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Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study Group and Expert Consensus Recommendations of the American Society of Neuroradiology

Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study... WHITE PAPER Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study Group and Expert Consensus Recommendations of the American Society of Neuroradiology X L. Saba, X C. Yuan, X T.S. Hatsukami, X N. Balu, X Y. Qiao, X J.K. DeMarco, X T. Saam, X A.R. Moody, X D. Li, X C.C. Matouk, X M.H. Johnson, X H.R. Ja¨ger, X M. Mossa-Basha, X M.E. Kooi, X Z. Fan, X D. Saloner, X M. Wintermark, X D.J. Mikulis, and X B.A. Wasserman; on behalf of the Vessel Wall Imaging Study Group of the American Society of Neuroradiology ABSTRACT SUMMARY: Identification of carotid artery atherosclerosis is conventionally based on measurements of luminal stenosis and surface irregularitiesusinginvivoimagingtechniquesincludingsonography,CTandMRangiography,anddigitalsubtractionangiography.However, histopathologic studies demonstrate considerable differences between plaques with identical degrees of stenosis and indicate that certainplaquefeaturesareassociatedwithincreasedriskforischemicevents.Theabilitytolookbeyondthelumenusinghighlydeveloped vessel wall imaging methods to identify plaque vulnerable to disruption has prompted an active debate as to whether a paradigm shift is needed to move away from relying on measurements of luminal stenosis for gauging the risk of ischemic injury. Further evaluation in randomized clinical trials will help to better define the exact role of plaque imaging in clinical decision-making. However, current carotid vessel wall http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study Group and Expert Consensus Recommendations of the American Society of Neuroradiology

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Publisher
American Journal of Neuroradiology
Copyright
© 2018 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A5488
Publisher site
See Article on Publisher Site

Abstract

WHITE PAPER Carotid Artery Wall Imaging: Perspective and Guidelines from the ASNR Vessel Wall Imaging Study Group and Expert Consensus Recommendations of the American Society of Neuroradiology X L. Saba, X C. Yuan, X T.S. Hatsukami, X N. Balu, X Y. Qiao, X J.K. DeMarco, X T. Saam, X A.R. Moody, X D. Li, X C.C. Matouk, X M.H. Johnson, X H.R. Ja¨ger, X M. Mossa-Basha, X M.E. Kooi, X Z. Fan, X D. Saloner, X M. Wintermark, X D.J. Mikulis, and X B.A. Wasserman; on behalf of the Vessel Wall Imaging Study Group of the American Society of Neuroradiology ABSTRACT SUMMARY: Identification of carotid artery atherosclerosis is conventionally based on measurements of luminal stenosis and surface irregularitiesusinginvivoimagingtechniquesincludingsonography,CTandMRangiography,anddigitalsubtractionangiography.However, histopathologic studies demonstrate considerable differences between plaques with identical degrees of stenosis and indicate that certainplaquefeaturesareassociatedwithincreasedriskforischemicevents.Theabilitytolookbeyondthelumenusinghighlydeveloped vessel wall imaging methods to identify plaque vulnerable to disruption has prompted an active debate as to whether a paradigm shift is needed to move away from relying on measurements of luminal stenosis for gauging the risk of ischemic injury. Further evaluation in randomized clinical trials will help to better define the exact role of plaque imaging in clinical decision-making. However, current carotid vessel wall

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Feb 1, 2018

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