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Consensus panel grayscale and Doppler US criteria for diagnosis of ICA stenosis

Consensus panel grayscale and Doppler US criteria for diagnosis of ICA stenosis
Degree of stenosis (%) Primary parameters Additional parameters
ICA PSV (cm/sec) Plaque estimate (%)* ICA/CCA PSV ratio ICA EDV (cm/sec)
Normal <125 None <2.0 <40
<50 <125 <50 <2.0 <40
50 to 69 125 to 230 ≥50 2.0 to 4.0 40 to 100
≥70 but less than near occlusion >230 ≥50 >4.0 >100
Near occlusion High, low, or undetectable Visible Variable Variable
Total occlusion Undetectable Visible, no detectable lumen Not applicable Not applicable

CCA: common carotid artery; EDV: end diastolic velocity; ICA: internal carotid artery; PSV: peak systolic velocity; US: ultrasound.

* Plaque estimate (diameter reduction) with grayscale and color Doppler US.
Reproduced with permission from: Grant EG, Benson CB, Moneta GL, et al. Carotid artery stenosis: Grayscale and Doppler ultrasound diagnosis—Society of Radiologists in Ultrasound Consensus Conference. Ultrasound Q 2003; 19(4):190-8. Copyright © 2003 Wolters Kluwer Health, Inc. https://journals.lww.com/ultrasound-quarterly/pages/default.aspx.
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