Carotid artery stenosis: grayscale and Doppler ultrasound diagnosis--Society of Radiologists in Ultrasound consensus conference

Ultrasound Quarterly
Edward G GrantSociety of Radiologists in Ultrasound

Abstract

The Society of Radiologists in Ultrasound convened a multidisciplinary panel of experts in the field of vascular ultrasonography (US) to come to a consensus regarding Doppler US for assistance in the diagnosis of carotid artery stenosis. The panel's consensus statement is believed to represent a reasonable position on the basis of analysis of available literature and panelists' experience. Key elements of the statement include the following: First, all internal carotid artery (ICA) examinations should be performed with grayscale, color Doppler, and spectral Doppler US. Second, the degree of stenosis determined at grayscale and Doppler US should be stratified into the categories of normal (no stenosis), less than 50% stenosis, 50 to 69% stenosis, > or =70% stenosis to near occlusion, near occlusion, and total occlusion. Third, ICA peak systolic velocity (PSV) and the presence of plaque on grayscale and/or color Doppler images are primarily used in the diagnosis and grading of ICA stenosis. Two additional parameters (the ICA-to-common carotid artery PSV ratio and ICA end diastolic velocity) may also be used when clinical or technical factors raise concern that ICA PSV may not be representative of the extent of disease. Fourth, IC...Continue Reading

References

Sep 29, 2004·Der Radiologe·M LellM Uder
Jun 22, 2011·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Kristian Barlinn, A V Alexandrov
Jan 3, 2006·Cerebrovascular Diseases·Janja Pretnar-OblakTomaz Pogacnik
Feb 3, 2007·Cerebrovascular Diseases·Jose C NavarroA V Alexandrov
Nov 22, 2011·Vascular Health and Risk Management·Abolhassan Shakeri BavilSheyda Shaafi
Nov 15, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hamid R TahmasebpourCathy H Fix
Nov 12, 2013·Annals of Vascular Surgery·Linda J ChunKaushal Kevin Patel
Jan 25, 2014·Annals of Vascular Surgery·Adam J DoyleDavid L Gillespie
Jan 21, 2014·Annals of Vascular Surgery·Alexandros CoutsoumposAhmed M Abou-Zamzam
Jul 1, 2005·Radiology·Harald KramerMaximilian F Reiser
May 15, 2007·Endothelium : Journal of Endothelial Cell Research·Janja Pretnar-OblakMarjan Zaletel
Mar 25, 2014·Journal of the American College of Surgeons·Christopher J LeSarWilliam B Harris
Dec 18, 2013·Journal of Vascular Surgery·Umair QaziMahmoud B Malas
Feb 27, 2016·Journal of Vascular Surgery·Judith C LinGaetano Paone
Apr 19, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hasan S CuraMehmet Fatih Inci
Feb 14, 2013·Primary Care·Maxim MokinElad I Levy
Mar 7, 2012·Current Problems in Cardiology·Peter KanL Nelson Hopkins
Dec 2, 2011·Medical Ultrasonography·Sorin Crişan
Apr 23, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Jeyaraj D PandianKurupath Radhakrishnan
Dec 3, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N P E KadoglouC D Liapis
Jul 14, 2010·Ultrasound in Medicine & Biology·Deirdre M KingJacinta E Browne
Mar 23, 2010·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·A Ross Naylor
May 19, 2009·Lancet Neurology·Jean Marie U-King-ImJonathan H Gillard
Mar 3, 2009·Ultrasound in Medicine & Biology·Iulia M GrafArnold P G Hoeks
Mar 18, 2008·Ultrasound in Medicine & Biology·Emily Y WongDavid W Holdsworth
May 28, 2008·Journal of Magnetic Resonance Imaging : JMRI·Vincent C CappendijkM Eline Kooi
Jul 16, 2014·Ultrasound in Medicine & Biology·Gerardo Ruiz-AresExuperio Díez-Tejedor
Mar 16, 2013·Journal of Vascular Surgery·Margriet FokkemaGert Jan de Borst
Feb 28, 2015·Journal of Alzheimer's Disease : JAD·Salo HaratzDavid Tanne
Sep 6, 2011·Journal of Vascular Surgery·John J RicottaSociety for Vascular Surgery

Citations

Aug 15, 1991·The New England Journal of Medicine·North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Oct 1, 1989·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·B A Carroll
May 1, 1988·Radiographics : a Review Publication of the Radiological Society of North America, Inc·E I BluthJ D Baker
Feb 1, 1993·Radiology·A J Fox
Mar 1, 1993·AJR. American Journal of Roentgenology·M G HuninkD H O'Leary
Nov 1, 1996·Stroke; a Journal of Cerebral Circulation·C P Derdeyn, W J Powers
Nov 1, 1996·Journal of Vascular Surgery·M F FillingerJ L Cronenwett
Feb 1, 1997·Stroke; a Journal of Cerebral Circulation·A V AlexandrovP N Burns
Mar 1, 1997·Stroke; a Journal of Cerebral Circulation·K M KuntzK C Kent
May 8, 1999·Journal of Vascular Surgery·H G BeebeA J Seiwert
Mar 16, 2000·The British Journal of Surgery·J M PerkinsT R Magee
Nov 15, 2000·Mayo Clinic Proceedings·J HustonJ W Hallett
Sep 8, 2001·Stroke; a Journal of Cerebral Circulation·A Umemura, K Yamada
Dec 7, 2002·Stroke; a Journal of Cerebral Circulation·Dean C C JohnstonLarry B Goldstein

Related Concepts

Entire Lumen of Body System
Blood Flow Velocity
Blood Vessel
Common Carotid Artery
Doppler Ultrasound Imaging
Dental Plaque
Doppler Studies
Entire Common Carotid Artery
Carotid Stenosis
Stenosis (invertebrate)

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.