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April 1, 1996Journal of Neuroimaging

Intravascular Ultrasound Imaging of Human Cerebral Arteries

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Key result

Intravascular ultrasound correctly identified plaque in 83% of patients and correlated well with histological measurements for determining luminal area (r = 0.89).

Why the study?

Does intravascular ultrasound accurately characterize the arterial lumen and atherosclerotic plaque in human cerebral arteries compared to histology?

Population

22 arterial segments obtained at autopsy from 6 patients

Comparison

Intravascular ultrasound imaging using a 30-MHz… vs Histological examination

Design

Preclinical

Authors

SRStefano RavalliColumbia University Irving Medical CenterGLGiuseppe LiMandriColumbia UniversityMTMarco R. Di TullioCardiac Imaging

Discussion

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Implication

Supports exploratory IVUS use in cerebral arteries; leaves open clinical validation in prospective human studies.

Key Points

  • To evaluate feasibility of intravascular ultrasound for imaging cerebral arteries and correlating with histological findings.
  • Intravascular ultrasound imaging was conducted using a 30-MHz, 4.3F ultrasound probe on 22 arterial segments from 6 patients.
  • Histological processing and analysis were performed to compare echographic images and tissue architecture.
  • Correlations of luminal area measurements from ultrasound and histology were analyzed using linear regression.
  • Intravascular ultrasound identified plaques in 83% of cases with sensitivity/specificity of 100/80% for calcium and 83/75% for fibrous tissue.
  • The correlation for luminal area between ultrasound and histological findings was strong (r = 0.89).
  • Ultrasound effectively characterized arterial geometry and atherosclerotic features, indicating potential for improved diagnosis.

Study Design

Type

Observational (n=6)

Structured PICO

Does intravascular ultrasound accurately characterize the arterial lumen and atherosclerotic plaque in human cerebral arteries compared to histology?

P
Population
22 arterial segments obtained at autopsy from 6 patients
I
Intervention
Intravascular ultrasound imaging using a 30-MHz, 4.3F ultrasound probe
C
Comparator
Histological examination
O
Outcome
Correlation between luminal area measurements as determined histologically and by intravascular ultrasoundsurrogate

Main Result

Effect estimate: r = 0.89

Intravascular ultrasound accurately characterizes the arterial lumen and atherosclerotic plaque in human cerebral arteries in vitro, correlating well with histology.

Cite This Study

Ravalli et al. (1996) conducted an observational in Cerebral atherosclerosis (n=6). Intravascular ultrasound imaging vs. Histological examination was evaluated on Correlation between luminal area measurements determined histologically and by intravascular ultrasound (r = 0.89). Intravascular ultrasound correctly identified plaque in 83% of patients and correlated well with histological measurements for determining luminal area (r = 0.89).

synapsesocial.com/papers/6a1289fbbb918b6e5b678ed0https://doi.org/10.1111/jon19966271
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intravascular ultrasound assessment of lumen size and wall morphology in normal subjects and patients with coronary artery disease.1991 · 668 citations
  2. 2Intracardiac, intravascular, two-dimensional, high-frequency ultrasound imaging of pulmonary artery and its branches in humans and animals.1990 · 79 citations
  3. 3Transcranial color-coded sonography of the basal cerebral circulation. Reference data from 115 volunteers.1994 · 167 citations
  4. 4Coronary Angioscopy in Patients with Unstable Angina Pectoris1986 · 873 citations
  5. 5Detection of coronary atherosclerosis in young adult hearts using intravascular ultrasound.1992 · 170 citations