Can noninvasive studies replace conventional angiography in the preoperative evaluation of carotid stenosis?

Abstract:

:Most articles in 1995 demonstrated a sensitivity of 100% and specificities of 90% to 98% in detecting carotid bifurcation stenosis using a combination of MR angiography and ultrasonography, reserving conventional angiography for cases of disparate stenosis with the noninvasive studies. Multiple reviews concluded that noninvasive studies were less morbid than conventional angiography when taking into account the risks of conventional angiography and surgery as well as the morbidity associated with unnecessary surgery (false-positive noninvasive study) or withholding indicated surgery (false-negative noninvasive study). Thus, the current literature suggests that non-invasive studies have indeed reached a point where they can replace conventional angiography in the preoperative evaluation of carotid bifurcation stenosis. It is paramount that each imaging center review its own sensitivity and specificity in detecting surgically significant carotid stenosis with noninvasive studies. High sensitivity and specificity in diagnosing percent carotid stenosis with noninvasive studies can occur today with routine imaging equipment, but it takes a great deal of effort and dedication on the part of the imaging center.

journal_name

Neuroimaging Clin N Am

authors

De Marco JK,Schonfeld S,Wesbey G

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

911-29

issue

4

eissn

1052-5149

issn

1557-9867

journal_volume

6

pub_type

杂志文章,评审
  • Diverse Applications of Artificial Intelligence in Neuroradiology.

    abstract::Recent advances in artificial intelligence (AI) and deep learning (DL) hold promise to augment neuroimaging diagnosis for patients with brain tumors and stroke. Here, the authors review the diverse landscape of emerging neuroimaging applications of AI, including workflow optimization, lesion segmentation, and precisio...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2020.07.003

    authors: Duong MT,Rauschecker AM,Mohan S

    更新日期:2020-11-01 00:00:00

  • Imaging of Minor Salivary Glands.

    abstract::Neoplastic and non-neoplastic lesions may involve the minor salivary glands. Tumors of minor salivary glands are commonly seen in the oral cavity. Malignant tumors are more common than benign minor salivary gland tumors. The most common malignant tumors are adenoid cystic carcinoma and mucoepidermoid carcinoma, and th...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2018.01.008

    authors: Abdel Razek AAK,Mukherji SK

    更新日期:2018-05-01 00:00:00

  • Fungal Sinusitis.

    abstract::Fungal sinusitis is characterized into invasive and noninvasive forms. The invasive variety is further classified into acute, chronic and granulomatous forms; and the noninvasive variety into fungus ball and allergic fungal sinusitis. Each of these different forms has a unique radiologic appearance. The clinicopatholo...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2015.07.004

    authors: Raz E,Win W,Hagiwara M,Lui YW,Cohen B,Fatterpekar GM

    更新日期:2015-11-01 00:00:00

  • Posterior Fossa Malformations.

    abstract::This article discusses the normal anatomy of the posterior fossa structures followed by a discussion of the characteristic neuroimaging features of a variety of cerebellar and brainstem malformations. In this context, the authors classify posterior fossa malformations based on the neuroimaging pattern into (1) predomi...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2019.03.008

    authors: Severino M,Huisman TAGM

    更新日期:2019-08-01 00:00:00

  • The carpal tunnel: ultrasound display of normal imaging anatomy and pathology.

    abstract::Ultrasound successfully displays the normal anatomy and pathology of the median nerve in the carpal tunnel. This article reviews the sonographic characteristics of carpal tunnel anatomy, including the superficially situated median nerve, the contained tendons and vessels, and the boundary-forming fibro-osseous landmar...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.nic.2003.12.001

    authors: Jayaraman S,Naidich TP

    更新日期:2004-02-01 00:00:00

  • Sickle cell disease and stroke in a pediatric population. Evidence-based diagnostic evaluation.

    abstract::Cerebrovascular complications are common in SCD and constitute a major source of concern to the pediatric hematologist. These complications can be either clinically overt or covert. The authors' review of the diagnostic tests does not offer absolute indications for neuroimaging because most of the evidence is based on...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1052-5149(03)00030-3

    authors: Winrow N,Melhem ER

    更新日期:2003-05-01 00:00:00

  • Physiologic effects of intense MR imaging gradient fields.

    abstract::The strength duration relationship for peripheral nerve stimulation by MR imaging pulsed gradient magnetic fields was measured in 84 human subjects. The data were fitted to the hyperbolic strength-duration relationship: dB/dt=b(1 + c/d), where b is rheobase, c is chronaxie, and d is duration, and dB/dt is reported as ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Bourland JD,Nyenhuis JA,Schaefer DJ

    更新日期:1999-05-01 00:00:00

  • Central nervous system infections in the pediatric population.

    abstract::Central nervous system infections and sequelae in the pediatric population may present differently depending on the patient's stage of development. Infections contracted from conception through the neonatal period may affect central nervous system formation, whereas infections acquired later tend to cause parenchymal ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Ressler JA,Nelson M

    更新日期:2000-05-01 00:00:00

  • CT imaging of craniofacial malformations.

    abstract::Because of its superior depiction of bone detail, CT is a useful tool in the characterization of CF deformities and presurgical planning. Modern CT scanners and workstations provide 2D techniques such as multiplanar reformats and 3D techniques, such as MIP and volume renderings, which may be used effectively in the di...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1052-5149(03)00061-3

    authors: Caruso PA,Harris GJ,Padwa BL

    更新日期:2003-08-01 00:00:00

  • The molecular pathology of Alzheimer's disease.

    abstract::Neurofibrillary pathology in Alzheimer's disease consists of paired helical filaments comprising tau protein. This pathology is correlated with dementia, but can appear in the first two decades of life. Extracellular amyloid β-protein arises through proteolytic processing of a transmembrane precursor, which involves t...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2011.11.003

    authors: Harrington CR

    更新日期:2012-02-01 00:00:00

  • Imaging of the temporal bone.

    abstract::Classical descriptions of the temporal bone are based on its five embryologically distinct osseous components: the petrous, tympanic, mastoid, squamous, and styloid portions. ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.nic.2004.07.008

    authors: Davidson HC

    更新日期:2004-11-01 00:00:00

  • Routine Dual-Energy Computed Tomography Scanning of the Neck in Clinical Practice: A Single-Institution Experience.

    abstract::There is increasing use and popularity of dual-energy computed tomography (DECT) in many subspecialties in radiology. This article reviews the practical workflow implications of routine DECT scanning based on the experience at a single institution where a large percentage of elective neck CTs are acquired in DECT mode...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2017.04.006

    authors: Pérez-Lara A,Levental M,Rosenbloom L,Wing G,Forghani R

    更新日期:2017-08-01 00:00:00

  • Auditory system: functional magnetic resonance imaging.

    abstract::Functional MR imaging (fMRI) is being used increasingly to explore the human central auditory system. The considerable background noise produced by echo-planar imaging (EPI) and other fMRI sequences, however, interferes in an unpredictable way with the experimental stimuli. Several approaches exist to overcome this pr...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Seifritz E,Di Salle F,Bilecen D,Radü EW,Scheffler K

    更新日期:2001-05-01 00:00:00

  • Diffusion-weighted imaging of the spinal column.

    abstract::Diffusion-weighted imaging of the musculoskeletal system including the spine is a new MR imaging method. Several studies have shown significantly different diffusivities for various pathologic conditions such as edema and tumor. The specificity of diagnosis may be increased and therapeutic effects may be monitored. Di...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s1052-5149(03)00074-1

    authors: Baur A,Dietrich O,Reiser M

    更新日期:2002-02-01 00:00:00

  • Imaging of the mastoid, middle ear, and internal auditory canal after surgery: what every radiologist should know.

    abstract::Interpreting CT or MR imaging examinations performed on patients with a history of middle ear, mastoid, or neurotologic surgery can be challenging. This is greatly simplified by knowing the surgical procedures used and the expected postoperative appearance. These are reviewed and illustrated in this article. Knowing t...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2009.06.005

    authors: Larson TL,Wong ML

    更新日期:2009-08-01 00:00:00

  • Iron Mapping in Multiple Sclerosis.

    abstract::Increased iron deposition in cerebral deep gray matter has been considered a global marker for neurodegeneration in multiple sclerosis (MS); it scales with disease duration and severity. Iron accumulation in white matter and MS lesions might be more directly related to disease activity and has been discussed as a cont...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2016.12.003

    authors: Ropele S,Enzinger C,Fazekas F

    更新日期:2017-05-01 00:00:00

  • Spine and spinal cord emergencies: vascular and infectious causes.

    abstract::This content presents infectious and vascular spinal emergencies, including epidural abscess, nontraumatic epidural hematoma, vascular malformations, and spinal cord infarction. The spine is subjected to multiple potential insults, such as trauma, infection, ischemia, hemorrhage, tumor, inflammation, and degeneration....

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2010.07.006

    authors: Wang VY,Chou D,Chin C

    更新日期:2010-11-01 00:00:00

  • Surgical approaches to the skull base.

    abstract::Surgical approaches to the skull base have seen significant evolution. The most practical approaches now use the concept of comprehensive integration of all phases of cranial base surgery, from modular disassembly of the craniofacial skeleton and tumor resection to a functional and aesthetic reconstruction. The improv...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Janecka IP

    更新日期:1994-08-01 00:00:00

  • Pathologic basis of pyogenic, nonpyogenic, and other spondylitis and discitis.

    abstract::Pyogenic spondylitis and discitis are usually seen following a recent infection or surgery. A septic embolus causes an infarcted area within the bone. Pyogenic spondylitis is characterized by edema, vascular leakage, and supportive inflammatory reaction characterized with polymorphonuclear leukocytes. In tuberculosis ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2015.01.011

    authors: Esendagli-Yilmaz G,Uluoglu O

    更新日期:2015-05-01 00:00:00

  • Imaging-Based Subtyping for Psychiatric Syndromes.

    abstract::Despite considerable research evidence demonstrating significant neurobiological alterations in psychiatric disorders, incorporating neuroimaging approaches into clinical practice remains challenging. There is an urgent need for biologically validated psychiatric disease constructs that can inform diagnostic algorithm...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2019.09.005

    authors: Ivleva EI,Turkozer HB,Sweeney JA

    更新日期:2020-02-01 00:00:00

  • Pediatric orbital and visual pathway lesions.

    abstract::This article presents the clinical and imaging aspects of some common and important orbital and optic pathway lesions occurring in childhood. Lesions that arise outside of and encroach on the orbit and visual pathways are included. Abnormalities intrinsic to the globe are covered elsewhere in this issue. ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Barnes PD,Robson CD,Robertson RL,Poussaint TY

    更新日期:1996-02-01 00:00:00

  • Pathology of the olfactory nerve.

    abstract::The olfactory system and especially the olfactory bulb (OB) as the first relay in the olfactory system represent highly plastic structures. For example, OB volume partly reflects the degree of afferent neural activity. Research indicates that smell deficits leading to a reduced sensory input result in structural chang...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2007.10.002

    authors: Abolmaali N,Gudziol V,Hummel T

    更新日期:2008-05-01 00:00:00

  • Vein of galen aneurysmal malformations.

    abstract::Different types of malformations share a dilated vein of Galen, but only one of them is a true vein of Galen aneurysmal malformation (VGAM). The optimal window of opportunity for treatment is between 4 and 5 years of months [corrected], because this allows the child to grow and mature. Heart failure and hydrocephalus ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2007.02.005

    authors: Alvarez H,Garcia Monaco R,Rodesch G,Sachet M,Krings T,Lasjaunias P

    更新日期:2007-05-01 00:00:00

  • Visualizing white matter pathways in the living human brain: diffusion tensor imaging and beyond.

    abstract::Biologic connectionism holds as its central tenet that the cognitive, behavioral, and motor functions of the brain are derived from the complex interconnections of simple neural processing units. Much can be learned about the human mind through the study of the brain's connections in normal and diseased states. This a...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2007.07.002

    authors: Hess CP,Mukherjee P

    更新日期:2007-11-01 00:00:00

  • Extending the time window for thrombolysis: evidence from acute stroke trials.

    abstract::Data from intravenous tissue plasminogen activator studies have shown rapidly diminishing clinical benefit beyond 3 hours when noncontrast CT is used for treatment triage. Newer trials, such as the Desmoteplase in Acute Ischemic Stroke trial, have now successfully pushed the time window out to 9 hours using the concep...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2005.08.002

    authors: Rowley HA

    更新日期:2005-08-01 00:00:00

  • Dynamic Brain Connectivity in Resting State Functional MR Imaging.

    abstract::Dynamic functional connectivity adds another dimension to resting-state functional MR imaging analysis. In recent years, dynamic functional connectivity has been increasingly used in resting-state functional MR imaging, and several studies have demonstrated that dynamic functional connectivity patterns correlate with ...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2020.09.004

    authors: Jalilianhasanpour R,Ryan D,Agarwal S,Beheshtian E,Gujar SK,Pillai JJ,Sair HI

    更新日期:2021-02-01 00:00:00

  • Variants of multiple sclerosis.

    abstract::The classic multiple sclerosis variants including Devic's neuromyelitis optica (NMO), Balo's concentric Sclerosis, Schilder's disease, and Marburg MS are both interesting and instructive from a disease pathophysiology perspective. Although rare, the variants are important as they often arise in the differential diagno...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2008.06.003

    authors: Simon JH,Kleinschmidt-DeMasters BK

    更新日期:2008-11-01 00:00:00

  • Fetal imaging of central nervous system abnormalities.

    abstract::Fetal MR imaging is complementary to obstetric ultrasonography. The additional information provided by in utero MR imaging may alter prenatal, perinatal, or immediate postnatal management. For example, the MR imaging findings may affect the decision to continue the pregnancy, change the mode, timing, or location of de...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2004.03.006

    authors: Golja AM,Estroff JA,Robertson RL

    更新日期:2004-05-01 00:00:00

  • Hodgkin and non-Hodgkin lymphoma of the head and neck: clinical, pathologic, and imaging evaluation.

    abstract::Lymphomas are subdivided into HL and NHL and are more specifically classified into subtypes of HL or NHL according to the WHO classification. HLs involve the lymph nodes predominantly and only approximately 5% arise in extranodal sites, whereas 30% of NHLs present in extranodal sites. Imaging studies, including CT and...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1052-5149(03)00039-x

    authors: Weber AL,Rahemtullah A,Ferry JA

    更新日期:2003-08-01 00:00:00

  • Common Otologic Surgical Procedures: Clinical Decision-Making Pearls and the Role of Imaging.

    abstract::Neuro-otologists rely on the expertise and judgment of a skilled neuroradiologist to identify radiographic abnormalities in the complicated regional anatomy of the temporal bone and middle and posterior fossa, and more importantly, to alert the surgeon to potential operative pitfalls. This article highlights some of t...

    journal_title:Neuroimaging clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nic.2018.09.008

    authors: Peng T,Ramaswamy AT,Kim AH

    更新日期:2019-02-01 00:00:00