Standardization of the carotid ultrasound examination: a review of current recommendations
Objective – to review current recommendations and other publications on standardization of the neck ultrasound examination protocol.
It was analyzed of published articles and recommendations for standardization of the ultrasound study protocol such organizations as: American Institute of Ultrasound in Medicine (AIUM), American College of Radiology (ACR), Society of Radiologists in Ultrasound (SRU), American Society of Echocardiography ( ASE), Society of Vascular Medicine and Biology, European Association for Cardiovascular Imagin (EACVI), Ukrainian Association of Ultrasound Specialists (UAFUD), Ukrainian Doppler Club and others.
Carotid ultrasound is a rapid non-invasive method for the diagnosis of atherosclerotic vascular injury, which is the method of choice for screening and primary assessment of the degree of stenosis. This method of imaging is very commonly used by practitioners both in Ukraine and abroad. Today there are a number of performance techniques and approaches to interpreting the results of Doppler ultrasound. The question of standardization of the neck ultrasound examination protocol to optimize the interaction of different physicians is nowadays raised.
The main indications for ultrasound examination were determined, the main stages of ultrasound diagnostics of vessels of the neck were identified. The presence of certain differences regarding the recommendations of different organizations. The main criteria of stenosis of arteries of the neck were described.
Romero JM, Ackerman RH, Dault NA, Lev MH. Noninvasive evaluation of carotid artery stenosis: indications, strategies, and accuracy. Neuroimaging Clin N Am. 2005 May;15(2):351-65. doi:10.1016/j.nic.2005.06.005
Arsenidze TO, Deresh NV, Ischuk YV et al. National guide for physicians who refer patients for radiological research. Kyiv. Medicine of Ukraine; 2015. 74 p
Radic B. Diagnosis and Treatment of Carotid Artery Stenosis. J Neurol Stroke. 2017;7(3):00238. doi:10.15406/jnsk.2017.07.00238
Homa S, Nobuyoshi H, Ishida H et al. Carotid plaque and intima-media thickness assessed by B-mode sonography in subjects ranging from young adults to centenarians. Stroke. 2001;32(4):830-5. https://doi.org/10.1161/01.STR.32.4.830
Touboul PJ, Hennerici MJ, Meairs S et al. Mannheim carotid intima-media thickness and plaque consensus (2004-2006-2011). An update on behalf of the advisory board of the 3rd, 4th and 5th watching the risk symposia, at the 13th, 15th and 20th European Stroke Conferences, Mannheim, Germany, 2004, Brussels, Belgium, 2006, and Hamburg, Germany, 2011. Cerebrovasc. Dis. 2012;34(4):290-6. doi:10.1159/000343145
Sprynger M, Rigo F, Moonen M et al. Focus on echovascular imaging assessment of arterial disease: complement to the ESC guidelines (PARTIM 1) in collaboration with the Working Group on Aorta and Peripheral Vascular Diseases. European Heart Journal. 2018;19(11):1195–1221. https://doi.org/10.1093/ehjci/jey103
Greenland P, Alpert J, Beller G et al. ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults. J. Am. Coll. Cardiol. 2010;56(25):e50-e103. doi:10.1016/j.jacc.2010.09.001
AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Extracranial Cerebrovascular System. 2016. http:// http://www.aium.org/resources/guidelines/extracranial.pdf
Globa MV, Kalashnikov VY, Linskaya GV. Proposals for standardization of ultrasound examination of the vessels of the neck and head. Ukrainian Neurosurgical Journal. 2017;1:40-5
Babkina TM, Nosenko NN, Kulyeva ML, Dzygar OV. Carotid atherosclerotic and features of methodology of duplex scanning. Luchevaja diagnostika. Luchevaja terapija. 2014;3-4:66-72. UDC: 616. 132-073. 4 -5-091.8
Valdueza JM, Schreiber SJ, Röh JE, Klingebiel R. Neurosonology and Neuroimaging of Stroke. 2011:399. ISBN-13: 978-3131418715.
Scheglov DV, Babkina TM, Nosenko NN et al. Extracranial arteries stenosis: features of digital subtraction angiography and ultrasound. Endovascular Neuroradiol. 2015 Mar;2(12):63-73. UDC: 616. 132-073. 4 -5-091.8
Jonas DE, Feltner C, Amick HR et al. Screening for asymptomatic carotid artery stenosis: A systematic review and meta-analysis for the U.S. Preventive Services. Ann Intern Med. 2014;161(5):336-46. doi:10.7326/m14-0530
Boqueria LA, Pokrovsky AV, Sokurenko GYu et al. National recommendations for patients with diseases of brachiocephal arteries. Moscow; 2013. Russian Consent Document
Lee W. General principles of carotid Doppler ultrasonography. Ultrasonography. 2014 Jan; 33(1):11-7. doi:10.14366/usg.13018
Arning C, Widder B, von Reutern GM et al. Revision of DEGUM ultrasound criteria for grading internal carotid artery stenosis and transfer to NASCET measurement. Ultraschall Med. 2010;31:251-7. doi:10.1055/s-0029-1245336.
MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99 %) or with mild (0–29 %) carotid stenosis. European Carotid Surgery Trialists’ Collaborative Group. Lancet. 1991;337:1235-43. PMID: 1674060.
Grant EG, Benson CB, Monetaet GL et al. Carotid artery stenosis: gray–scale and Doppler US diagnosis – society of radiologists in ultrasound consensus conference. Radiology. 2003;229:340-6. https://doi.org/10.1148/radiol.2292030516
Piepoli MF, Hoes AW, Agewall S et al. European guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 190 societies and by invited experts) developed with the special contribution of the European Association for Cardiovascular Prevention and Rehabilitation (EACPR). Eur Heart J. 2016;37:2315-81. doi:10.1093/eurheartj/ehw106.
Dogan S, Duivenvoorden R, Grobbee DE et al. Ultrasound protocols to measure carotid intima-media thickness in trials; comparison of reproducibility, rate of progression, and effect of intervention in subjects with familial hypercholesterolemia and subjects with mixed dyslipidemia. Ann Med 2010;42:447-64 doi: 10.3109/07853890.2010.499132
Oates CP, Naylor AR, Hartshorne T et al. Review. Joint Recommendations for Reporting Carotid Ultrasound Investigations in the United Kingdom. Eur. J. Vasc Endovasc. Surg. 2009;37(3):251-61. doi:10.1016/j.ejvs.2008.10.015
Walker J, Naylor AR. Ultrasound based measurement of carotid stenosis >70 % an audit of UK practice. Eur J Vasc Endovasc Surg. 2006;31:487-90. doi:http://dx.doi.org/10.1016/j.ejvs.2005.11.029
Moneta GL, Edwards JM, Chitwood RW et al. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angiographic definition of 70 % to 99 % internal carotid artery stenosis with duplex scanning. J. Vasc. Surg. 1993;17:152-9. doi:10.1067/mva.1993.42888.
von Reutern GM, Goertler MW, Bornstein NM et al. Topical Reviews: Grading Carotid Stenosis Using Ultrasonic Methods / Neurosonology Research Group of the World Federation of Neurology. Stroke. 2012;43:916-21. doi:10.1161/STROKEAHA.111.636084.
Clinical Appropriateness Guidelines: Advanced Imaging Imaging Program Guidelines. Chicago, IL; 2018. 60631. 773.864.4600 https://www.aimspecialtyhealth.com/PDF/Guidelines/2018/Jan01/AIM_Guidelines.pdf,
Thomas GB, Jonathan LH, Suhny A J. et al. Guideline on the management of patients with extracranial carotid and vertebral artery disease. A report. J. Am. Coll. Cardiol. 2011;57:e16-e94. doi:10.1016/j.jacc.2010.11.006
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