ACCURACY OF DOPPLER ULTRASOUND COMPARED TO CAROTID CT ANGIOGRAPHY IN THE DIAGNOSIS OF CAROTID ARTERY STENOSIS

Chra Nejmaddin Abdula, Sameeah Abdulrahman Rashid

Abstract


Background: Carotid artery stenosis incidence is increased globally with modernization of lifestyles. Screening of carotid artery stenosis is important in reducing co-morbidities and mortalities. To compare the clinical value of the Doppler ultrasound and carotid computerized tomography angiography for carotid artery stenosis.

Materials & Methods: Present study was comparative cross-sectional study implemented in Radiology department of Cardiac center in Erbil city in duration of ten months from 1st of January to 31st of October, 2023 on sample of 100 patients with cardiovascular diseases. The diagnosis of carotid artery stenosis was made using Doppler and CTA according to the international criteria.

Results: There was no significant differences between computerized tomography angiography findings and Doppler ultrasound techniques regarding the degree of carotid artery stenosis (p=0.06), while regarding individual vascular stenosis diagnosis there was a significant difference between Doppler US techniques and computerized tomography angiography findings (p=0.03).

Conclusion: The Doppler ultrasound examination is a valid non-invasive diagnostic tool of carotid artery stenosis.


Keywords


Carotid artery stenosis; Doppler ultrasound; Computed Tomography Angiography.

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References


Ismail A, Ravipati S, Gonzalez‑Hernandez D, Mahmood H, Imran A, Munoz EJ, et al. Carotid artery stenosis: a look into diagnostic and management strategies, and related complications. Cureus. 2023;15(5):e38794. https://doi.org/10.7759/cureus.38794

Johansson A, Acosta S. Diet and lifestyle as risk factors for carotid artery disease: a prospective cohort study. Cerebrovasc Dis. 2020;49(5):563–9. https://doi.org/10.1159/000510907

Dossabhoy S, Arya S. Epidemiology of atherosclerotic carotid artery disease. Semin Vasc Surg. 2021;34(1):3–9. https://doi.org/10.1053/j.semvascsurg.2021.02.013

Kim HW, Regenhardt RW, D’Amato SA, Nahhas MI, Dmytriw AA, Hirsch JA, et al. Asymptomatic carotid artery stenosis: current evidence for revascularization and emerging high‑risk features. J Neurointerv Surg. 2023;15(7):717–22. https://doi.org/10.1136/jnis-2022-018732

Krawisz AK, Carroll BJ, Secemsky EA. Risk stratification and management of extracranial carotid artery disease. Cardiol Clin. 2021;39(4):539–49. https://doi.org/10.1016/j.ccl.2021.06.007

Zeng Q, Zhang C, Liu X, Yang S, Ma M, Tang J, et al. Prevalence and associated risk factors of carotid plaque and artery stenosis in China: a population‑based study. Front Med. 2025;19(1):64–78. https://doi.org/10.1007/s11684-024-1088-0

Song P, Fang Z, Wang H, Cai Y, Rahimi K, Zhu Y, et al. Global and regional prevalence, burden, and risk factors for carotid atherosclerosis: a systematic review, meta‑analysis, and modelling study. Lancet Glob Health. 2020;8(5):e721–e729. https://doi.org/10.1016/S2214-109X(20)30117-0

Bir SC, Kelley RE. Carotid atherosclerotic disease: a systematic review of pathogenesis and management. Brain Circ. 2022;8(3):127–36. https://doi.org/10.4103/bc.bc_36_22

Ottakath N, Al‑Maadeed S, Zughaier SM, Elharrouss O, Mohammed HH, Chowdhury MEH, et al. Ultrasound‑based image analysis for predicting carotid artery stenosis risk: a comprehensive review. Diagnostics (Basel). 2023;13(15):2614. https://doi.org/10.3390/diagnostics13152614

Harish KB, Speranza G, Rockman CB, Sadek M, Jacobowitz GR, Garg K, et al. Natural history of internal carotid artery stenosis progression. J Vasc Surg. 2024;79(2):297–304. https://doi.org/10.1016/j.jvs.2023.10.059

Amitay M, Barnett‑Itzhaki Z, Sudri S, Drori C, Wase T, Abu‑El‑Naaj I, et al. Deep convolution neural network for screening carotid calcification in dental panoramic radiographs. PLOS Digit Health. 2023;2(4):e0000081. https://doi.org/10.1371/journal.pdig.0000081

Liu R, Yan Z, Zhang G, Ding Z, Li Y, Jiang Z. Comparison of digital subtraction angiography and contrast‑enhanced ultrasound in assessment of carotid stenosis. Afr Health Sci. 2020;20(1):509–14. https://doi.org/10.4314/ahs.v20i1.57

Maus T, Cronin B, Khoche S. Intersocietal Accreditation Commission standards and guidelines for perioperative transesophageal echocardiography accreditation. J Cardiothorac Vasc Anesth. 2023;37(8):1349–51. https://doi.org/10.1053/j.jvca.2023.04.002

Wooster EM, Williams DM, Wooster DL. Carotid disease classification: impact of the 2021 IAC updated recommendations vs 2003 SRU criteria. J Vasc Ultrasound. 2024;48(2):77–82. https://doi.org/10.1177/15443167241249241

Del Brutto VJ, Gornik HL, Rundek T. Why are we still debating criteria for carotid artery stenosis? Ann Transl Med. 2020;8(19):1270. https://doi.org/10.21037/atm-20-1188a

Polak JF, Alexandrov AV. Accuracy of SRU carotid Doppler velocity criteria for grading NASCET stenosis: a meta‑analysis. J Ultrasound Med. 2023;42(7):1423–35. https://doi.org/10.1002/jum.16150

Ndongo Sonfack DJ, Bojanowski MW, Tarabay B, Gennari A, Shédid D, Yuh SJ. Vertebral artery stenosis from osteophyte: a systematic review and case series. Neurochirurgie. 2024;70(3):101525. https://doi.org/10.1016/j.neuchi.2023.101525

Janssen JP, Rose S, Kaya K, Terzis R, Hahnfeldt R, Gertz RJ, et al. Non‑contrast‑enhanced MR‑angiography of extracranial arteries in acute ischemic stroke at 1.5 Tesla using REACT. Clin Neuroradiol. 2025;35(1):105–14. https://doi.org/10.1007/s00062-024-01458-4

Zhang LH, Yu DL, Liu BL, Tian C. A preliminary study on color Doppler ultrasound for evaluation of intervertebral stenosis of the vertebral artery. Clin Radiol. 2021;76(1):80.e9–80.e13. https://doi.org/10.1016/j.crad.2020.08.033

Burle V, Panjwani A, Mandalaneni K, Kollu S, Gorantla VR. Vertebral artery stenosis: a narrative review. Cureus. 2022;14(8):e28068. https://doi.org/10.7759/cureus.28068

Vista FP 4th, Ngo MT, Cho SB, Kwak HS, Chong KT. Carotid artery plaque identification and display system (MRI‑CAPIDS) using open‑source tools. Diagnostics (Basel). 2020;10(12):1111. https://doi.org/10.3390/diagnostics10121111

Murad NS, Miro SS, Ismael VAH, Abdulah DM. Modifiable risk factors for cardiovascular disease in Iraqi Kurdistan population: a large epidemiological study. Healthc Low‑Resour S. 2023:1–21. https://doi.org/10.4081/hls.2023.12087

Zheng W, Huang X, Wang X, Suo M, Yan Y, Gong W, et al. Impact of multimorbidity patterns on outcomes and treatment in patients with coronary artery disease. Eur Heart J Open. 2024;4(2):oeae009. https://doi.org/10.1093/ehjopen/oeae009

Pakizer D, Vybíralová A, Jonszta T, Roubec M, Král M, Chovanec V, et al. Peak systolic velocity ratio for evaluation of internal carotid artery stenosis correlated with plaque morphology: substudy results of the ANTIQUE study. Front Neurol. 2023;14:1206483. https://doi.org/10.3389/fneur.2023.1206483

Samaržija K, Milošević P, Jurjević Z, Erdeljac E. Comparison of carotid stenosis by CT angiography and Doppler ultrasonography: how statistical methods influence results. Acta Clin Croat. 2022;60(3):457–66. https://doi.org/10.20471/acc.2021.60.03.17

Tătaru DA, Olinic M, Homorodean C, Ober MC, Spînu M, Lazăr FL, et al. Correlation between ultrasound peak systolic velocity and angiography for grading internal carotid artery stenosis. J Clin Med. 2024;13(2):517. https://doi.org/10.3390/jcm13020517

Xiao H, Zhang Y, Yin H, Liu P, Liu DC. Early diagnosis of carotid stenosis by ultrasound Doppler investigations: a classification method for the hemodynamic parameter. Information. 2020;11(11):493. https://doi.org/10.3390/info11110493




DOI: https://doi.org/10.46903/gjms/23.2.1817

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