Dual energy computed tomography in evaluation of cervical carotid calcified plaque stenosis

Phạm Hồng Đức , Nguyễn Hữu Thuyết, Đinh Trung Thành

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Abstract

Dual Energy Computed Tomographic Angiography (DECT) with calcified plaque removal was compared with conventional CTA in the evaluation of the the degree of stenosis of the internal carotid artery (ICA).  43 stenosis ICA in 27 patients were assessed according to the North American Symptomatic Carotid Endarterectomy Trial (NASCET) criteria on both CTA and DECT techniques. There is a very good agreement between these two diagnostic methods in the evaluation of stenosis ICA with Kappa coefficient = 0,812. The average stenosis ICA measured on conventional CTA and DECT images were 63,3 ± 25.0% and 59,5 ± 24,4%, respectively (p <0.001). Thus, DECT for calcified plaque removal facilitated the assessment of stenosis in all ICA and performed better than the conventional CTA.

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References

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