Reliable, noninvasive imaging modalities to characterize plaque components are clinically desirable for detecting unstable coronary plaques, which cause acute coronary syndrome. Although recent clinical developments in computed tomography (CT) have enabled the visualization of luminal narrowing and calcified plaques in coronary arteries, the identification of noncalcified plaque components remains difficult. Phase-contrast X-ray CT imaging has great potentials to reveal the structures inside biological soft tissues, because its sensitivity to light elements is almost 1,000 times greater than that of absorption-contrast X-ray imaging. Moreover, a specific mass density of tissue can be estimated using phase-contrast X-ray CT. Ex vivo phase-contrast X-ray CT was performed using a synchrotron radiation source (SPring-8, Japan) to investigate atherosclerotic plaque components of apolipoprotein E-deficient mice. Samples were also histologically analyzed. Phase-contrast X-ray CT at a spatial resolution of 10 -20 m revealed atherosclerotic plaque components easily, and thin fibrous caps were detected. The specific mass densities of these plaque components were quantitatively estimated. The mass density of lipid area was significantly lower (1.011 Ϯ 0.001766 g/ml) than that of smooth muscle area or collagen area (1.057 Ϯ 0.001407 and 1.080 Ϯ 0.001794 g/ml, respectively). Moreover, the three-dimensional assessment of plaques could provide their anatomical information. Phasecontrast X-ray CT can estimate the tissue mass density of atherosclerotic plaques and detect lipid-rich areas. It can be a promising noninvasive technique for the investigation of plaque components and detection of unstable coronary plaques. synchrotron radiation; atherosclerotic plaque component; tissue-mass density of plaque component ATHEROSCLEROSIS IS A SYSTEMIC disease in which the clinical manifestations weakly correlate with its extent and with the severity of luminal stenosis. Coronary plaque disruption and subsequent thrombosis in coronary atherosclerosis lead to a potentially life-threatening disease, acute coronary syndrome (11,15). Clinical evidence suggests that atherosclerotic plaque components are important predictors of plaque stability and clinical events. The risk of plaque rupture appears to depend on the plaque components rather than the severity of stenosis.Most ruptures occur in "unstable" plaques containing a soft lipid-rich core, covered by a thin and inflamed cap of fibrous tissue (39).Invasive techniques, such as coronary angiography, intravascular ultrasound, and optical coherent tomography, can reveal the luminal diameter or stenosis, wall thickness, and plaque volume and components (16). However, to detect an unstable plaque that leads to acute coronary syndrome, reliable, noninvasive imaging modalities for the characterization of plaque components are clinically desirable. Currently, two emerging and promising techniques, namely, computed tomography (CT) and magnetic resonance imaging (MRI), are widely accepted by the medic...