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PICTORIAL ESSAY   

Il Giornale Italiano di Radiologia Medica 2019 Luglio-Agosto;6(4):334-41

DOI: 10.23736/S2283-8376.19.00188-8

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English, Italian

Carotid artery atherosclerosis: multimode advanced ultrasound technologies

Maria C. MASCIOTRA 1 , Antonio P. MASCIOTRA 2, 3, 4, Luca BRUNESE 5, Mariagrazia MICCO 1, Roberto CAMPERCHIOLI 6, Mariateresa NARACCI 1

1 Department of Radiology, University of Campania Luigi Vanvitelli, Naples, Italy; 2 Department of Radiology, Casa di Cura Villa Maria, Campobasso, Italy; 3 La Vida Medical Health Center, Termoli, Campobasso, Italy; 4 Ars Medica s.r.l., Isernia, Italy; 5 Department of Radiology, University of Molise UNIMOL, Campobasso, Italy; 6 Department of Radiology, Regional Healthcare Company of Molise (ASReM), Campobasso, Italy



Acute ischemic stroke is the leading cause of death and long-term disability worldwide. The risk of stroke and/or transient ischemic attack correlates with non-modifiable factors such as age, gender, genetics, and with modifiable factors, such as arterial hypertension, nutrition, cigarette smoking, diabetes. The presence of carotid atherosclerotic disease is a strong predictor of cerebrovascular events. Duplex ultrasonography is the most frequently requested examination for its assessment: it is a non-invasive tool with a high diagnostic value. Novel ultrasound techniques can also describe the composition of the plaques, in terms of stability, stiffness and integrity. An ultrafast platform is the first step towards obtaining ultrasound images with high spatial and temporal resolution. Its software allows to increase considerably the frame rate obtainable from a conventional ultrasound system, exceeding 10,000 images per second. Initially it was developed for the propagation analysis of shear wave, as the basis of real-time quantitative elastography for breast, thyroid and liver. Today it is a valid diagnostic tool also for vascular pathologies: it is possible to simultaneously visualize and quantify the flow, with high sensitivity and on a wide region of interest. This pictorial essay describes in detail the information can be extrapolated from innovative multimodal ultrasound techniques in order to give a valid support in clinical decision making.


KEY WORDS: Carotid artery diseases; Diagnostic Imaging; Ultrasonography; Elasticity imaging techniques

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