New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound

Atherosclerotic plaque in the carotid artery is the main cause of ischemic stroke, with a high incidence rate among people over 65 years. A timely and precise diagnosis can help to prevent the ischemic event and decide patient management, such as follow up, medical, or surgical treatment. Presently,...

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Main Authors: Emanuele David, Ombretta Martinelli, Patrizia Pacini, Marco Di Serafino, Pintong Huang, Vincenzo Dolcetti, Giovanni Del Gaudio, Richard G. Barr, Maurizio Renda, Giuseppe T. Lucarelli, Luca Di Marzo, Dirk A. Clevert, Carmen Solito, Chiara Di Bella, Vito Cantisani
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/8/1478
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author Emanuele David
Ombretta Martinelli
Patrizia Pacini
Marco Di Serafino
Pintong Huang
Vincenzo Dolcetti
Giovanni Del Gaudio
Richard G. Barr
Maurizio Renda
Giuseppe T. Lucarelli
Luca Di Marzo
Dirk A. Clevert
Carmen Solito
Chiara Di Bella
Vito Cantisani
author_facet Emanuele David
Ombretta Martinelli
Patrizia Pacini
Marco Di Serafino
Pintong Huang
Vincenzo Dolcetti
Giovanni Del Gaudio
Richard G. Barr
Maurizio Renda
Giuseppe T. Lucarelli
Luca Di Marzo
Dirk A. Clevert
Carmen Solito
Chiara Di Bella
Vito Cantisani
author_sort Emanuele David
collection DOAJ
description Atherosclerotic plaque in the carotid artery is the main cause of ischemic stroke, with a high incidence rate among people over 65 years. A timely and precise diagnosis can help to prevent the ischemic event and decide patient management, such as follow up, medical, or surgical treatment. Presently, diagnostic imaging techniques available include color-Doppler ultrasound, as a first evaluation technique, computed tomography angiography, which, however, uses ionizing radiation, magnetic resonance angiography, still not in widespread use, and cerebral angiography, which is an invasively procedure reserved for therapeutically purposes. Contrast-enhanced ultrasound is carving out an important and emerging role which can significantly improve the diagnostic accuracy of an ultrasound. Modern ultrasound technologies, still not universally utilized, are opening new horizons in the arterial pathologies research field. In this paper, the technical development of various carotid artery stenosis diagnostic imaging modalities and their impact on clinical efficacy is thoroughly reviewed.
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spelling doaj.art-55e174d61f64469e8ed8d208e843f0f32023-11-17T18:55:37ZengMDPI AGDiagnostics2075-44182023-04-01138147810.3390/diagnostics13081478New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis UltrasoundEmanuele David0Ombretta Martinelli1Patrizia Pacini2Marco Di Serafino3Pintong Huang4Vincenzo Dolcetti5Giovanni Del Gaudio6Richard G. Barr7Maurizio Renda8Giuseppe T. Lucarelli9Luca Di Marzo10Dirk A. Clevert11Carmen Solito12Chiara Di Bella13Vito Cantisani14Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Surgery “Paride Stefanini”, Vascular and Endovascular Surgery Division, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of Ultrasound in Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 242332, ChinaDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Radiology, Northeastern Ohio Medical University, Rootstown, OH 44272, USADepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Surgery “Paride Stefanini”, Vascular and Endovascular Surgery Division, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyInterdisciplinary Ultrasound-Center, Department of Radiology, University of Munich, Grosshadern Campus, 81377 Munich, GermanyDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyAtherosclerotic plaque in the carotid artery is the main cause of ischemic stroke, with a high incidence rate among people over 65 years. A timely and precise diagnosis can help to prevent the ischemic event and decide patient management, such as follow up, medical, or surgical treatment. Presently, diagnostic imaging techniques available include color-Doppler ultrasound, as a first evaluation technique, computed tomography angiography, which, however, uses ionizing radiation, magnetic resonance angiography, still not in widespread use, and cerebral angiography, which is an invasively procedure reserved for therapeutically purposes. Contrast-enhanced ultrasound is carving out an important and emerging role which can significantly improve the diagnostic accuracy of an ultrasound. Modern ultrasound technologies, still not universally utilized, are opening new horizons in the arterial pathologies research field. In this paper, the technical development of various carotid artery stenosis diagnostic imaging modalities and their impact on clinical efficacy is thoroughly reviewed.https://www.mdpi.com/2075-4418/13/8/1478atherosclerotic plaquecarotid arterycolor-Doppler ultrasoundcontrast enhanced ultrasoundComputed Tomography Angiography (CTA)Magnetic Resonance Angiography (MRA)
spellingShingle Emanuele David
Ombretta Martinelli
Patrizia Pacini
Marco Di Serafino
Pintong Huang
Vincenzo Dolcetti
Giovanni Del Gaudio
Richard G. Barr
Maurizio Renda
Giuseppe T. Lucarelli
Luca Di Marzo
Dirk A. Clevert
Carmen Solito
Chiara Di Bella
Vito Cantisani
New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound
Diagnostics
atherosclerotic plaque
carotid artery
color-Doppler ultrasound
contrast enhanced ultrasound
Computed Tomography Angiography (CTA)
Magnetic Resonance Angiography (MRA)
title New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound
title_full New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound
title_fullStr New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound
title_full_unstemmed New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound
title_short New Technologies in the Assessment of Carotid Stenosis: Beyond the Color-Doppler Ultrasound—High Frame Rate Vector-Flow and 3D Arterial Analysis Ultrasound
title_sort new technologies in the assessment of carotid stenosis beyond the color doppler ultrasound high frame rate vector flow and 3d arterial analysis ultrasound
topic atherosclerotic plaque
carotid artery
color-Doppler ultrasound
contrast enhanced ultrasound
Computed Tomography Angiography (CTA)
Magnetic Resonance Angiography (MRA)
url https://www.mdpi.com/2075-4418/13/8/1478
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