Lee JD, Ryu SJ, Chang YJ, Hsu KC, Chen YC, Huang YC, Lee M, Hsiao MC, Lee TH. Carotid Ultrasound Criteria for Detecting Intracranial Carotid Stenosis.
Eur Neurol 2007;
57:156-60. [PMID:
17213722 DOI:
10.1159/000098467]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2006] [Accepted: 10/14/2006] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIMS
This study attempted to establish carotid ultrasound criteria for identifying stenosis of the intracranial internal carotid artery (ICA) and middle cerebral artery (MCA).
METHODS
Two hundred and fifty-five patients were enrolled. Ultrasound measurements for common carotid artery (CCA) and ICA were as follows: flow volume (FV), peak systolic velocity (PSV), end-diastolic velocity (EDV), pulsatility index (PI) and resistance index (RI). The sensitivity and specificity of the ultrasound criteria for determining intracranial ICA or MCA>or=50% stenosis were calculated.
RESULTS
The criteria identified for detecting intracranial ICA>or=50% stenosis were ICA FV<159 ml/min, ICA PSV<33 cm/s and CCA PSV<42 cm/s. When ICA PSV<33 cm/s was combined with CCA PSV<42 cm/s, sensitivity increased to 82%, with 91% specificity. The criteria identified for detecting MCA>or=50% stenosis were CCA FV<285 ml/min, ICA FV<179 ml/min, ICA PSV<33 cm/s, >35% reduction in FV in the CCA, >40% reduction in FV in ICA, and >35% reduction in PSV in ICA. When these criteria were combined, sensitivity increased to 69%, with 85% specificity.
CONCLUSION
This study demonstrated that ultrasound criteria are sensitive and specific for detecting intracranial ICA and MCA significant obstruction.
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