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All 10 carotid occlusions were detected with sonography and MR angiography.Sonography accurately showed flow in two arteries and MR angiography showed flow in one of the three nearly occluded arteries with extremely slow flow.Multislab three-dimensional time-of-flight MRI angiographic sequences underestimated the degree of stenosis in 12 arteries,and in two cases this resulted from high T1 signal within the atherosclerotic plaque.With conventional angiography as the reference standard for 70%to 99%stenosis,sonography had a sensitivity of 96%,a specificity of 91%and a positive predictive value of 90%while concordant sonographic findings and the presence of a signal void on multislab 3D time-of-flight sequences had a sensitivity of 72%,a specificity of 98%and a positive predictive of 97%.Endarterectomy performed on the basis of sonographic findings of 70%to 99%stenosis and of a signal void on multislab 3D time-of-flight MR angiographic sequences is appropriate. |
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carotid artery disease,noninvasive evaluation of carotid artery stenosis endarterectomy,carotid MRI MRI,angiography MRI,angiography,contrast enhanced ultrasonography ultrasonography,carotid artery
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