Duplex carotid sonography: criteria for stenosis, accuracy, and pitfalls.

Abstract:

:Both carotid bifurcations were examined in 353 patients over a 20-month interval using a combination of real-time and pulsed Doppler ultrasound (duplex scanning). Angiographic correlation was available in 72 cases. Stenosis of the internal carotid was evaluated using a Doppler input frequency of 5 MHz and a scan angle of 60 degrees. A peak frequency shift of less than 3.5 kHz was found to be a sign of less than or equal to 30% stenosis; 3.5-4 kHz with moderate turbulence suggested 31-50% stenosis, 4-8 kHz 51-90% stenosis, and greater than 8 kHz greater than 90% stenosis. Subtotal stenosis (greater than 95%) was manifested by a frequency shift of less than 8 kHz, but the waveform was totally distorted. Overall accuracy improved from 77% for the first 6 months to 87% for the last 14 months. For stenosis greater than 50%, sensitivity improved from 82% to 97% during this period. Analysis of errors and suggestions for avoiding them are presented.

journal_name

Radiology

journal_title

Radiology

authors

Jacobs NM,Grant EG,Schellinger D,Byrd MC,Richardson JD,Cohan SL

doi

10.1148/radiology.154.2.3880910

subject

Has Abstract

pub_date

1985-02-01 00:00:00

pages

385-91

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

154

pub_type

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