We have previously shown that magnetic resonance microscopy (MRM) accurately quantifies atherosclerosis in Apolipoprotein E deficient (ApoE(-/-)) mice aged 36-84 cheeks. The present study tests MRM in the quantification of aortic atherosclerosis over a broader range of lesion severity. Younger mice with less advanced disease were imaged in order to evaluate sensitivity, specificity and maximum practical resolution of MRM. Nineteen mice underwent in vivo MRM. Wall area measurements by MRM and light microscopy (LM) (n =43) were highly correlated (r = 0.85, slope = 0.88. P < 0.0001), Wall areas by MRM ranged front 0,114 to 0.934 (median. 0,334) mm(2). A threshold of 0.35 mm(2), for the upper limit of normal. gave MRM positive predictive value (PPV) for detecting abnormally thickened arteries = 89.5% and negative predictive value (NPV) = 75%. referred to LM. Lesion shape assessed by LM and MRM ere also kell correlated (r = 0.72, P < 0.001). Increased wall area in atherosclerosis as found by MRM (P = 0.01) and LM (P < 0.0001) to be accommodated entirely by 'positive remodeling', confirming the importance of determining plaque size directly. MRM accurately quantifies mouse aortic atherosclerosis and will enhance studies in this important animal model. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.