PURPOSE: The purpose of this work was to explore the association between carotid plaque volume (total and the subcomponents) and cerebral microbleeds (CMBs). MATERIALS AND METHODS: Seventy-two consecutive (male 53; median age 64) patients were retrospectively analyzed. Carotid arteries were studied by using a 16-detector-row computed tomography scanner whereas brain was explored with a 1.5 Tesla system. CMBs were studied using a T2*-weighted gradient-recalled echo sequence. CMBs were classified as from absent (grade 1) to severe (grade 4). Component types of the carotid plaque were defined according to the following Hounsfield unit (HU) ranges: lipid less than 60 HU; fibrous tissue from 60 to 130 HU; calcification greater than 130 HU, and plaque volumes of each component were calculated. Each carotid artery was analyzed by 2 observers. RESULTS: The prevalence of CMBs was 35.3%. A statistically significant difference was observed between symptomatic (40%) and asymptomatic (11%) patients (P value = .001; OR = 6.07). Linear regression analysis demonstrated an association between the number of CMBs and the symptoms (P = .0018). Receiver operating characteristics curve analysis found an association between the carotid plaque subcomponents and CMBs (Az = .608, .621, and .615 for calcified, lipid, and mixed components, respectively), and Mann-Whitney test confirmed this association in particular for the lipid components (P value = .0267). CONCLUSIONS: Results of this study confirm the association between CMBs and symptoms and that there is an increased number of CMBs in symptomatic patients. Moreover, we found that an increased volume of the fatty component is associated with the presence and number of CMBs.

Volumetric analysis of carotid plaque components and cerebral microbleeds: a correlative study / Saba, Luca; Sanfilippo, Roberto; Di Martino, Michele; Porcu, Michele; Montisci, Roberto; Lucatelli, Pierleone; Anzidei, Michele; Francone, Marco; Suri, Jasjit S.. - In: JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES. - ISSN 1052-3057. - 26:3(2017), pp. 552-558. [10.1016/j.jstrokecerebrovasdis.2016.11.123]

Volumetric analysis of carotid plaque components and cerebral microbleeds: a correlative study

DI MARTINO, MICHELE;LUCATELLI, PIERLEONE;ANZIDEI, MICHELE;FRANCONE, MARCO
Penultimo
;
2017

Abstract

PURPOSE: The purpose of this work was to explore the association between carotid plaque volume (total and the subcomponents) and cerebral microbleeds (CMBs). MATERIALS AND METHODS: Seventy-two consecutive (male 53; median age 64) patients were retrospectively analyzed. Carotid arteries were studied by using a 16-detector-row computed tomography scanner whereas brain was explored with a 1.5 Tesla system. CMBs were studied using a T2*-weighted gradient-recalled echo sequence. CMBs were classified as from absent (grade 1) to severe (grade 4). Component types of the carotid plaque were defined according to the following Hounsfield unit (HU) ranges: lipid less than 60 HU; fibrous tissue from 60 to 130 HU; calcification greater than 130 HU, and plaque volumes of each component were calculated. Each carotid artery was analyzed by 2 observers. RESULTS: The prevalence of CMBs was 35.3%. A statistically significant difference was observed between symptomatic (40%) and asymptomatic (11%) patients (P value = .001; OR = 6.07). Linear regression analysis demonstrated an association between the number of CMBs and the symptoms (P = .0018). Receiver operating characteristics curve analysis found an association between the carotid plaque subcomponents and CMBs (Az = .608, .621, and .615 for calcified, lipid, and mixed components, respectively), and Mann-Whitney test confirmed this association in particular for the lipid components (P value = .0267). CONCLUSIONS: Results of this study confirm the association between CMBs and symptoms and that there is an increased number of CMBs in symptomatic patients. Moreover, we found that an increased volume of the fatty component is associated with the presence and number of CMBs.
2017
carotid artery plaque; cerebral microbleeds; CTA; MRI; surgery; rehabilitation; neurology (clinical); cardiology and cardiovascular medicine
01 Pubblicazione su rivista::01a Articolo in rivista
Volumetric analysis of carotid plaque components and cerebral microbleeds: a correlative study / Saba, Luca; Sanfilippo, Roberto; Di Martino, Michele; Porcu, Michele; Montisci, Roberto; Lucatelli, Pierleone; Anzidei, Michele; Francone, Marco; Suri, Jasjit S.. - In: JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES. - ISSN 1052-3057. - 26:3(2017), pp. 552-558. [10.1016/j.jstrokecerebrovasdis.2016.11.123]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/964652
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