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Research ArticleBRAIN

Classification of Carotid Stenosis by Millimeter CT Angiography Measures: Effects of Prevalence and Gender

E.S. Bartlett, T.D. Walters, S.P. Symons, R.I. Aviv and A.J. Fox
American Journal of Neuroradiology October 2008, 29 (9) 1677-1683; DOI: https://doi.org/10.3174/ajnr.A1210
E.S. Bartlett
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T.D. Walters
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S.P. Symons
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R.I. Aviv
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A.J. Fox
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  • Fig 1.
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    Fig 1.

    Interobserver agreement scatterplots (n = 319). A, Stenosis measures (in millimeters); ICC, 0.90 (95% CI, 0.88–0.92). B, Distal ICA measures (in millimeters); ICC, 0.79 (95% CI, 0.75–0.83).

  • Fig 2.
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    Fig 2.

    Gender-specific linear regression lines between mean millimeter stenosis and their corresponding percent stenosis values. A, Female regression line (n = 157; adjusted R2 = 0.93). B, Male regression line (n = 162; adjusted R2= 0.90).

  • Fig 3.
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    Fig 3.

    Gender-specific estimated percentage stenosis values (presented as 95% predictive intervals) corresponding to specific millimeter stenosis measures, calculated from the respective gender-specific linear regression models. The shaded areas represent the millimeter stenosis ranges that correspond to the estimated percentage stenosis ranges that include the 70% and 50% stenosis cut-off values (severe and moderate stenosis, respectively).

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    Fig 4.

    Severe stenosis ROC curves. A, Female (n = 157), area under the curve = 0.98 (95% CI, 0.96–1.0). B, Male (n = 162), area under the curve = 0.98 (95% CI, 0.96–1.0).

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    Fig 5.

    Moderate stenosis ROC curves. A, Female (n = 157), area under the curve = 0.98 (95% CI, 0.97–1.0). B, Male (n = 162), area under the curve = 0.98 (95% CI, 0.96–1.0).

Tables

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    Table 1:

    Range of gender-specific direct millimeter stenosis values that correspond to the percent stenosis ranges estimating severe stenosis (≥70%) as in NASCET

    Severe Stenosis (mm)SensitivitySpecificityLR+LR−10% Prevalence30% Prevalence
    PPVNPVPPVNPV
    Women
        1.178.998.654.50.286.297.796.091.6
        1.278.994.213.60.260.297.685.491.2
        1.394.790.610.10.0652.899.481.297.6
        1.494.783.35.70.0638.799.370.897.3
    Men
        1.162.598.645.60.483.295.995.086.0
        1.287.596.625.60.174.198.691.794.7
        1.393.893.815.20.0762.799.386.697.2
        1.493.890.49.80.0752.199.280.797.1
    • Note:—LR+ indicates positive likelihood ratio; LR−, negative likelihood ratio; PPV, positive predictive value; NPV, negative predictive value.

    • View popup
    Table 2:

    Range of gender-specific direct millimeter stenosis values that correspond to the percent stenosis ranges estimating moderate stenosis (≥50%) as in NASCET

    ≥ Moderate Stenosis (mm)SensitivitySpecificityLR+LR−40% Prevalence60% Prevalence
    PPVNPVPPVNPV
    Women
        1.979.898.658.20.297.488.098.876.5
        2.086.994.515.90.191.391.596.082.8
        2.192.991.811.30.0888.395.194.489.6
        2.294.089.08.60.0785.195.792.890.8
        2.396.484.96.40.0481.097.390.594.0
    Men
        1.979.797.837.10.296.087.898.276.3
        2.082.696.825.60.294.589.397.578.8
        2.188.494.616.40.191.692.496.184.5
        2.292.890.39.60.0886.495.093.589.3
        2.395.787.17.40.0583.296.891.893.1
        2.495.781.75.20.0577.796.688.792.7
    • Note:—LR+ indicates positive likelihood ratio; LR−, negative likelihood ratio; PPV, positive predictive value; NPV, negative predictive value.

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American Journal of Neuroradiology: 29 (9)
American Journal of Neuroradiology
Vol. 29, Issue 9
October 2008
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E.S. Bartlett, T.D. Walters, S.P. Symons, R.I. Aviv, A.J. Fox
Classification of Carotid Stenosis by Millimeter CT Angiography Measures: Effects of Prevalence and Gender
American Journal of Neuroradiology Oct 2008, 29 (9) 1677-1683; DOI: 10.3174/ajnr.A1210

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Classification of Carotid Stenosis by Millimeter CT Angiography Measures: Effects of Prevalence and Gender
E.S. Bartlett, T.D. Walters, S.P. Symons, R.I. Aviv, A.J. Fox
American Journal of Neuroradiology Oct 2008, 29 (9) 1677-1683; DOI: 10.3174/ajnr.A1210
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