Carotid

Carotid

Calculated Fields

In the Carotid worksheet, the following fields are calculated automatically. These calculated values automatically update when any of the source values are changed.

 

Field

Source Values

Calculation Logic

ICA/CCA PSV Ratio

One ICA PSV and one CCA PSV per laterality. Select list indicates which value.

ICA PSV ÷ CCA PSV

Note: Studycast uses ICA PSV and CCA PSV by default, but you can specify a different segment in to be used in your worksheet preferences.

ICA/CCA EDV  Ratio

One ICA EDV and one CCA EDV per laterality. Select list indicates which value.

ICA EDV ÷ CCA EDV

Note: Studycast uses ICA EDV and CCA EDV by default, but you can specify a different segment in to be used in your worksheet preferences.

Stent Ratio

Stent PSV values within same stent

PSV ÷ PSV of proximal segment

Endarterectomy Ratio

Endarterectomy PSV values within same Endarterectomy

PSV ÷ PSV of proximal segment

 Carotid Criteria

By default, the Carotid worksheet uses the Mayo Clinic criteria. However, you can choose to use a different set of criteria, such as those listed below, or you can define custom criteria.  

 

To change the criteria in your worksheets, contact Studycast Support.


Mayo Clinic (Default Criteria) | Grant et al, RSNA, 2003. Gocke, MIIT, 2004

 

Primary Parameters

Additional Parameters

Degree of Stenosis (%)

PSV (cm/s)

Visual Plaque Estimate (w/Doppler) (%)

ICA/CCA PSV Ratio

EDV (cm/s)

Normal

 

Normal IMT, No plaque

 

 

Minimal

 

Increased IMT>0.10 cm

 

<40

1-15%

<125

Mild

<1.6

<40

16-49%

<125

Moderate

<1.8

<40

50-69%

125-230

>=50%

2.0-4.0

40-99

>=70%

>=230

>50%

>4.0

100-140

80-99%

>=230

Marked lumen narrowing

 

>140

Near Occlusion

Low, undetectable

Marked lumen narrowing

 

 

Total Occlusion

Undetectable

No lumen, no flow

 

 

 

Radiology Consensus | Consensus of Society of Radiologists in Ultrasound, 2003


Primary Parameters

Additional Parameters

Degree of Stenosis (%)

PSV (cm/s)

Visual Plaque Estimate (w/Doppler) (%)

ICA/CCA PSV Ratio

EDV (cm/s)

Normal

<125

No plaque

<2.0

<40

<50%

<125

<50

<2.0

<40

50-69%

125-230

>=50

2.0-4.0

40-100

>=70%

>230

>=50

>4.0

>100

Near Occlusion

High, low, or undetectable

Visible

Variable

Variable

Total Occlusion

Undetectable

Visible plaque, no detectable lumen

NA

NA

 

Washington | University of Washington, 1987


Primary Parameters

Additional Parameters

Degree of Stenosis (%)

PSV (cm/s)

Visual Plaque Estimate (w/Doppler) (%)

ICA/CCA PSV Ratio

Normal

 

Normal IMT, No plaque

<1.6

1-15%

<125

Increased IMT, mild plaque

<1.6

16-49%

<125

Moderate plaque

1.8-2.0

50-79%

125-135

>=50% lumen narrowing

2.0-4.0

80-99%

>=135

Marked lumen narrowing

>4.0

Near Occlusion

Low, detectable

String sign

 

Total Occlusion

Undetectable

No lumen, no flow

 

 


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