Improved carotid atherosclerotic plaques imaging with contrast-enhanced ultrasound (CEUS)

被引:23
作者
Clevert, D. A. [1 ]
Sommer, W. H. [1 ]
Helck, A. [1 ]
Saam, T. [1 ]
Reiser, M. [1 ]
机构
[1] Univ Munich, Dept Clin Radiol, Klinikum Grosshadern, D-81377 Munich, Germany
关键词
Carotid artery; contrast enhanced ultrasound; plaque neovascularisation; MS-CT; DUPLEX SONOGRAPHY; POWER DOPPLER; COLOR DOPPLER; B-FLOW; ARTERY; DIAGNOSIS; STENOSES; LESIONS;
D O I
10.3233/CH-2011-1403
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To evaluate neovascularisation within carotid atherosclerotic plaques with contrast enhanced ultrasound. Methods: We used contrast-enhanced ultrasound to examine 33 patients with carotid atherosclerotic plaques. Plaque size and echogenicity were analyzed and we correlated neovascularization within the plaques. Results: There were 41 atherosclerotic plaques, 27 plaques enhanced after the injection of a contrast agent. Among the group of enhancing plaques we found 8 soft-and 19 mixed plaques. The overall thickness ranging in enhanced plaques was from 1.8 to 4.6 mm. In all cases the contrast uptake in the plaques was later than in the carotid artery. Among the 14 unenhanced atherosclerotic plaques, 4 plaques presented as hard plaques, three calcified plaques, two soft plaques and five presented as mixed plaques. The overall thickness ranging in unenhanced plaques was from 1.7 to 6 mm. Conclusion: Contrast-enhanced ultrasound allows the non invasive, dynamic evaluation of neovascularisation within carotid plaques.
引用
收藏
页码:141 / 148
页数:8
相关论文
共 36 条
[1]   The reliability of color duplex ultrasound in diagnosing total carotid artery occlusion [J].
AbuRahma, AF ;
Pollack, JA ;
Robinson, PA ;
Mullins, D .
AMERICAN JOURNAL OF SURGERY, 1997, 174 (02) :185-187
[2]   CLASSIFICATION OF SUBTYPE OF ACUTE ISCHEMIC STROKE - DEFINITIONS FOR USE IN A MULTICENTER CLINICAL-TRIAL [J].
ADAMS, HP ;
BENDIXEN, BH ;
KAPPELLE, LJ ;
BILLER, J ;
LOVE, BB ;
GORDON, DL ;
MARSH, EE ;
KASE, CS ;
WOLF, PA ;
BABIKIAN, VL ;
LICATAGEHR, EE ;
ALLEN, N ;
BRASS, LM ;
FAYAD, PB ;
PAVALKIS, FJ ;
WEINBERGER, JM ;
TUHRIM, S ;
RUDOLPH, SH ;
HOROWITZ, DR ;
BITTON, A ;
MOHR, JP ;
SACCO, RL ;
CLAVIJO, M ;
ROSENBAUM, DM ;
SPARR, SA ;
KATZ, P ;
KLONOWSKI, E ;
CULEBRAS, A ;
CAREY, G ;
MARTIR, NI ;
FICARRA, C ;
HOGAN, EL ;
CARTER, T ;
GURECKI, P ;
MUNTZ, BK ;
RAMIREZLASSEPAS, M ;
TULLOCH, JW ;
QUINONES, MR ;
MENDEZ, M ;
ZHANG, SM ;
ALA, T ;
JOHNSTON, KC ;
ANDERSON, DC ;
TARREL, RM ;
NANCE, MA ;
BUDLIE, SR ;
DIERICH, M ;
HELGASON, CM ;
HIER, DB ;
SHAPIRO, RA .
STROKE, 1993, 24 (01) :35-41
[4]  
[Anonymous], ATL HEART DIS STROK
[5]   THE LIMITATIONS OF DIAGNOSIS OF CAROTID OCCLUSION BY DOPPLER ULTRASOUND [J].
BORNSTEIN, NM ;
BELOEV, ZG ;
NORRIS, JW .
ANNALS OF SURGERY, 1988, 207 (03) :315-317
[6]   Color duplex ultrasound and contrast-enhanced ultrasound in comparison to MS-CT in the detection of endoleak following endovascular aneurysm repair [J].
Clevert, D. -A. ;
Minaifar, N. ;
Weckbach, S. ;
Kopp, R. ;
Meimarakis, G. ;
Clevert, D. -A. ;
Reiser, M. .
CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 2008, 39 (1-4) :121-132
[7]   Color Doppler, power Doppler and B-flow ultrasound in the assessment of ICA stenosis: Comparison with 64-MD-CT angiography [J].
Clevert, D.-A. ;
Johnson, T. ;
Jung, E. M. ;
Clevert, D.-A. ;
Flach, P. M. ;
Strautz, T. I. ;
Ritter, G. ;
Gallegos, M. T. ;
Kubale, R. ;
Becker, C. ;
Reiser, M. .
EUROPEAN RADIOLOGY, 2007, 17 (08) :2149-2159
[8]   High-grade stenoses of the internal carotid artery: Comparison of high-resolution contrast enhanced 3D MRA, duplex sonography and power Doppler imaging [J].
Clevert, D. -A. ;
Johnson, T. ;
Michaely, H. ;
Jung, E. M. ;
Flach, P. M. ;
Strautz, T. I. ;
Clevert, D. -A. ;
Reiser, M. ;
Schoenberg, S. O. .
EUROPEAN JOURNAL OF RADIOLOGY, 2006, 60 (03) :379-386
[9]   B-flow and color Doppler sonography findings in iatrogenic carotid-jugular arteriovenous fistula [J].
Clevert, D. -A. ;
Kubisch, C. ;
Weckbach, S. ;
Frey, U. ;
Stock, K. ;
Reiser, M. .
CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 2010, 44 (01) :19-25
[10]   Imaging of aortic lesions with color coded duplex sonography and contrast-enhanced ultrasound versus multislice computed tomography (MS-CT) angiography [J].
Clevert, D. -A. ;
Weckbach, S. ;
Kopp, R. ;
Meimerakis, G. ;
Clevert, D. -A. ;
Jauch, K. W. ;
Reiser, M. .
CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 2008, 40 (04) :267-279