This study investigated the relationship between morphological and compositional characteristics of carotid artery atherosclerotic plaques and WML in asymptomatic elderly population using 3D multicontrast MR vessel wall imaging. We found that carotid artery plaque compositional characteristics, especially calcification, intraplaque hemorrhage, and high risk plaque, were significantly associated with the severity of WML, suggesting that vulnerable atherosclerotic plaque in carotid artery might be an independent indicator for cerebral ischemic lesions in asymptomatic elderly adults.
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