Canadian Association of Radiologists Journal
Volume 61, Issue 3 , Pages 127-132 , June 2010

Measurement of Carotid Stenosis on Computed Tomographic Angiography: Reliability Depends on Postprocessing Technique

  • Peter Howard, MD

      Affiliations

    • Neuroradiology Section, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Eric S. Bartlett, MD

      Affiliations

    • Neuroradiology Section, Princess Margaret Hospital, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Sean P. Symons, MD

      Affiliations

    • Neuroradiology Section, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Allan J. Fox, MD

      Affiliations

    • Neuroradiology Section, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
    • ,
  • R.I. Aviv, MBChB

      Affiliations

    • Neuroradiology Section, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
    • Corresponding Author InformationAddress for correspondence: Richard I. Aviv, MBChB, Division of Neuroradiology, Sunnybrook Hospital, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.

References 

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  2. Fox AJ. How to measure carotid stenosis. Radiology. 1993;186:316–318
  3. Anzalone N, Scomazzoni F, Castellano R, et al. Carotid artery stenosis: intraindividual correlations of 3D time-of-flight MR angiography, contrast-enhanced MR angiography, conventional DSA, and rotational angiography for detection and grading. Radiology. 2005;236:204–213
  4. Elgersma OE, Buijs PC, Wüst AF, et al. Maximum internal carotid arterial stenosis: assessment with rotational angiography versus conventional intraarterial digital subtraction angiography. Radiology. 1999;213:777–783
  5. Rothwell PM, Eliasziw M, Gutnikov SA, et al. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet. 2003;361:107–116
  6. 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;339:1415–1425
  7. Fox AJ, Eliasziw M, Rothwell PM, et al. Identification, prognosis, and management of patients with carotid artery near occlusion. AJNR Am J Neuroradiol. 2005;26:2086–2094
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  12. Koelemay MJ, Nederkoorn PJ, Reitsma JB, et al. Systematic review of computed tomographic angiography for assessment of carotid artery disease. Stroke. 2004;35:2306–2312
  13. Berg M, Zhang Z, Ikonen A, 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;26:1022–1034
  14. Bartlett ES, Symons SP, Fox AJ. Correlation of carotid stenosis diameter and cross-sectional areas with CT angiography. AJNR Am J Neuroradiol. 2006;27:638–642
  15. Anderson GB, Ashforth R, Steinke DE, et al. CT angiography for the detection and characterization of carotid artery bifurcation disease. Stroke. 2000;31:2168–2174
  16. Silvennoinen HM, Ikonen S, Soinne L, et al. CT angiographic analysis of carotid artery stenosis: comparison of manual assessment, semiautomatic vessel analysis, and digital subtraction angiography. AJNR Am J Neuroradiol. 2007;28:97–103
  17. Alvarez-Linera J, Benito-León J, Escribano J, et al. Prospective evaluation of carotid artery stenosis: elliptic centric contrast-enhanced MR angiography and spiral CT angiography compared with digital subtraction angiography. AJNR Am J Neuroradiol. 2003;24:1012–1019
  18. Leclerc X, Godefroy O, Lucas C, et al. Internal carotid arterial stenosis: CT angiography with volume rendering. Radiology. 1999;210:673–682
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  20. Grant EG, Benson CB, Moneta GL, et al. Carotid artery stenosis: gray-scale and Doppler US diagnosis: Society of Radiologists in Ultrasound Consensus Conference. Radiology. 2003;229:340–346
  21. Bartlett ES, Walters TD, Symons SP, et al. Diagnosing carotid stenosis near-occlusion by using CT angiography. AJNR Am J Neuroradiol. 2006;27:632–637
  22. Moody AR, Murphy RE, Morgan PS, et al. Characterization of complicated carotid plaque with magnetic resonance direct thrombus imaging in patients with cerebral ischemia. Circulation. 2003;107:3047–3052

PII: S0846-5371(09)00220-4

doi: 10.1016/j.carj.2009.10.013

Canadian Association of Radiologists Journal
Volume 61, Issue 3 , Pages 127-132 , June 2010

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