Atherosclerotic cardiovascular disease is the most common cause of dea
th in the United States. Investigation of atherosclerotic plaque morph
ology and composition is important because the findings may be useful
in predicting prognosis or response to therapy. This study presents hi
gh-resolution magnetic resonance (MR) imaging techniques developed on
a 1.5-T whole-body imager with a custom-built surface coil, for charac
terizing the composition and morphology of plaque removed at carotid e
ndarterectomy. The initial comparison of MR imaging and histologic res
ults showed good correlation. In conjunction with MR angiography, thes
e techniques could be used in in vivo imaging to define the size, loca
tion, and contents of atherosclerotic plaque at the carotid bifurcatio
n.