Tomography: A diagnostic accuracy systematic review
    David Pakizer, Jiří Kozel, Jolanda Elmers, Janusz Feber, Vincent Dunet, Patrik Michel, David Školoudík, Gaia Sirimarco
    IJC Heart & Vasculature 2025 58
  • Clinical risk factors and features on computed tomography angiography in high-risk carotid artery plaque in patients with type 2 diabetes
    Luca MEZZETTO, Davide MASTRORILLI, Elisa ZANETTI, Enrico SCOCCIA, Barbara PECORARO, Andrea SBOARINA, Alessandro MANTOVANI, Gian F. VERALDI
    International Angiology 2024 43 2
  • Machine learning detects symptomatic patients with carotid plaques based on 6-type calcium configuration classification on CT angiography
    Francesco Pisu, Hui Chen, Bin Jiang, Guangming Zhu, Marco Virgilio Usai, Martin Austermann, Yousef Shehada, Elias Johansson, Jasjit Suri, Giuseppe Lanzino, J. C. Benson, Valentina Nardi, Amir Lerman, Max Wintermark, Luca Saba
    European Radiology 2023 34 6
  • Ultraschall der Karotiden – Stenosegraduierung und Risikobeurteilung
    Felix Schlachetzki, Karin Pfister
    Gefässchirurgie 2024 29 8

More in this TOC Section

  • Proximal Vertebral Artery Variants and Embryology
  • High-Risk Plaque Features in Carotid MRI
  • Nonstenotic Carotid Plaques and Stroke Review
Show more Extracranial Vascular

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editors Choice
  • Fellow Journal Club
  • Letters to the Editor

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

Special Collections

  • Special Collections

Resources

  • News and Updates
  • Turn around Times
  • Submit a Manuscript
  • Author Policies
  • Manuscript Submission Guidelines
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Submit a Case
  • Become a Reviewer/Academy of Reviewers
  • Get Peer Review Credit from Publons

Multimedia

  • AJNR Podcast
  • AJNR SCANtastic
  • Video Articles

About Us

  • About AJNR
  • Editorial Board
  • Not an AJNR Subscriber? Join Now
  • Alerts
  • Feedback
  • Advertise with us
  • Librarian Resources
  • Permissions
  • Terms and Conditions

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire