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May 1, 1991Archives of Neurology

Clinical Evaluation of Stenosis of the Carotid Bifurcation With Magnetic Resonance Angiographic Techniques

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Key result

Combined magnetic resonance angiographic techniques demonstrated 86% sensitivity and 92% specificity for diagnosing clinically significant carotid stenosis compared to invasive angiography.

Why the study?

Does combined magnetic resonance angiography accurately diagnose clinically significant carotid stenosis compared to invasive carotid angiography in patients suspected to have carotid artery disease?

Population

31 patients (60 carotid artery bifurcations) suspected to have carotid artery disease

Comparison

Combined two-dimensional, phase-sensitive and a… vs Invasive carotid angiography

Design

Cross-sectional

Authors

DKD K KidoBrigham and Women's HospitalRPRobert J. PanzerStrong Memorial HospitalJSJerzy SzumowskiOregon Health & Science University

Discussion

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Implication

Combined magnetic resonance angiographic techniques demonstrate high sensitivity and specificity for diagnosing clinically significant carotid stenosis, though they remain slightly inferior to invasive angiography.

Study Design

Type

Observational (n=31)

Structured PICO

Does combined magnetic resonance angiography accurately diagnose clinically significant carotid stenosis compared to invasive carotid angiography in patients suspected to have carotid artery disease?

P
Population
31 patients (60 carotid artery bifurcations) suspected of having carotid artery disease who underwent both invasive and magnetic resonance angiography.
E
Exposure
Combined two-dimensional, phase-sensitive and a gradient-echo magnetic resonance angiography
C
Comparator
Invasive carotid angiography
O
Outcome
Diagnostic accuracy (sensitivity and specificity) for clinically significant carotid stenosissurrogate

Main Result

Effect estimate: Sensitivity 86%, Specificity 92%

Combined magnetic resonance angiographic techniques demonstrate high sensitivity and specificity for diagnosing clinically significant carotid stenosis, though they remain slightly inferior to invasive angiography.

Cite This Study

Kido et al. (1991) conducted an observational in Carotid artery disease (n=31). Combined two-dimensional, phase-sensitive and gradient-echo magnetic resonance angiography vs. Invasive carotid angiography was evaluated on Diagnosis of clinically significant carotid stenosis (Sensitivity 86%, Specificity 92%). Combined magnetic resonance angiographic techniques demonstrated 86% sensitivity and 92% specificity for diagnosing clinically significant carotid stenosis compared to invasive angiography.

synapsesocial.com/papers/6a95bf0fc978dbd1111be62fhttps://doi.org/10.1001/archneur.1991.00530170044019
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