Нe Mannheim CIMT Consensus Report suggested that plaque should be defined as “a focal structure that encroaches into the arterial lumen of at least 0.5 mm or 50% of the surrounding intima-media thickness or demonstrated a thickness of greater than or equal to 1.5 mm”. Imagings of arteries to identify and quantify the presence of subclinical vascular disease have been suggested to further refine CVD risk assessment. Plaque morphology in the carotid artery is less well defined, unlike that seen in the coronary artery. Carotid plaque is oÑ–en reported along with CIMT as marker of subclinical atherosclerosis. It can also be classified as stable and unstable plaque. It can also be described as pedunculate or non-pedunculate. Salonen and Salonen in a study have found that internal-media thickness in the common carotid artery, as well as extracranial carotid plaque and stenoses, to be predictive of incident acute myocardial infarction.