Key result
Non-calcific carotid artery plaque features were significantly correlated with abdominal aortic aneurysm plaque features (rho 0.494) on MDCTA.
Why the study?
Is there an association between the imaging features (Hounsfield Units) of carotid artery plaques and abdominal aortic aneurysm plaques?
Observational (n=45)
Single-blind (image readers)
No
Is there an association between the imaging features (Hounsfield Units) of carotid artery plaques and abdominal aortic aneurysm plaques?
Non-calcified carotid artery plaques share similar imaging features (Hounsfield Units) with abdominal aortic aneurysm plaques, suggesting a common atherosclerotic pathophysiology.
Answers are grounded in this paper and cite their sources.
Non-calcified carotid plaque features may associate with AAA; hypothesis-generating retrospective data leave open need for prospective validation.
The correlation between AAA and carotid artery plaque is unknown and a common etiology and pathophysiology is suspected by some authors. The purpose of this work was to explore the association between the features of a) carotid artery plaque and b) abdominal aortic aneurysm (AAA) plaques using multi-detector-CT Angiography (MDCTA). Forty-eight (32 males; median age 72 years) patients studied using a 16-detectors CT scanner were retrospectively analyzed. A region of interest (ROI) ≥ 2 mm 2 was used to quantify the HU value of the plaque by two readers independently. Inter-observer reproducibility was calculated and Pearson correlation analysis was performed. The Bland-Altman plots showed the inter-observer reproducibility to be good. The Pearson correlation was 0.224 (95 % CI = 0.071 to 0.48), without statistically significant association between HU measured in the carotid artery plaque and in the AAA plaques ( p = 0.138); after exclusion of the calcified plaques from the analysis, the rho values resulted 0.494 (95 % CI = 0.187 to 0.713) with a statistically significant association ( p = 0.003). In this study, we found an association between the features of the non calcific carotid plaque and the features of AAA plaque.
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Raz et al. (2015) conducted an observational in Abdominal aortic aneurysm and carotid artery plaque (n=45). Carotid artery plaque features (Hounsfield Units) vs. Abdominal aortic aneurysm plaque features was evaluated on Pearson correlation between Hounsfield Units measured in non-calcified carotid artery plaques and AAA plaques (rho 0.494, 95% CI 0.187 to 0.713, p=0.003). Non-calcific carotid artery plaque features were significantly correlated with abdominal aortic aneurysm plaque features (rho 0.494) on MDCTA.
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