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Noninvasive Diagnosis of Extracranial Carotid Arterial Disease: A Prospective Evaluation of Pulsed-Doppler Imaging and Oculoplethysmography

Noninvasive Diagnosis of Extracranial Carotid Arterial Disease: A Prospective Evaluation of... Abstract • Two hundred consecutive internal carotid arteries were examined with the Hokanson-pulsed Doppler ultrasonic arteriograph (UA) and the Kartchner-McCrae oculoplethysmograph (OPG). Roentgenographic studies were used to assess the relative accuracy of these two noninvasive tests. Diameter stenoses estimated from the UA and roentgenographic images agreed within ± 20% in 81% of the studies. The UA detected 61% of all stenoses of 20% to 39% and 89% of all stenoses greater than 40%. A sensitivity of 86% and a specificity of 90% were achieved with the UA compared with a sensitivity of 64% and a specificity of 85% with the OPG. When the UA and OPG agreed (67% of the vessels), the sensitivity was 95% and the specificity was 94%. When they disagreed, the UA was the better test having a sensitivity of 81% compared with 21% with the OPG. (Arch Surg 114:1222-1229, 1979) References 1. Mozersky DJ, Hokanson DE, Baker DW, et al: Ultrasonic arteriography . Arch Surg 103: 663-667, 1971.Crossref 2. Hokanson DE, Mozersky DJ, Sumner DS, et al: Ultrasonic arteriography: A noninvasive method of arterial visualization . Radiology 102:435-436, 1972.Crossref 3. Mozersky DJ, Hokanson DE, Sumner DS, et al: Ultrasonic visualization of the arterial lumen . Surgery 72:253-259, 1972. 4. Spencer MP, Reid JM, Davis DL, et al: Cervical carotid imaging with a continuous-wave Doppler flowmeter . Stroke 5:145-154, 1974.Crossref 5. White DN, Curry GR: A comparison of 424 carotid bifurcations examined by angiography and the Doppler echoflow , in White D, Lyons EA (eds): Ultrasound in Medicine . New York, Plenum Publishing Corp, 1978, vol 4, p 363-376. 6. McRae LP, Crain V, Kartchner MM: Oculoplethysmography and Carotid Phonoangiography . Tucson, Tuscon Medical Center, 1978, pp 1-87. 7. Barnes RW, Bone GE, Reinertson J, et al: Noninvasive ultrasonic carotid angiography: Prospective validation by contrast arteriography . Surgery 80:328-335, 1976. 8. Blackwell E, Merory J, Toole JF, et al: Doppler ultrasound scanning of the carotid bifurcation . Arch Neurol 34:145-148, 1977.Crossref 9. Shoumaker RD, Bloch S: Cerebrovascular evaluation: Assessment of Doppler scanning of carotid arteries, ophthalmic Doppler flow and cervical bruits . Stroke 9:563-566, 1978.Crossref 10. Blackshear WM Jr, Thiele BL, Harley JD, et al: A prospective evaluation of oculoplethysmography and carotid phonoangiography . Surg Gynecol Obstet 148:201-205, 1979. 11. Gross WS, Verta MJ Jr, Van Bellen B, et al: Comparison of noninvasive diagnostic techniques in carotid artery occlusive disease . Surgery 82:271-278, 1977. 12. McDonald PT, Rich NM, Collins GJ, et al: Doppler cerebrovascular examination, oculoplethysmography, and ocular pneumoplethysmography . Arch Surg 113:1341-1349, 1978.Crossref 13. Satiani B, Cooperman M, Clark M, et al: An assessment of carotid phonoangiography and oculoplethysmography in the detection of carotid artery stenosis . Am J Surg 136:618-621, 1978.Crossref 14. Sandok BA: Noninvasive techniques for diagnosis of carotid artery disease . Stroke 9:427-429, 1978.Crossref 15. Kartchner MM, McRae LP: Noninvasive evaluation and management of the "asymptomatic" carotid bruit . Surgery 82:840-847, 1977. 16. Blackshear WM, Phillips DJ, Chikos PM, et al: Carotid artery velocity patterns in normal and stenotic vessels , abstracted. Stroke 10:108, 1979. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Noninvasive Diagnosis of Extracranial Carotid Arterial Disease: A Prospective Evaluation of Pulsed-Doppler Imaging and Oculoplethysmography

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1979.01370350024002
Publisher site
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Abstract

Abstract • Two hundred consecutive internal carotid arteries were examined with the Hokanson-pulsed Doppler ultrasonic arteriograph (UA) and the Kartchner-McCrae oculoplethysmograph (OPG). Roentgenographic studies were used to assess the relative accuracy of these two noninvasive tests. Diameter stenoses estimated from the UA and roentgenographic images agreed within ± 20% in 81% of the studies. The UA detected 61% of all stenoses of 20% to 39% and 89% of all stenoses greater than 40%. A sensitivity of 86% and a specificity of 90% were achieved with the UA compared with a sensitivity of 64% and a specificity of 85% with the OPG. When the UA and OPG agreed (67% of the vessels), the sensitivity was 95% and the specificity was 94%. When they disagreed, the UA was the better test having a sensitivity of 81% compared with 21% with the OPG. (Arch Surg 114:1222-1229, 1979) References 1. Mozersky DJ, Hokanson DE, Baker DW, et al: Ultrasonic arteriography . Arch Surg 103: 663-667, 1971.Crossref 2. Hokanson DE, Mozersky DJ, Sumner DS, et al: Ultrasonic arteriography: A noninvasive method of arterial visualization . Radiology 102:435-436, 1972.Crossref 3. Mozersky DJ, Hokanson DE, Sumner DS, et al: Ultrasonic visualization of the arterial lumen . Surgery 72:253-259, 1972. 4. Spencer MP, Reid JM, Davis DL, et al: Cervical carotid imaging with a continuous-wave Doppler flowmeter . Stroke 5:145-154, 1974.Crossref 5. White DN, Curry GR: A comparison of 424 carotid bifurcations examined by angiography and the Doppler echoflow , in White D, Lyons EA (eds): Ultrasound in Medicine . New York, Plenum Publishing Corp, 1978, vol 4, p 363-376. 6. McRae LP, Crain V, Kartchner MM: Oculoplethysmography and Carotid Phonoangiography . Tucson, Tuscon Medical Center, 1978, pp 1-87. 7. Barnes RW, Bone GE, Reinertson J, et al: Noninvasive ultrasonic carotid angiography: Prospective validation by contrast arteriography . Surgery 80:328-335, 1976. 8. Blackwell E, Merory J, Toole JF, et al: Doppler ultrasound scanning of the carotid bifurcation . Arch Neurol 34:145-148, 1977.Crossref 9. Shoumaker RD, Bloch S: Cerebrovascular evaluation: Assessment of Doppler scanning of carotid arteries, ophthalmic Doppler flow and cervical bruits . Stroke 9:563-566, 1978.Crossref 10. Blackshear WM Jr, Thiele BL, Harley JD, et al: A prospective evaluation of oculoplethysmography and carotid phonoangiography . Surg Gynecol Obstet 148:201-205, 1979. 11. Gross WS, Verta MJ Jr, Van Bellen B, et al: Comparison of noninvasive diagnostic techniques in carotid artery occlusive disease . Surgery 82:271-278, 1977. 12. McDonald PT, Rich NM, Collins GJ, et al: Doppler cerebrovascular examination, oculoplethysmography, and ocular pneumoplethysmography . Arch Surg 113:1341-1349, 1978.Crossref 13. Satiani B, Cooperman M, Clark M, et al: An assessment of carotid phonoangiography and oculoplethysmography in the detection of carotid artery stenosis . Am J Surg 136:618-621, 1978.Crossref 14. Sandok BA: Noninvasive techniques for diagnosis of carotid artery disease . Stroke 9:427-429, 1978.Crossref 15. Kartchner MM, McRae LP: Noninvasive evaluation and management of the "asymptomatic" carotid bruit . Surgery 82:840-847, 1977. 16. Blackshear WM, Phillips DJ, Chikos PM, et al: Carotid artery velocity patterns in normal and stenotic vessels , abstracted. Stroke 10:108, 1979.

Journal

Archives of Surgery – American Medical Association

Published: Nov 1, 1979

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