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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 ORIGINAL RESEARCH CME ARTICLE Ultrasound Imaging of Carotid Artery Stenosis Application of the Society of Radiologists in Ultrasound Consensus Criteria to a Single Institution Clinical Practice Ryan M. Braun, MD,* Raymond E. Bertino, MD, FACR, FSRU,Þþ Joseph Milbrandt, PhD,§ and Macey Bray, DOÞ velocity in combination with other variables does show a slight Abstract: Carotid duplex Doppler ultrasound (CDDU) is increas- trend toward superior performance. ingly used for the evaluation of internal carotid artery (ICA) stenosis. In CDDU, velocity measurements are used to estimate the degree Key Words: carotid arteries, flow dynamics, stenosis, obstruction, of ICA stenosis. Traditionally, radiologists have relied on institu- duplex, Doppler tional experience and published research when interpreting CDDU. Abbreviations: ACAS = Asymptomatic Carotid Atherosclerosis In 2003, a consensus committee of experts convened as the Society Study, ACR = American College of Radiology, CAQ = Certificate of of Radiologists in Ultrasound Consensus Committee and proposed Added Qualification, CDDU = carotid duplex Doppler ultrasound, standard criteria for grading ICA stenosis including the use of peak DR = diastolic ratio, EDV = end diastolic velocity, ICA = internal systolic velocity (PSV) of greater than 230 cm/s for assigning ICA carotid
Ultrasound quarterly – Wolters Kluwer Health
Published: Sep 1, 2008
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