CT-angiography and doppler ultrasonography in atherosclerotic carotid artery disease. A comparative study (original) (raw)
Abstract
Background: Different diagnostic modalities to investigate atherosclerotic carotid artery disease (ACAD) are nowadays available. The aim of this study was to test the concordance of the findings of the two most widely used diagnostic modalities namely computed tomography angiography (CTA) and doppler ultrasonography (DUS). Material and methods: 29 patients with acute ischemic stroke were subjected to CTA and DUS and included in this analysis; 17 patients were males (59 %). The mean age was 70.5 ± 8 years (Mean ± SD). The correlation and the degree of concordance between the findings of CTA and DUS were tested. The associations between the occurrence of ACAD and the degree of severity of stenosis with the age, the gender and the side of stenosis were also tested. The statistical significance was set to < 0.05. Results: This study showed almost perfect agreement between CTA and DUS in detection of stenosis with kappa value of 0.92 (95 % CI 0.82–1.02). Intraclass correlation coeffic...
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References (10)
- Abul-kasim K, Maly P, Sundgren P, Holtås S. Neuroradiologi. In Swedish. Studentlitteratur. 2009; 1 st ed, pp 25-28. An example (first 47 pages) of this book consisting of 1105 pages and 4267 figures is available for test reading online: http://www.studentlitteratur.se/html/boksmakpro v/idflode/smakprov.html#9789144051833 2. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1991; 325:445-53.
- Hobson RW, Mackey WC, Ascher E, Murad MH, Calligaro KD, Comerota AJ, et al Society for Vascular Surgery. Management of atherosclerotic carotid artery disease: clinical practice guidelines of the Society for Vascular Surgery. J Vasc Surg. 2008; 48:480-6.
- SIEMENS. SOMATOM Sensation 64, Application Guide. Siemens AG Medical Solution, Computed Tomography. 2004; pp 29- 32.
- Mulkens TH, Bellinck P , Baeyaert M , Ghysen D , Van Dijck X, , Mussen E et al. Use of an automatic exposure control mechanism for dose optimization in multi-detector row CT examinations: clinical evaluation. Radiology. 2005; 237: 213-23.
- Abul-Kasim K. Recent Advances in the Radiological Workup of Acute Ischemic Stroke. The N Iraqi J Med. 2009; 5:54-62.
- Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33:159-174.
- Berg M, Zhang Z, Ikonen A, Sipola P, Kälviäinen R, Manninen H, et al. Multi-detector row CT angiography in the assessment of carotid artery disease in symptomatic patients: comparison with rotational angiography and digital subtraction angiography. AJNR Am J Neuroradiol. 2005; 26:1022-34.
- Wardlaw JM, Chappell FM, Best JJ, Wartolowska K, Berry E; NHS Research and Development Health Technology Assessment Carotid Stenosis Imaging Group. Non-invasive imaging compared with intra-arterial angiography in the diagnosis of symptomatic carotid stenosis: a meta-analysis. Lancet. 2006;367:1503-12.
- Tiev KP, Sevestre MA, Reix T, Auquier M, Cabane J, Dehouck B, et al. Quantitative assessment of carotid stenosis: comparison between Doppler ultrasound, spiral computed tomography angiography, magnetic resonance angiography and digital angiography. J Mal Vasc. 2000; 25:325-331.
- Wardlaw JM, Chappell FM, Stevenson M, De Nigris E, Thomas S, Gillard J, et al. Accurate, practical and cost-effective assessment of carotid stenosis in the UK. Health Technol Assess. 2006; 10:1-182.