Document Detail


Detection of internal carotid artery stenosis: comparison of MR angiography, color Doppler sonography, and arteriography.
MedLine Citation:
PMID:  1727306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Findings of two-dimensional time-of-flight magnetic resonance (MR) angiography projection angiograms were prospectively compared with those of color Doppler sonography by using angiography as a standard in 23 consecutive patients (42 carotid bifurcations) to evaluate their utility in determining the presence of carotid artery stenosis. MR angiography helped detect 50% or greater lumen diameter stenosis (sensitivity, 0.96; specificity, 0.64). Color Doppler sonography with 1.25 m/sec peak systolic velocity as a threshold had a sensitivity of 0.96 and a specificity of 0.71. Statistical analysis showed a correlation between percentage of lumen diameter narrowing and the length of the zone of signal intensity loss with MR angiography (r = .69; P less than .0001). A stronger relationship was obtained between angiographic narrowing and peak systolic velocity derived from color Doppler sonography (r = .80; P less than .0001). Two-dimensional time-of-flight MR angiography displayed as projection angiograms and combined with carotid artery and combined with carotid artery sonography is a useful approach for helping detect and potentially grade the severity of stenoses of the carotid artery.
Authors:
J F Polak; R L Bajakian; D H O'Leary; M R Anderson; M C Donaldson; F A Jolesz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Radiology     Volume:  182     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-01-16     Completed Date:  1992-01-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  35-40     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115.
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MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Artery, Internal / pathology
Carotid Stenosis / diagnosis*,  epidemiology
Cerebral Angiography
Echoencephalography / methods
Female
Humans
Magnetic Resonance Imaging / methods
Male
Prospective Studies
Sensitivity and Specificity
Ultrasonics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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