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Common Carotid Artery Bifurcation:Prelim Results of CT Angio & Color-Coded Duplex Sonogr Compared with DSA
AJR 168:361-365, Link,J.,et al, 1997
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Article Abstract
Grading of stenoses on CT angiography agreed with grading of stenoses on digital subtraction angiography in 89%of cases.All high grade stenoses and occlusions revealed on CT angiography were correctly interpreted by all observers.For stenoses revealed by color-coded duplex sonography and digital subtraction angiography,observers'agreement was 75%.Two severe stenoses were incorrectly graded as occluded by the interpreter of the color-coded duplex sonograms.Also,one occluded carotid artery was misdiagnosed as moderate stenosis.Our results indicate that CT angiography is superior to color-coded duplex sonography for evaluating carotid disease and determine disease requiring surgery.CT angiography warrants further investigation in a larger group of patients.
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carotid angiogram
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carotid artery calcification
carotid artery disease
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CAT scan,angiography
duplex ultrasound
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