Molecular imaging of atherosclerosis by Magnetic Resonance Imaging (MRI) has been impaired by a lack of validation of the specific substrate responsible for the molecular imaging signal. We therefore aimed to investigate the additive value of mass spectrometry imaging (MSI) of atherosclerosis-affine Gadofluorine P for molecular MRI of atherosclerotic plaques. Atherosclerotic Ldlr −/− mice were investigated by high-field MRI (7 T) at different time points following injection of atherosclerosis-affine Gadofluorine P as well as at different stages of atherosclerosis formation (4, 8, 16 and 20 weeks of HFD). At each imaging time point mice were immediately sacrificed after imaging and aortas were excised for mass spectrometry imaging: Matrix Assisted Laser Desorption Ionization (MALDI) Imaging and Laser Ablation-Inductively Coupled Plasma-Mass Spectrometry (LA-ICP-MS) imaging. Mass spectrometry imaging allowed to visualize the localization and measure the concentration of the MR imaging probe Gadofluorine P in plaque tissue ex vivo with high spatial resolution and thus adds novel and more target specific information to molecular MR imaging of atherosclerosis. Visualization of atherosclerosis using MR imaging is an emerging tool to gain deeper and more dynamic insights into biological processes of atherosclerosis with a high spatial and temporal resolution as well as high sensitivity. An advantage of MR imaging is the ability to acquire anatomical, functional and biological information simultaneously. Noninvasive characterization and assessment of plaque burden, characterization of plaque features (molecular and anatomical) and monitoring of plaque progression are crucial to predict plaque rupture, which causes myocardial infarction or stroke. Various molecular MRI approaches have tried to characterize specific aspects of atherosclerosis. Endothelial permeability, one of the key features of early vascular dysfunction, can be assessed by using albumin-affine gadolinium (Gd) chelates such as Gadofosveset trisodium 1,2. Influx of inflammatory cells such as proinflammatory macrophages can be traced by using iron-oxide nanoparticles, which has been similarly successful both in mice and humans. Additionally, the complex process of vascular remodeling has been successfully investigated by targeting tropoelastin, elastin and other extracellular proteins by more or less specific gadolinium agents in mice and rabbits 3-5. All approaches rely on alteration of the MR signal induced either by shortening T1 relaxation (in case of gadolinium) or shortening T2* (in case of iron-oxide nanoparticles), generated by accumulation of a