Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography associated with the risk of acute ischemic stroke occurrence
Objectives Carotid atherosclerosis plays an essential role in the occurrence of ischemic stroke. This study aimed to investigate whether a larger burden of napkin-ring sign (NRS) plaques on cervicocerebral computed tomography angiography (CTA) increased the risk of acute ischemic stroke (AIS). Metho...
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| Veröffentlicht in: | European radiology 2024-07, Vol.34 (7), p.4438-4447 |
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| creator | Wu, Jingping Zou, Ying Meng, Xiao Fan, Zhaoyang van der Geest, Rob Cui, Fang Li, Jianyong Zhang, Tengyuan Zhang, Fan |
| description | Objectives
Carotid atherosclerosis plays an essential role in the occurrence of ischemic stroke. This study aimed to investigate whether a larger burden of napkin-ring sign (NRS) plaques on cervicocerebral computed tomography angiography (CTA) increased the risk of acute ischemic stroke (AIS).
Methods
This retrospective, single-center, cross-sectional study enrolled patients with NRS plaques identified in the subclavian arteries, brachiocephalic trunk, carotid arterial system, and vertebrobasilar circulation on contrast-enhanced cervicocerebral CTA. Patients were divided into AIS and non-AIS groups based on imaging within 12 h of symptom onset. Univariate and multivariate logistic regression analyses were performed to determine the risk factor of AIS occurrence.
Results
A total of 202 patients (66.72 years ± 8.97, 157 men) were evaluated. Plaques with NRS in each subject of the AIS group (
N
= 98) were significantly more prevalent than that in the control group (
N
= 104) (1.96 ± 1.17 vs 1.41 ± 0.62). In the AIS group, there were substantially more NRS plaques on the ipsilateral side than contralateral side (1.55 ± 0.90 vs. 0.41 ± 0.66). NRS located on the ipsilateral side of the AIS showed an area under the receiver curve (AUC) of 0.86 to identify ischemic stroke. NRS plaque amounts were an independent risk factor for AIS occurrence (odds ratio, 1.86) after adjusting for other factors.
Conclusions
Increased incidence of napkin-ring sign plaques on cervicocerebral CTA was positively associated with AIS occurrence, which could aid in detecting asymptomatic atherosclerotic patients at high risk of AIS in routine screening or emergency settings.
Clinical relevance statement
Napkin-ring sign plaque provides an important imaging target for estimating acute ischemic stroke risk and identifying high-risk patients in routine screening or emergency settings, so that timely anti-atherosclerotic therapy can be used for prevention.
Key Points
•
This cross-sectional study investigated the association between high-risk carotid artery plaques and acute ischemic stroke.
•
Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography is positively associated with acute ischemic stroke occurrence.
•
Napkin-ring signs help identify risky patients prone to acute ischemic stroke to facilitate prevention. |
| doi_str_mv | 10.1007/s00330-023-10404-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2893845187</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3073392201</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-c5838a3bc2da361520f38dd8b27057a67d449a4fbb3c501937e4f472eef7f42f3</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS1ERUvhD3BAlrhwCR17nDo5oqrQSpW4lLPlOPauu4kd7IRVfw1_FadbCuLQ04yl77151iPkHYNPDECeZQBEqIBjxUCAqPYvyAkTyMuzES__2Y_J65zvAKBlQr4ix9gAMF7DCfl1HUyyOtue-mB8b4OxNDoa9LTzoUo-bGj2m0CnQf9YbKYxUGPTT29iGbZLeqAmjtMyF4c5jnGT9LS9pzps_NOeczRer8Tez1s6by1NPu_WO9oUJfXZbO3oDc1zirsSwJglpTXLG3Lk9JDt28d5Sr5_uby9uKpuvn29vvh8UxmU9VyZusFGY2d4r_Gc1RwcNn3fdFxCLfW57IVotXBdh6YG1qK0wgnJrXXSCe7wlHw8-E4prv-c1VhC2WHQwcYlK9602IiaNbKgH_5D7-KSQkmnECRiyzmwQvEDZVLMOVmnpuRHne4VA7XWpw71qVKfeqhP7Yvo_aP10o22f5L86asAeADytFZj09_bz9j-Buu8qWI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3073392201</pqid></control><display><type>article</type><title>Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography associated with the risk of acute ischemic stroke occurrence</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Wu, Jingping ; Zou, Ying ; Meng, Xiao ; Fan, Zhaoyang ; van der Geest, Rob ; Cui, Fang ; Li, Jianyong ; Zhang, Tengyuan ; Zhang, Fan</creator><creatorcontrib>Wu, Jingping ; Zou, Ying ; Meng, Xiao ; Fan, Zhaoyang ; van der Geest, Rob ; Cui, Fang ; Li, Jianyong ; Zhang, Tengyuan ; Zhang, Fan</creatorcontrib><description>Objectives
Carotid atherosclerosis plays an essential role in the occurrence of ischemic stroke. This study aimed to investigate whether a larger burden of napkin-ring sign (NRS) plaques on cervicocerebral computed tomography angiography (CTA) increased the risk of acute ischemic stroke (AIS).
Methods
This retrospective, single-center, cross-sectional study enrolled patients with NRS plaques identified in the subclavian arteries, brachiocephalic trunk, carotid arterial system, and vertebrobasilar circulation on contrast-enhanced cervicocerebral CTA. Patients were divided into AIS and non-AIS groups based on imaging within 12 h of symptom onset. Univariate and multivariate logistic regression analyses were performed to determine the risk factor of AIS occurrence.
Results
A total of 202 patients (66.72 years ± 8.97, 157 men) were evaluated. Plaques with NRS in each subject of the AIS group (
N
= 98) were significantly more prevalent than that in the control group (
N
= 104) (1.96 ± 1.17 vs 1.41 ± 0.62). In the AIS group, there were substantially more NRS plaques on the ipsilateral side than contralateral side (1.55 ± 0.90 vs. 0.41 ± 0.66). NRS located on the ipsilateral side of the AIS showed an area under the receiver curve (AUC) of 0.86 to identify ischemic stroke. NRS plaque amounts were an independent risk factor for AIS occurrence (odds ratio, 1.86) after adjusting for other factors.
Conclusions
Increased incidence of napkin-ring sign plaques on cervicocerebral CTA was positively associated with AIS occurrence, which could aid in detecting asymptomatic atherosclerotic patients at high risk of AIS in routine screening or emergency settings.
Clinical relevance statement
Napkin-ring sign plaque provides an important imaging target for estimating acute ischemic stroke risk and identifying high-risk patients in routine screening or emergency settings, so that timely anti-atherosclerotic therapy can be used for prevention.
Key Points
•
This cross-sectional study investigated the association between high-risk carotid artery plaques and acute ischemic stroke.
•
Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography is positively associated with acute ischemic stroke occurrence.
•
Napkin-ring signs help identify risky patients prone to acute ischemic stroke to facilitate prevention.</description><identifier>ISSN: 1432-1084</identifier><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-023-10404-w</identifier><identifier>PMID: 38001250</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Angiography ; Arteriosclerosis ; Atherosclerosis ; Carotid arteries ; Carotid artery ; Carotid Artery Diseases - complications ; Carotid Artery Diseases - diagnostic imaging ; Computed Tomography ; Computed Tomography Angiography - methods ; Cross-Sectional Studies ; Diagnostic Radiology ; Female ; Health risks ; Humans ; Imaging ; Incidence ; Internal Medicine ; Interventional Radiology ; Ischemia ; Ischemic Stroke - diagnostic imaging ; Ischemic Stroke - epidemiology ; Ischemic Stroke - etiology ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Neuroradiology ; Plaque, Atherosclerotic - complications ; Plaque, Atherosclerotic - diagnostic imaging ; Plaques ; Prevention ; Radiology ; Regression analysis ; Retrospective Studies ; Risk Factors ; Risk groups ; Stroke ; Tomography ; Ultrasound</subject><ispartof>European radiology, 2024-07, Vol.34 (7), p.4438-4447</ispartof><rights>The Author(s), under exclusive licence to European Society of Radiology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to European Society of Radiology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-c5838a3bc2da361520f38dd8b27057a67d449a4fbb3c501937e4f472eef7f42f3</citedby><cites>FETCH-LOGICAL-c375t-c5838a3bc2da361520f38dd8b27057a67d449a4fbb3c501937e4f472eef7f42f3</cites><orcidid>0000-0001-8278-335X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-023-10404-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-023-10404-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,41497,42566,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38001250$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Jingping</creatorcontrib><creatorcontrib>Zou, Ying</creatorcontrib><creatorcontrib>Meng, Xiao</creatorcontrib><creatorcontrib>Fan, Zhaoyang</creatorcontrib><creatorcontrib>van der Geest, Rob</creatorcontrib><creatorcontrib>Cui, Fang</creatorcontrib><creatorcontrib>Li, Jianyong</creatorcontrib><creatorcontrib>Zhang, Tengyuan</creatorcontrib><creatorcontrib>Zhang, Fan</creatorcontrib><title>Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography associated with the risk of acute ischemic stroke occurrence</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
Carotid atherosclerosis plays an essential role in the occurrence of ischemic stroke. This study aimed to investigate whether a larger burden of napkin-ring sign (NRS) plaques on cervicocerebral computed tomography angiography (CTA) increased the risk of acute ischemic stroke (AIS).
Methods
This retrospective, single-center, cross-sectional study enrolled patients with NRS plaques identified in the subclavian arteries, brachiocephalic trunk, carotid arterial system, and vertebrobasilar circulation on contrast-enhanced cervicocerebral CTA. Patients were divided into AIS and non-AIS groups based on imaging within 12 h of symptom onset. Univariate and multivariate logistic regression analyses were performed to determine the risk factor of AIS occurrence.
Results
A total of 202 patients (66.72 years ± 8.97, 157 men) were evaluated. Plaques with NRS in each subject of the AIS group (
N
= 98) were significantly more prevalent than that in the control group (
N
= 104) (1.96 ± 1.17 vs 1.41 ± 0.62). In the AIS group, there were substantially more NRS plaques on the ipsilateral side than contralateral side (1.55 ± 0.90 vs. 0.41 ± 0.66). NRS located on the ipsilateral side of the AIS showed an area under the receiver curve (AUC) of 0.86 to identify ischemic stroke. NRS plaque amounts were an independent risk factor for AIS occurrence (odds ratio, 1.86) after adjusting for other factors.
Conclusions
Increased incidence of napkin-ring sign plaques on cervicocerebral CTA was positively associated with AIS occurrence, which could aid in detecting asymptomatic atherosclerotic patients at high risk of AIS in routine screening or emergency settings.
Clinical relevance statement
Napkin-ring sign plaque provides an important imaging target for estimating acute ischemic stroke risk and identifying high-risk patients in routine screening or emergency settings, so that timely anti-atherosclerotic therapy can be used for prevention.
Key Points
•
This cross-sectional study investigated the association between high-risk carotid artery plaques and acute ischemic stroke.
•
Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography is positively associated with acute ischemic stroke occurrence.
•
Napkin-ring signs help identify risky patients prone to acute ischemic stroke to facilitate prevention.</description><subject>Aged</subject><subject>Angiography</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Carotid Artery Diseases - complications</subject><subject>Carotid Artery Diseases - diagnostic imaging</subject><subject>Computed Tomography</subject><subject>Computed Tomography Angiography - methods</subject><subject>Cross-Sectional Studies</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Health risks</subject><subject>Humans</subject><subject>Imaging</subject><subject>Incidence</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Ischemia</subject><subject>Ischemic Stroke - diagnostic imaging</subject><subject>Ischemic Stroke - epidemiology</subject><subject>Ischemic Stroke - etiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neuroradiology</subject><subject>Plaque, Atherosclerotic - complications</subject><subject>Plaque, Atherosclerotic - diagnostic imaging</subject><subject>Plaques</subject><subject>Prevention</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Risk groups</subject><subject>Stroke</subject><subject>Tomography</subject><subject>Ultrasound</subject><issn>1432-1084</issn><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS1ERUvhD3BAlrhwCR17nDo5oqrQSpW4lLPlOPauu4kd7IRVfw1_FadbCuLQ04yl77151iPkHYNPDECeZQBEqIBjxUCAqPYvyAkTyMuzES__2Y_J65zvAKBlQr4ix9gAMF7DCfl1HUyyOtue-mB8b4OxNDoa9LTzoUo-bGj2m0CnQf9YbKYxUGPTT29iGbZLeqAmjtMyF4c5jnGT9LS9pzps_NOeczRer8Tez1s6by1NPu_WO9oUJfXZbO3oDc1zirsSwJglpTXLG3Lk9JDt28d5Sr5_uby9uKpuvn29vvh8UxmU9VyZusFGY2d4r_Gc1RwcNn3fdFxCLfW57IVotXBdh6YG1qK0wgnJrXXSCe7wlHw8-E4prv-c1VhC2WHQwcYlK9602IiaNbKgH_5D7-KSQkmnECRiyzmwQvEDZVLMOVmnpuRHne4VA7XWpw71qVKfeqhP7Yvo_aP10o22f5L86asAeADytFZj09_bz9j-Buu8qWI</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Wu, Jingping</creator><creator>Zou, Ying</creator><creator>Meng, Xiao</creator><creator>Fan, Zhaoyang</creator><creator>van der Geest, Rob</creator><creator>Cui, Fang</creator><creator>Li, Jianyong</creator><creator>Zhang, Tengyuan</creator><creator>Zhang, Fan</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8278-335X</orcidid></search><sort><creationdate>20240701</creationdate><title>Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography associated with the risk of acute ischemic stroke occurrence</title><author>Wu, Jingping ; Zou, Ying ; Meng, Xiao ; Fan, Zhaoyang ; van der Geest, Rob ; Cui, Fang ; Li, Jianyong ; Zhang, Tengyuan ; Zhang, Fan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-c5838a3bc2da361520f38dd8b27057a67d449a4fbb3c501937e4f472eef7f42f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Angiography</topic><topic>Arteriosclerosis</topic><topic>Atherosclerosis</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Artery Diseases - complications</topic><topic>Carotid Artery Diseases - diagnostic imaging</topic><topic>Computed Tomography</topic><topic>Computed Tomography Angiography - methods</topic><topic>Cross-Sectional Studies</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Health risks</topic><topic>Humans</topic><topic>Imaging</topic><topic>Incidence</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Ischemia</topic><topic>Ischemic Stroke - diagnostic imaging</topic><topic>Ischemic Stroke - epidemiology</topic><topic>Ischemic Stroke - etiology</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neuroradiology</topic><topic>Plaque, Atherosclerotic - complications</topic><topic>Plaque, Atherosclerotic - diagnostic imaging</topic><topic>Plaques</topic><topic>Prevention</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Risk groups</topic><topic>Stroke</topic><topic>Tomography</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Jingping</creatorcontrib><creatorcontrib>Zou, Ying</creatorcontrib><creatorcontrib>Meng, Xiao</creatorcontrib><creatorcontrib>Fan, Zhaoyang</creatorcontrib><creatorcontrib>van der Geest, Rob</creatorcontrib><creatorcontrib>Cui, Fang</creatorcontrib><creatorcontrib>Li, Jianyong</creatorcontrib><creatorcontrib>Zhang, Tengyuan</creatorcontrib><creatorcontrib>Zhang, Fan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Jingping</au><au>Zou, Ying</au><au>Meng, Xiao</au><au>Fan, Zhaoyang</au><au>van der Geest, Rob</au><au>Cui, Fang</au><au>Li, Jianyong</au><au>Zhang, Tengyuan</au><au>Zhang, Fan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography associated with the risk of acute ischemic stroke occurrence</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>34</volume><issue>7</issue><spage>4438</spage><epage>4447</epage><pages>4438-4447</pages><issn>1432-1084</issn><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
Carotid atherosclerosis plays an essential role in the occurrence of ischemic stroke. This study aimed to investigate whether a larger burden of napkin-ring sign (NRS) plaques on cervicocerebral computed tomography angiography (CTA) increased the risk of acute ischemic stroke (AIS).
Methods
This retrospective, single-center, cross-sectional study enrolled patients with NRS plaques identified in the subclavian arteries, brachiocephalic trunk, carotid arterial system, and vertebrobasilar circulation on contrast-enhanced cervicocerebral CTA. Patients were divided into AIS and non-AIS groups based on imaging within 12 h of symptom onset. Univariate and multivariate logistic regression analyses were performed to determine the risk factor of AIS occurrence.
Results
A total of 202 patients (66.72 years ± 8.97, 157 men) were evaluated. Plaques with NRS in each subject of the AIS group (
N
= 98) were significantly more prevalent than that in the control group (
N
= 104) (1.96 ± 1.17 vs 1.41 ± 0.62). In the AIS group, there were substantially more NRS plaques on the ipsilateral side than contralateral side (1.55 ± 0.90 vs. 0.41 ± 0.66). NRS located on the ipsilateral side of the AIS showed an area under the receiver curve (AUC) of 0.86 to identify ischemic stroke. NRS plaque amounts were an independent risk factor for AIS occurrence (odds ratio, 1.86) after adjusting for other factors.
Conclusions
Increased incidence of napkin-ring sign plaques on cervicocerebral CTA was positively associated with AIS occurrence, which could aid in detecting asymptomatic atherosclerotic patients at high risk of AIS in routine screening or emergency settings.
Clinical relevance statement
Napkin-ring sign plaque provides an important imaging target for estimating acute ischemic stroke risk and identifying high-risk patients in routine screening or emergency settings, so that timely anti-atherosclerotic therapy can be used for prevention.
Key Points
•
This cross-sectional study investigated the association between high-risk carotid artery plaques and acute ischemic stroke.
•
Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography is positively associated with acute ischemic stroke occurrence.
•
Napkin-ring signs help identify risky patients prone to acute ischemic stroke to facilitate prevention.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38001250</pmid><doi>10.1007/s00330-023-10404-w</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8278-335X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1084 |
| ispartof | European radiology, 2024-07, Vol.34 (7), p.4438-4447 |
| issn | 1432-1084 0938-7994 1432-1084 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Aged Angiography Arteriosclerosis Atherosclerosis Carotid arteries Carotid artery Carotid Artery Diseases - complications Carotid Artery Diseases - diagnostic imaging Computed Tomography Computed Tomography Angiography - methods Cross-Sectional Studies Diagnostic Radiology Female Health risks Humans Imaging Incidence Internal Medicine Interventional Radiology Ischemia Ischemic Stroke - diagnostic imaging Ischemic Stroke - epidemiology Ischemic Stroke - etiology Male Medical imaging Medicine Medicine & Public Health Middle Aged Neuroradiology Plaque, Atherosclerotic - complications Plaque, Atherosclerotic - diagnostic imaging Plaques Prevention Radiology Regression analysis Retrospective Studies Risk Factors Risk groups Stroke Tomography Ultrasound |
| title | Increased incidence of napkin-ring sign plaques on cervicocerebral computed tomography angiography associated with the risk of acute ischemic stroke occurrence |
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