Background and Purpose-This study aimed to determine the correlation of in vivo ultrasound measurements of intima-media thickening (IMT), lumen diameter, and cross-sectional area of the common carotid artery (CCA) with corresponding measurements obtained by gross pathology and histology. Methods-Sixty-six moribund neurological patients (mean age 71 years) underwent B-mode ultrasound of the CCA a few days before death. During autopsy, carotid specimens were removed in toto. Carotid arteries were ligated and cannulated for injection of a hydrophilic embedding material under standardized conditions. The carotid bifurcation was frozen and cut manually in 3-mm cross slices. Digital image analysis was carried out to determine the diameter and the cross-sectional area of the frozen slices of the CCA. IMT was assessed by light microscope. Ultrasonic and planimetric data were compared. Results-Mean measurements of lumen diameter and cross-sectional area were 7.13Ϯ1.27 mm and 0.496Ϯ0.167 cm 2 , respectively, by ultrasound, and 7.81Ϯ1.45 mm and 0.516Ϯ0.194 cm 2 , respectively, by planimetric analysis of the unfixed redistended carotid arteries (R 2 ϭ0.389 and 0.497). The mean IMT was 1.005Ϯ0.267 mm by ultrasound and 0.67Ϯ0.141 mm histologically, resulting in a mean difference of Ϫ31%.
Conclusions-Transcutaneous