Systematic review and meta-analysis shows rising carotid stenosis rates after head and neck radiotherapy, suggesting yearly ultrasound screening starting at year one.
The yearly incidence of carotid stenosis >50% increased every year during the first 3 years following radiotherapy. We propose routine yearly Doppler ultrasound screening beginning 1 year after head and neck radiotherapy.
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Texakalidis et al. (2020) studied this question.
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