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Carotid ultrasonography is an ultrasound-based diagnostic imaging technique to evaluate structural details of the carotid arteries. Carotid ultrasound is used to diagnose carotid artery stenosis (CAS) and can assess atherosclerotic plaque morphology and characteristics. [1] Carotid duplex and contrast-enhanced ultrasound are two of the most ...
Duplex is an inexpensive, non-invasive way to determine pathology. It is used in for example: Carotid ultrasonography; Ultrasonography of deep venous thrombosis; Ultrasonography of chronic venous insufficiency of the legs; Duplex evaluation is usually done prior to any invasive testing or surgical procedure. [8]
70 percent stenosis of the right internal carotid artery as seen by ultrasound. Arrow marks the lumen of the artery. CT image of a 70 percent stenosis of the right internal carotid artery. Carotid artery stenosis is usually diagnosed by color flow duplex ultrasound scan of the carotid arteries in the neck.
Ultrasound measurements of carotid IMT were first proposed and validated in vitro by Paolo Pignoli in 1984 [2] and further details were subsequently published in a highly cited article. [3] The use of IMT as a non-invasive tool to track changes in arterial walls has increased substantially since the mid-1990s. [1]
Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics (e.g., distances and velocities) or to generate an informative audible sound.
However, in the event that both of these routes of investigation yield normal findings or an inadequate explanation, non-invasive duplex ultrasound studies are recommended to identify carotid artery disease. Most episodes of amaurosis fugax are the result of stenosis of the ipsilateral carotid artery. [41]
The sign is an imaging finding using a 3.5–7.5 MHz ultrasound probe in the fourth and fifth intercostal spaces in the anterior clavicular line using the M-Mode of the machine. This finding is seen in the M-mode tracing as pleura and lung being indistinguishable as linear hyperechogenic lines and is fairly reliable for diagnosis of a pneumothorax.
The condition and health of the external carotid arteries is usually evaluated using Doppler ultrasound, CT angiogram or phase contrast magnetic resonance imaging (PC-MRI). Typically, blood flow velocities in the external carotid artery are measured as peak systolic velocity (PSV) and end diastolic velocity (EDV). [4]