Roadmap consensus on carotid artery plaque imaging & impact on therapy strategies & guidelines: an international, multispecialty, expert review & position statement Link to paper on American Journal of Neuroradiology Authors L. Saba, W. Brinjikji, J.D. Spence, M. Wintermark, M. Castillo, G.J.D. Borst, Q. Yang, C. Yuan, A. Buckler, M. Edjlali, T. Saam, D. Saloner, B.K. Lal, D. Capodanno, J. Sun, N. Balu, R. Naylor, A.v.d. Lugt, B.A. Wasserman, M.E. Kooi, J. Wardlaw, J. Gillard, G. Lanzino, U. Hedin, D. Mikulis, A. Gupta, J.K. DeMarco, C. Hess, J.V. Goethem, T. Hatsukami, P. Rothwell, M.M. Brown & A.R. Moody Abstract Current guidelines for primary & secondary prevention of stroke in patients with carotid atherosclerosis are based on the quantification of the degree of stenosis & symptom status. Recent publications have demonstrated that plaque morphology & composition, independent of the degree of stenosis, are important in the risk stratification of carotid atherosclerotic disease. This finding raises the question as to whether current guidelines are adequate or if they should be updated with new evidence, including imaging for plaque phenotyping, risk stratification, & clinical decision-making in addition to the degree of stenosis. To further this discussion, this roadmap consensus article defines the limits of luminal imaging & highlights the current evidence supporting the role of plaque imaging. Furthermore, we identify gaps in current knowledge & suggest steps to generate high-quality evidence, to add relevant information to guidelines currently based on the quantification of stenosis. Keywords Carotid atherosclerosis Plaque imaging Stroke Related links Link to paper on American Journal of Neuroradiology Professor Joanna Wardlaw Brain & nervous system Stroke Social media tags & titles Featured paper: Roadmap consensus on carotid artery plaque imaging & impact on therapy strategies & guidelines: an international, multispecialty, expert review & position statement @EdinUniBrainSci Publication date 03 Aug, 2021