The science, simply

What is a CIMT test?

Medically reviewed by Dr. Amy Doneen, DNP & Dr. Ford Brewer, MD, MPH · Updated July 2, 2026

A CIMT test is a 15-minute, non-invasive ultrasound — no needles, no radiation — that takes a direct look at your carotid artery walls, measuring their thickness and looking for early plaque that can appear before any symptom. It's a risk-assessment tool, not a diagnosis.

Reviewed & informed by
Todd Eldredge, PhD, MPH
CEO · Cardiovascular epidemiology
Dr. Amy Doneen, DNP
Medical consultant · Bale Doneen Method
Dr. Ford Brewer, MD, MPH
Preventive medicine · PrevMed Health
What it measures

What does CIMT measure? A direct look, not just an estimate.

CIMT stands for carotid intima-media thickness. Using the same safe ultrasound technology used in pregnancy, a trained sonographer measures the inner two layers — the intima and media — of your carotid arteries, and looks for visible plaque. Thickening and plaque in these layers are recognized markers of atherosclerosis, the disease associated with most heart attacks and strokes.

CIMT
A different kind of test

How is CIMT different from a cholesterol test?

Blood panels estimate your risk from numbers. A CIMT test takes a direct look at your artery walls — physical evidence, not a prediction.

Sees what cholesterol can't

A normal cholesterol panel can't tell you whether plaque is already forming. CIMT looks at the wall directly and may help identify early plaque changes before they create major blockage.

Non-invasive & radiation-free

The same ultrasound used in prenatal imaging — no needles, no dye, no radiation. You stay fully clothed; only your neck is scanned.

A baseline you can track

Your report includes images, measurements, and an arterial-age comparison you can repeat over time to see change.

Common question

Isn't this the same as a carotid screening at the hospital?

Not quite. Hospital carotid duplex screenings — and the kind offered by walk-in screening companies — generally look for significant blockages. A CIMT test measures wall thickness and looks for early plaque, which can appear before a blockage reaches that level. In other words, a duplex tends to flag disease that is already advanced; CIMT is designed to look for it earlier, while you and your doctor have the most options.

What to expect

What happens during a CIMT scan?

Close-up of a gloved hand holding an ultrasound transducer against a patient's neck during a CIMT scan
STEP 01
01

Check in

Arrive a few minutes early. No fasting, no prep — just wear something comfortable with an open neckline.

STEP 02
02

Your 15-minute scan

A trained technician glides a small ultrasound probe along each side of your neck. Painless and radiation-free.

STEP 03
03

Receive your report

You get a clear written report with images, measurements, and how your arteries compare to others your age.

Who it's for

Who should consider a CIMT test?

It's recommended for adults 30 and older — and earlier for those at higher risk, including people with a family history of heart attack or stroke, people of Southeast Asian or African American descent, and anyone whose cholesterol looks “fine” but who wants a direct look at their artery walls rather than an estimate. No referral is needed.

Trusted nationwide

Two decades of cardiovascular screening

CardioRisk Laboratories has performed CIMT screenings across the country, alongside physicians, dental practices, and preventive-health organizations.

Todd Eldredge

Todd Eldredge

President & CEO · Cardiovascular epidemiology

Dr. Amy Doneen

Dr. Amy Doneen, ARNP, DNP

Medical Consultant · BaleDoneen Method

Dr. Ford Brewer

Dr. Ford Brewer, MD, MPH

Medical Consultant · Preventive medicine · PrevMed Health

Find your screening

Find a CIMT screening near you.

A sample of upcoming CIMT screening dates — search the full directory to see every location.

July 22, 2026

Hackensack, NJ

Regus Continental Plaza, 411 Hackensack Ave 2nd floor, Hackensack, NJ 07601

Open

July 23, 2026

Camp Hill, PA

HQ 3425 Simpson Ferry Rd #100, Camp Hill, PA 17011

Open

July 23, 2026

Sacramento, CA

Regus 9245 Laguna Springs Dr #200, Elk Grove, CA 95758

Open

July 29, 2026

Minneapolis, MN

Regus Eagan Woods Drive 2640 Eagan Woods Dr 2nd Floor Eagan, MN 55121

Open
Common questions

Questions about the CIMT test itself

How accurate is a CIMT test?

CIMT is a recognized ultrasound measure of carotid artery wall thickness, an established marker of subclinical atherosclerosis. Like any screening tool, it's one data point — most useful alongside your medical history and other testing, not as a standalone diagnosis.

What's the difference between CIMT and a coronary calcium (CAC) score?

A CAC score uses a CT scan to measure calcified plaque in the heart's own arteries, with a small dose of radiation. CIMT uses ultrasound — no radiation — to measure wall thickness and plaque in the carotid arteries as a window into overall vascular health. Some patients use both as complementary information.

Do I need a referral from my doctor?

No. You can book a CIMT screening directly, without a physician referral. We recommend sharing your report with your doctor afterward.

How often should I get rescanned?

Many patients rescan annually to track change over time, since your report includes a baseline you can compare against. Your physician can help you decide what cadence makes sense for your risk profile.

Will my doctor accept the report?

Your CIMT report is written to be physician-ready, with images, measurements, and an arterial-age comparison your doctor can review alongside your other records.

Find a CIMT screening near you.

We hold CIMT screening events at locations across the country — find one near you and book in about two minutes.