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Acceleration time ratio for the assessment of extracranial internal carotid artery stenosis

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Abstract

Purpose

To apply the acceleration time (AcT) ratio as an additional marker for diagnosing internal carotid artery (ICA) stenosis.

Methods

Carotid artery sonography was performed in 140 patients, and the AcT ratio was calculated as the AcT of the ICA divided by the AcT of the ipsilateral common carotid artery, and compared with diameter stenosis.

Results

There was a significant correlation between diameter stenosis and the AcT ratio. The receiver operating characteristic curve revealed a cutoff level of 1.5, with 90.0 % sensitivity and 93.5 % specificity for stenosis >65 %.

Conclusion

Our results indicate that applying the AcT ratio can help in the diagnosis of ICA stenosis.

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References

  1. Koga M, Kimura K, Minematsu K, et al. Diagnosis of internal carotid artery stenosis greater than 70% with power Doppler duplex sonography. AJNR Am J Neuroradiol. 2001;22:413–7.

    CAS  PubMed  Google Scholar 

  2. Handa N, Fukunaga R, Etani H, et al. Efficacy of echo-Doppler examination for the evaluation of renovascular disease. Ultrasound Med Biol. 1988;14:1–5.

    Article  CAS  PubMed  Google Scholar 

  3. European Carotid Surgery Trialists’ Collaborative Group. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. 1998;351:1379–87.

    Article  Google Scholar 

  4. The Joint Committee of the Japan Academy of Neurosonology and the Japan Society of Embolus Detection and Treatment on Guideline for Neurosonology. Carotid Ultrasound Examination. Neurosonology. 2006;19:49–67.

    Google Scholar 

  5. Schäberle W. Ultrasonography in vascular diagnosis. Berlin: Springer; 2011.

    Book  Google Scholar 

  6. Tamura H, Akaiwa Y, Onda K. Usefulness of acceleration time for internal carotid artery origin stenosis. J Jpn Coll Angiol. 2011;51:365–71.

    Google Scholar 

  7. Takekawa H, Asakawa Y, Lee T, et al. Usefulness of acceleration time for assessment of stenosis in the extracranial internal carotid artery. Neurosonology. 2009;22:79–82.

    Article  Google Scholar 

  8. Barnett HJ, Taylor DW, Eliasziw M, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1998;339:1415–25.

    Article  CAS  PubMed  Google Scholar 

  9. Cremonesi A, Setacci C, Bignamini A, et al. Carotid artery stenting: first consensus document of the ICCS-SPREAD Joint Committee. Stroke. 2006;37:2400–9.

    Article  PubMed  Google Scholar 

  10. Naylor AR, Lin PH, Chaikof EL. Carotid artery disease. In: Davies AH, Brophy CM, editors. Vascular surgery. London: Springer; 2010. p. 155–80.

    Google Scholar 

  11. Oates CP, Naylor AR, Hartshorne T, et al. Joint recommendations for reporting carotid ultrasound investigations in the United Kingdom. Eur J Vasc Endovasc Surg. 2009;37:251–61.

    Article  CAS  PubMed  Google Scholar 

  12. Zümre O, Salbacak A, Cicekcibasi AE, et al. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann Anat. 2005;187:361–9.

    Article  PubMed  Google Scholar 

  13. O’Boyle MK, Vibhakar NI, Chung J, et al. Duplex sonography of the carotid arteries in patients with isolated aortic stenosis: imaging findings and relation to severity of stenosis. AJR Am J Roentgenol. 1996;166:197–202.

    Article  PubMed  Google Scholar 

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Correspondence to Hidehiro Takekawa.

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Takekawa, H., Suzuki, K., Takada, E. et al. Acceleration time ratio for the assessment of extracranial internal carotid artery stenosis. J Med Ultrasonics 41, 63–67 (2014). https://doi.org/10.1007/s10396-013-0471-2

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  • DOI: https://doi.org/10.1007/s10396-013-0471-2

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