Bluth E I, Stavros A T, Marich K W, Wetzner S M, Aufrichtig D, Baker J D
Department of Radiology, Ochsner Clinic, New Orleans, LA 70121.
Radiographics. 1988 May;8(3):487-506. doi: 10.1148/radiographics.8.3.3289100.
A complex duplex carotid evaluation involves high resolution imaging and characterization of the carotid plaque as well as quantitative Doppler spectral analysis to determine the presence and degree of flow restriction. Each of the components of the examination is essential to evaluate the carotid arteries adequately for the presence of disease. Both of these components should be assimilated into a final report that can be used to determine who is at risk for embolic as well as flow restrictive disease. By carefully following the reporting system described in this paper, an accurate and reproducible means of evaluating the carotid arteries can be achieved that permits comparison of studies. In addition, this will allow accurate communications among institutions and help to insure a better understanding of the etiology and pathogenesis of atherosclerotic carotid artery disease.
复杂的双侧颈动脉评估包括对颈动脉斑块进行高分辨率成像和特征描述，以及进行定量多普勒频谱分析，以确定血流受限的存在和程度。检查的每个组成部分对于充分评估颈动脉疾病的存在都至关重要。这两个组成部分都应纳入最终报告，该报告可用于确定谁有发生栓塞性疾病以及血流受限性疾病的风险。通过仔细遵循本文所述的报告系统，可以实现一种准确且可重复的评估颈动脉的方法，从而允许进行研究比较。此外，这将有助于机构之间的准确沟通，并有助于更好地理解动脉粥样硬化性颈动脉疾病的病因和发病机制。
