CT and Ultrasound in the Study of Ulcerated Carotid Plaque Compared with Surgical Results: Potentialities and Advantages of Multidetector Row CT Angiography
L. Sabaa,
G. Caddeoc,
R. Sanfilippob,
R. Montiscib and
G. Mallarinia,c
a Departments of Imaging Science, Policlinico Universitario, Cagliari, Italy
b Vascular Surgery, Policlinico Universitario, Cagliari, Italy
c Institute of Radiology, University of Cagliari, Cagliari, Italy
View larger version (52K):
[in this window]
[in a new window]
|
Fig 1. A 68-year-old man with TIA. Axial CTA source image (A) and MIP (B) illustrate an ulcerated plaque with a severe stenosis in the right ICA (yellow arrow). Axial head CT scan (C) demonstrates ischemic lesions in the anterior limb of the left internal capsule. On the surgical specimen (D), the ulceration is clearly visible (D). US was negative for ulceration in this case.
| |
View larger version (34K):
[in this window]
[in a new window]
|
Fig 2. A 71-year-old man with persistent monocular visual loss. Axial scan CTA source image (A), MPR (B), SSD (C), MIP (D), and US-ECD (E) show an irregular ulcerated plaque with moderate stenosis of the ICA. The ulcer is 4 mm and proximal to the point of maximum stenosis (yellow arrows). US was positive for ulceration in this case.
| |
View larger version (69K):
[in this window]
[in a new window]
|
Fig 3. A 65-year-old woman with TIA. Axial scan CTA source image (A), MIP (B), MPR (C), and VR (D) show an ulcerated plaque of the left ICA. Shirt button morphology is visible (B–D). On the surgical specimen, the ulceration is clearly visible (E) (*ICA + CCA, ulceration blue arrow).
| |
