RT Journal Article SR Electronic T1 Pericarotid Fat as a Marker of Cerebrovascular Risk JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1635 OP 1641 DO 10.3174/ajnr.A8300 VO 45 IS 11 A1 Cau, Riccardo A1 Anzalone, Nicoletta A1 Mannelli, Lorenzo A1 Edjlali, Myriam A1 Balestrieri, Antonella A1 Nardi, Valentina A1 Lanzino, Giuseppe A1 Lerman, Amir A1 Suri, Jasjit S. A1 Saba, Luca YR 2024 UL http://www.ajnr.org/content/45/11/1635.abstract AB Vascular inflammation is widely recognized as an important factor in the atherosclerotic process, particularly in terms of plaque development and progression. Conventional tests, such as measuring circulating inflammatory biomarkers, lack the precision to identify specific areas of vascular inflammation. In this context, noninvasive imaging modalities can detect perivascular fat changes, serving as a marker of vascular inflammation. This review aims to provide a comprehensive overview of the key concepts related to perivascular carotid fat and its pathophysiology. Additionally, we examine the existing literature on the association of pericarotid fat with features of plaque vulnerability and cerebrovascular events. Finally, we scrutinize the advantages and limitations of the noninvasive assessment of pericarotid fat.AIartificial intelligenceAUCarea under the curveHUHounsfield unitPCFpericarotid fatPVATperivascular adipose tissueUSultrasoundUSPIOultra-small superparamagnetic iron oxide particles