Carotid stenosis: a comparison between MR and spiral CT angiography View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1998-06

AUTHORS

Nicola Magarelli, T. Scarabino, A. L. Simeone, F. Florio, A. Carriero, U. Salvolini, L. Bonomo

ABSTRACT

We performed a preliminary study comparing three-dimensional time-of-flight (3 D TOF) magnetic resonance angiography (MRA) and spiral CT angiography (SCTA) in the detection and assessment of internal carotid artery stenosis. Digital subtraction angiography (DSA) was the reference examination. We examined 20 patients with signs of cerebrovascular insufficiency, who underwent MRA, SCTA and DSA within a 3 day period. Both internal carotid arteries were assessed by three blinded readers for degree of stenosis at two different levels (bulb and remaining section) giving a total of 80 assessments. Interobserver variability, sensitivity, specificity, diagnostic accuracy, concordance, overestimation and underestimation were assessed. Interobserver variability was not statistically significant. MRA showed higher sensitivity, specificity, diagnostic accuracy and concordance than SCTA (92.0% vs 80.8%, 98.2% vs 96.4%, 96.3% vs 91.3% and 96.0% vs 88.0%, respectively). MRA gave rise to a 5.0% overestimation rate, whereas SCTA occasioned a 7.5% underestimation rate. These differences are not statistically significant. These results suggest that MRA is a more useful, noninvasive modality for assessment of the internal carotid artery with a more than 70% stenosis. More... »

PAGES

367-373

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s002340050601

DOI

http://dx.doi.org/10.1007/s002340050601

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013293599

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9689624


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