Unknown internal carotid artery atherosclerotic stenoses detected with biphasic multidetector computed tomography for head and neck cancer
The possibility of detecting unknown internal carotid artery stenoses in patients undergoing biphasic multidetector computed tomography (MDCT) for current or previous head and neck cancer was investigated in 52 patients who underwent four-row MDCT (4 mm x 1.25 mm collimation, pitch 3, kVp 120, mAs 1...
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Veröffentlicht in: | European radiology 2006-04, Vol.16 (4), p.866-871 |
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creator | Flor, Nicola Sardanelli, Francesco Soldi, Simone Franceschelli, Giuseppe Missiroli, Caterina De Paoli, Fiora Cornalba, Gianpaolo |
description | The possibility of detecting unknown internal carotid artery stenoses in patients undergoing biphasic multidetector computed tomography (MDCT) for current or previous head and neck cancer was investigated in 52 patients who underwent four-row MDCT (4 mm x 1.25 mm collimation, pitch 3, kVp 120, mAs 140; 90-100 ml of non-ionic contrast agent at 2 ml/s, early and late phases). Vessel stenoses were classed as severe (70-99%), moderate (30-69%), or mild ( |
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Vessel stenoses were classed as severe (70-99%), moderate (30-69%), or mild (<30%). Internal carotid arteries (ICAs) with vessel stenosis was found in 37 patients (age 67.0+/-9.8 years, median 69 years) and 67 ICAs. Four patients (age 65.5+/-9.7 years) had severe stenosis, all of them associated with contralateral moderate stenosis. Seventeen patients (age 70.35+/-9.78 years) had moderate stenosis, bilateral (n=7), associated with contralateral mild stenosis (n=8), unilateral (n=2). Sixteen patients (age 64.8+/-9.8 years) had mild stenosis, bilateral (n=10) or unilateral (n=6). Of the four patients with unknown MDCT-detected severe stenosis, three had a change of therapy: one endarterectomy before tumor surgery, one combined vascular and tumor surgery, and one patient with a previously treated hypopharyngeal cancer had carotid stenting. In conclusion, of 52 patients, four (7.7 %) had unknown severe ICA stenoses, three of them with relevant impact on therapy. ICAs should be carefully evaluated for atherosclerotic disease using biphasic MDCT for head and neck cancer.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-005-0023-2</identifier><identifier>PMID: 16320057</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Analysis of Variance ; Arteriosclerosis ; Arteriosclerosis - diagnostic imaging ; Atherosclerosis ; Blood vessels ; Cancer ; Carotid arteries ; Carotid artery ; Carotid Artery, Internal ; Carotid Stenosis - diagnostic imaging ; Computed tomography ; Contrast agents ; Contrast Media ; Female ; Head & neck cancer ; Head and neck ; Head and Neck Neoplasms - diagnostic imaging ; Humans ; Image Processing, Computer-Assisted ; Male ; Middle Aged ; Stenosis ; Surgery ; Tomography ; Tomography, X-Ray Computed - methods ; Tumors ; Veins & arteries</subject><ispartof>European radiology, 2006-04, Vol.16 (4), p.866-871</ispartof><rights>Springer-Verlag 2005.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-a0b5bb7d1c3fd3168c755bdf1390b6485e0b44f9b38cebaa16a6e96fbf28031b3</citedby><cites>FETCH-LOGICAL-c358t-a0b5bb7d1c3fd3168c755bdf1390b6485e0b44f9b38cebaa16a6e96fbf28031b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16320057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Flor, Nicola</creatorcontrib><creatorcontrib>Sardanelli, Francesco</creatorcontrib><creatorcontrib>Soldi, Simone</creatorcontrib><creatorcontrib>Franceschelli, Giuseppe</creatorcontrib><creatorcontrib>Missiroli, Caterina</creatorcontrib><creatorcontrib>De Paoli, Fiora</creatorcontrib><creatorcontrib>Cornalba, Gianpaolo</creatorcontrib><title>Unknown internal carotid artery atherosclerotic stenoses detected with biphasic multidetector computed tomography for head and neck cancer</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>The possibility of detecting unknown internal carotid artery stenoses in patients undergoing biphasic multidetector computed tomography (MDCT) for current or previous head and neck cancer was investigated in 52 patients who underwent four-row MDCT (4 mm x 1.25 mm collimation, pitch 3, kVp 120, mAs 140; 90-100 ml of non-ionic contrast agent at 2 ml/s, early and late phases). Vessel stenoses were classed as severe (70-99%), moderate (30-69%), or mild (<30%). Internal carotid arteries (ICAs) with vessel stenosis was found in 37 patients (age 67.0+/-9.8 years, median 69 years) and 67 ICAs. Four patients (age 65.5+/-9.7 years) had severe stenosis, all of them associated with contralateral moderate stenosis. Seventeen patients (age 70.35+/-9.78 years) had moderate stenosis, bilateral (n=7), associated with contralateral mild stenosis (n=8), unilateral (n=2). Sixteen patients (age 64.8+/-9.8 years) had mild stenosis, bilateral (n=10) or unilateral (n=6). Of the four patients with unknown MDCT-detected severe stenosis, three had a change of therapy: one endarterectomy before tumor surgery, one combined vascular and tumor surgery, and one patient with a previously treated hypopharyngeal cancer had carotid stenting. In conclusion, of 52 patients, four (7.7 %) had unknown severe ICA stenoses, three of them with relevant impact on therapy. ICAs should be carefully evaluated for atherosclerotic disease using biphasic MDCT for head and neck cancer.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Arteriosclerosis</subject><subject>Arteriosclerosis - diagnostic imaging</subject><subject>Atherosclerosis</subject><subject>Blood vessels</subject><subject>Cancer</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Carotid Artery, Internal</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Computed tomography</subject><subject>Contrast agents</subject><subject>Contrast Media</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>Head and neck</subject><subject>Head and Neck Neoplasms - diagnostic imaging</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stenosis</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Tumors</subject><subject>Veins & arteries</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkd-K1TAQxoMo7vHoA3gjAcG76qRJm_RSlvUPLHjjXockndrutklNUpbzCj61qeeA4I0Xw8A33zcD8yPkNYP3DEB-SACcQwXQlKp5VT8hByZ4XTFQ4ik5QMdVJbtOXJEXKd0DQMeEfE6uWMvrkpIH8uvOP_jw6OnkM0ZvZupMDHnqqYlFOFGTR4whuRl32dGU0YeEifaY0WXs6eOUR2qndTSpzJdtLuk_sxCpC8u67aYclvAjmnU80aHoI5pywffUo3soJ73D-JI8G8yc8NWlH8ndp5vv11-q22-fv15_vK0cb1SuDNjGWtkzx4ees1Y52TS2HxjvwLZCNQhWiKGzXDm0xrDWtNi1gx1qBZxZfiTvznvXGH5umLJepuRwno3HsCXdSsklKPVfI-sEV4J3xfj2H-N92PZnJs1ZLQVAW_AcCTu7XPlnijjoNU6LiSfNQO889ZmnLmT0zlPvmTeXzZtdsP-buADkvwGIGJ6Z</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Flor, Nicola</creator><creator>Sardanelli, Francesco</creator><creator>Soldi, Simone</creator><creator>Franceschelli, Giuseppe</creator><creator>Missiroli, Caterina</creator><creator>De Paoli, Fiora</creator><creator>Cornalba, Gianpaolo</creator><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>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Unknown internal carotid artery atherosclerotic stenoses detected with biphasic multidetector computed tomography for head and neck cancer</title><author>Flor, Nicola ; Sardanelli, Francesco ; Soldi, Simone ; Franceschelli, Giuseppe ; Missiroli, Caterina ; De Paoli, Fiora ; Cornalba, Gianpaolo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-a0b5bb7d1c3fd3168c755bdf1390b6485e0b44f9b38cebaa16a6e96fbf28031b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Arteriosclerosis</topic><topic>Arteriosclerosis - diagnostic imaging</topic><topic>Atherosclerosis</topic><topic>Blood vessels</topic><topic>Cancer</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Artery, Internal</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Computed tomography</topic><topic>Contrast agents</topic><topic>Contrast Media</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>Head and neck</topic><topic>Head and Neck Neoplasms - diagnostic imaging</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stenosis</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Tumors</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Flor, Nicola</creatorcontrib><creatorcontrib>Sardanelli, Francesco</creatorcontrib><creatorcontrib>Soldi, Simone</creatorcontrib><creatorcontrib>Franceschelli, Giuseppe</creatorcontrib><creatorcontrib>Missiroli, Caterina</creatorcontrib><creatorcontrib>De Paoli, Fiora</creatorcontrib><creatorcontrib>Cornalba, Gianpaolo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Flor, Nicola</au><au>Sardanelli, Francesco</au><au>Soldi, Simone</au><au>Franceschelli, Giuseppe</au><au>Missiroli, Caterina</au><au>De Paoli, Fiora</au><au>Cornalba, Gianpaolo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unknown internal carotid artery atherosclerotic stenoses detected with biphasic multidetector computed tomography for head and neck cancer</atitle><jtitle>European radiology</jtitle><addtitle>Eur Radiol</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>16</volume><issue>4</issue><spage>866</spage><epage>871</epage><pages>866-871</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>The possibility of detecting unknown internal carotid artery stenoses in patients undergoing biphasic multidetector computed tomography (MDCT) for current or previous head and neck cancer was investigated in 52 patients who underwent four-row MDCT (4 mm x 1.25 mm collimation, pitch 3, kVp 120, mAs 140; 90-100 ml of non-ionic contrast agent at 2 ml/s, early and late phases). Vessel stenoses were classed as severe (70-99%), moderate (30-69%), or mild (<30%). Internal carotid arteries (ICAs) with vessel stenosis was found in 37 patients (age 67.0+/-9.8 years, median 69 years) and 67 ICAs. Four patients (age 65.5+/-9.7 years) had severe stenosis, all of them associated with contralateral moderate stenosis. Seventeen patients (age 70.35+/-9.78 years) had moderate stenosis, bilateral (n=7), associated with contralateral mild stenosis (n=8), unilateral (n=2). Sixteen patients (age 64.8+/-9.8 years) had mild stenosis, bilateral (n=10) or unilateral (n=6). Of the four patients with unknown MDCT-detected severe stenosis, three had a change of therapy: one endarterectomy before tumor surgery, one combined vascular and tumor surgery, and one patient with a previously treated hypopharyngeal cancer had carotid stenting. In conclusion, of 52 patients, four (7.7 %) had unknown severe ICA stenoses, three of them with relevant impact on therapy. ICAs should be carefully evaluated for atherosclerotic disease using biphasic MDCT for head and neck cancer.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>16320057</pmid><doi>10.1007/s00330-005-0023-2</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Age Aged Aged, 80 and over Analysis of Variance Arteriosclerosis Arteriosclerosis - diagnostic imaging Atherosclerosis Blood vessels Cancer Carotid arteries Carotid artery Carotid Artery, Internal Carotid Stenosis - diagnostic imaging Computed tomography Contrast agents Contrast Media Female Head & neck cancer Head and neck Head and Neck Neoplasms - diagnostic imaging Humans Image Processing, Computer-Assisted Male Middle Aged Stenosis Surgery Tomography Tomography, X-Ray Computed - methods Tumors Veins & arteries |
title | Unknown internal carotid artery atherosclerotic stenoses detected with biphasic multidetector computed tomography for head and neck cancer |
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