AJR ARRS Membership
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Robinson, M.
Right arrow Articles by Marinelli, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Robinson, M.
Right arrow Articles by Marinelli, D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
American Journal of Roentgenology, Vol 151, Issue 5, 1045-1049
Copyright © 1988 by American Roentgen Ray Society

Articles

Diagnostic criteria for carotid duplex sonography

ML Robinson, D Sacks, GS Perlmutter, and DL Marinelli

Department of Radiology, Reading Hospital and Medical Center, PA 19603.

Optimal criteria for the duplex sonographic diagnosis of carotid artery stenosis have not yet been defined. We studied 205 vessels in 105 patients with both duplex sonography and angiography. Four diagnostic groups were defined on the basis of Doppler flow characteristics. Receiver-operating-characteristic curves were used to compare diagnostic criteria at significant stenosis levels, and to select threshold values that emphasize specificity as well as sensitivity. Peak systolic velocity, systolic velocity ratios, and end-diastolic velocity were all shown to be equivalent predictors of significant disease. We chose peak systolic velocity in the internal carotid artery as our best parameter because of its ease of measurement. The use of combined parameters offered no significant statistical advantage over the use of a single parameter. The real-time assessment of stenosis and ulceration was not found to be reliable. ROC curves should be used to select Doppler criteria with desired sensitivities and specificities to maximize the benefit in each clinical setting.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
D. Gaitini and M. Soudack
Diagnosing Carotid Stenosis by Doppler Sonography: State of the Art
J. Ultrasound Med., August 1, 2005; 24(8): 1127 - 1136.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
G. M. Hathout, J. R. Fink, S. M. El-Saden, and E. G. Grant
Sonographic NASCET Index: A New Doppler Parameter for Assessment of Internal Carotid Artery Stenosis
AJNR Am. J. Neuroradiol., January 1, 2005; 26(1): 68 - 75.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
S. Sabeti, M. Schillinger, W. Mlekusch, A. Willfort, M. Haumer, T. Nachtmann, M. Mullner, W. Lang, R. Ahmadi, and E. Minar
Quantification of Internal Carotid Artery Stenosis with Duplex US: Comparative Analysis of Different Flow Velocity Criteria
Radiology, August 1, 2004; 232(2): 431 - 439.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
G. M Hathout, M. J. Duh, and S. M. El-Saden
Accuracy of Contrast-Enhanced MR Angiography in Predicting Angiographic Stenosis of the Internal Carotid Artery: Linear Regression Analysis
AJNR Am. J. Neuroradiol., October 1, 2003; 24(9): 1747 - 1756.
[Abstract] [Full Text] [PDF]

Home page
 J Ultrasound MedHome page
J. S. Kriegshauser, M. D. Patel, and K. D. Nelson
Carotid Pseudostring Sign From Vasa Vasorum Collaterals
J. Ultrasound Med., September 1, 2003; 22(9): 959 - 963.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
J. Tejada, E. Diez-Tejedor, L. Hernandez-Echebarria, and O. Balboa
Does a Relationship Exist Between Carotid Stenosis and Lacunar Infarction?
Stroke, June 1, 2003; 34(6): 1404 - 1409.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
T. J. Tegos, K. J. Kalomiris, M. M. Sabetai, E. Kalodiki, and A. N. Nicolaides
Significance of Sonographic Tissue and Surface Characteristics of Carotid Plaques
AJNR Am. J. Neuroradiol., September 1, 2001; 22(8): 1605 - 1612.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
M. Koga, K. Kimura, K. Minematsu, and T. Yamaguchi
Diagnosis of Internal Carotid Artery Stenosis Greater than 70% with Power Doppler Duplex Sonography
AJNR Am. J. Neuroradiol., February 1, 2001; 22(2): 413 - 417.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
T. J. Tegos, M. Sohail, M. M. Sabetai, P. Robless, N. Akbar, G. Pare, G. Stansby, and A. N. Nicolaides
Echomorphologic and Histopathologic Characteristics of Unstable Carotid Plaques
AJNR Am. J. Neuroradiol., November 1, 2000; 21(10): 1937 - 1944.
[Abstract] [Full Text] [PDF]

Home page
 ANGIOLOGYHome page
T. J. Tegos, E. Kalodiki, M. M. Sabetai, and A. N. Nicolaides
Stroke: Pathogenesis, Investigations, and Prognosis: Part II of III
Angiology, November 1, 2000; 51(11): 885 - 894.
[Abstract] [PDF]

Home page
 RadiologyHome page
V. S. Lee, B. S. Hertzberg, M. J. Workman, T. P. Smith, M. A. Kliewer, D. M. DeLong, and B. A. Carroll
Variability of Doppler US Measurements along the Common Carotid Artery: Effects on Estimates of Internal Carotid Arterial Stenosis in Patients with Angiographically Proved Disease
Radiology, February 1, 2000; 214(2): 387 - 392.
[Abstract] [Full Text]

Home page
 RadiologyHome page
E. G. Grant, A. J. Duerinckx, S. M. El Saden, M. L. Melany, G. M. Hathout, P. T. Zimmerman, A. K. Marumoto, S. N. Cohen, and J. D. Baker
Ability to Use Duplex US to Quantify Internal Carotid Arterial Stenoses: Fact or Fiction?1
Radiology, January 1, 2000; 214(1): 247 - 252.
[Abstract] [Full Text]

Home page
 StrokeHome page
S. Meairs and M. Hennerici
Four-Dimensional Ultrasonographic Characterization of Plaque Surface Motion in Patients With Symptomatic and Asymptomatic Carotid Artery Stenosis
Stroke, September 1, 1999; 30(9): 1807 - 1813.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
V. S. Lee, B. S. Hertzberg, M. A. Kliewer, and B. A. Carroll
Assessment of Stenosis: Implications of Variability of Doppler Measurements in Normal-appearing Carotid Arteries
Radiology, August 1, 1999; 212(2): 493 - 498.
[Abstract] [Full Text]

Home page
 StrokeHome page
O. E. H. Elgersma, M. van Leersum, P. C. Buijs, M. S. van Leeuwen, Y. T. van de Schouw, B. C. Eikelboom, and Y. van der Graaf
Changes Over Time in Optimal Duplex Threshold for the Identification of Patients Eligible for Carotid Endarterectomy
Stroke, November 1, 1998; 29(11): 2352 - 2356.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
W. Steinke, S. Ries, N. Artemis, A. Schwartz, and M. Hennerici
Power Doppler Imaging of Carotid Artery Stenosis : Comparison With Color Doppler Flow Imaging and Angiography
Stroke, October 1, 1997; 28(10): 1981 - 1987.
[Abstract] [Full Text]

Home page
 StrokeHome page
K. M. Kuntz, J. F. Polak, A. D. Whittemore, J. J. Skillman, and K. C. Kent
Duplex Ultrasound Criteria for the Identification of Carotid Stenosis Should Be Laboratory Specific
Stroke, March 1, 1997; 28(3): 597 - 602.
[Abstract] [Full Text]

Home page
 StrokeHome page
G. Howard, W. H. Baker, L. E. Chambless, V. J. Howard, A. M. Jones, and J. F. Toole
An Approach for the Use of Doppler Ultrasound as a Screening Tool for Hemodynamically Significant Stenosis (Despite Heterogeneity of Doppler Performance): A Multicenter Experience
Stroke, November 1, 1996; 27(11): 1951 - 1957.
[Abstract] [Full Text]

Home page
 StrokeHome page
M. Eliasziw, R.N. Rankin, A.J. Fox, R.B. Haynes, and H.J.M. Barnett
Accuracy and Prognostic Consequences of Ultrasonography in Identifying Severe Carotid Artery Stenosis
Stroke, October 1, 1995; 26(10): 1747 - 1752.
[Abstract] [Full Text]

Home page
 StrokeHome page
S. S. Berman, J. J. Devine, L. S. Erdoes, and G. C. Hunter
Distinguishing Carotid Artery Pseudo-Occlusion With Color-Flow Doppler
Stroke, March 1, 1995; 26(3): 434 - 438.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1988 by the American Roentgen Ray Society.