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J R Soc Med. 1980 March; 73(3): 172–179.
PMCID: PMC1437542

Detection of disease at the carotid bifurcation using ultrasound including an imaging system1


A two-stage approach is described for the detection of occlusive arterial disease at the carotid bifurcation using continuous wave Doppler-shift ultrasound with spectral analysis of backscattered signals from erythrocytes. The first stage involves analysis of Doppler-shift signals from the supraorbital and common carotid arteries. Abnormal signals from these arteries are frequently caused by the presence of atheroma at the carotid bifurcation and are used to indicate the necessity for imaging the bifurcation. This latter technique produces a physiological image of the arteries, as it depends on detecting erythrocyte velocities beneath a transducer which is guided over the surface of the neck. The investigation has advantages over arteriography in that it is noninvasive, has no attendant risk and may be repeated as often as required.

In order to evaluate the accuracy of these methods the results have been compared with x-ray findings in patients undergoing carotid arteriography. In 20 comparisons there were no false positives and one false negative in which the arteriogram showed a small lesion. These results indicate that the two noninvasive methods may be used in sequence to demonstrate operable disease around the carotid junction.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Barber FE, Baker DW, Nation AW, Strandness DE, Jr, Reid JM. Ultrasonic duplex echo-Doppler scanner. IEEE Trans Biomed Eng. 1974 Mar;21(2):109–113. [PubMed]
  • Barnes RW, Bone GE, Reinertson J, Slaymaker EE, Hokanson DE, Strandness DE., Jr Noninvasive ultrasonic carotid angiography: prospective validation by contrast arteriography. Surgery. 1976 Sep;80(3):328–335. [PubMed]
  • Baskett JJ, Beasley MG, Murphy GJ, Hyams DE, Gosling RG. Screening for carotid junction disease by spectral analysis of Doppler signals. Cardiovasc Res. 1977 Mar;11(2):147–155. [PubMed]
  • Coghlan BA, Taylor MG. Directional Doppler techniques for detection of blood velocities. Ultrasound Med Biol. 1976 Jun;2(3):181–188. [PubMed]
  • Coghlan BA, Taylor MG. A carotid imaging system utilising continuous-wave Doppler-shift ultrasound and real-time spectrum analysis. Med Biol Eng Comput. 1978 Nov;16(6):739–744. [PubMed]
  • Deweese JA, May AG, Lipchik EO, Rob CG. Anatomic and hemodynamic correlations in carotid artery stenosis. Stroke. 1970 May-Jun;1(3):149–157. [PubMed]
  • Fields WS, North RR, Hass WK, Galbraith JG, Wylie EJ, Ratinov G, Burns MH, Macdonald MC, Meyer JS. Joint study of extracranial arterial occlusion as a cause of stroke. I. Organization of study and survey of patient population. JAMA. 1968 Mar 11;203(11):955–960. [PubMed]
  • Gomensoro JB. Joint study of extracranial arterial occlusion. 8. Clinical-radiographic correlation of carotid bifurcation lesions in 177 patients with transient cerebral ischemic attacks. JAMA. 1973 May 14;224(7):985–991. [PubMed]
  • Gross WS, Verta MJ, Jr, van Bellen B, Bergan JJ, Yao JS. Comparison of noninvasive diagnostic techniques in carotid artery occlusive disease. Surgery. 1977 Aug;82(2):271–278. [PubMed]
  • Harrison MJ, Marshall J. Indications for angiography and surgery in carotid artery disease. Br Med J. 1975 Mar 15;1(5958):616–618. [PMC free article] [PubMed]
  • Hass WK, Fields WS, North RR, Kircheff II, Chase NE, Bauer RB. Joint study of extracranial arterial occlusion. II. Arteriography, techniques, sites, and complications. JAMA. 1968 Mar 11;203(11):961–968. [PubMed]
  • Kartchner MM, McRae LP, Morrison FD. Noninvasive detection and evaluation of carotid occlusive disease. Arch Surg. 1973 Apr;106(4):528–535. [PubMed]
  • Lewis RR, Beasley MG, Hyams DE, Gosling RG. Imaging the carotid bifurcation using continuous-wave Doppler-shift ultrasound and spectral analysis. Stroke. 1978 Sep-Oct;9(5):465–471. [PubMed]
  • Shapiro HM, Mishkin M, Reivich M. Direct thermometry, ophthalmodynamometry, auscultation and palpation in extracranial cerebrovascular disease: an evaluation of rapid diagnostic methods. Stroke. 1970 Jul-Aug;1(4):205–218. [PubMed]
  • Ziegler DK, Zileli T, Dick A, Sebaugh JL. Correlation of bruits over the carotid artery with angiographically demonstrated lesions. Neurology. 1971 Aug;21(8):860–865. [PubMed]

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