AustralieFrV1, Main, Exploration, bibRecord, 006C80

Carotid intima-media and adventitial thickening: Comparison of new and established ultrasound and magnetic resonance imaging techniques

Identifieur interne : 006C80 ( Main/Exploration ); précédent : 006C79; suivant : 006C81

Carotid intima-media and adventitial thickening: Comparison of new and established ultrasound and magnetic resonance imaging techniques

Auteurs : Michael R. Skilton [Australie, France] ; Loic Boussel [France] ; Fabrice Bonnet [France] ; Sophie Bernard [France] ; Philippe Charles Douek [France] ; Philippe Moulin [France] ; Andre Serusclat [France]

Source :

Atherosclerosis [ 0021-9150 ] ; 2011.

RBID : Pascal:11-0197735

Descripteurs français

Pascal (Inist)
- Athérosclérose, Pathologie de l'appareil circulatoire, Carotide, Epaississement, Etude comparative, Imagerie ultrasonore, Imagerie RMN, Ultrason, Résonance magnétique, Adventice.

English descriptors

KwdEn :
- Adventitia, Atherosclerosis, Cardiovascular disease, Carotid, Comparative study, Magnetic resonance, Nuclear magnetic resonance imaging, Thickening, Ultrasound, Ultrasound imaging.

Abstract

Objective: Carotid intima-media thickness is a well established non-invasive surrogate marker of cardiovascular disease, however there is evidence that structural modification of the arterial adventitia also accompanies cardiovascular risk factors and might be involved causally in atherosclerosis. We sought to determine the relative contributions of the intima-media and adventitia to variation in ultrasound and magnetic resonance derived measures of carotid wall thickness. Methods: Carotid ultrasound and magnetic resonance imaging were undertaken in 20 participants. Carotid intima-media thickness, carotid extra-media thickness (which incorporates the arterial adventitia) and total wall thickness (a combined near-wall intima-media thickness and carotid extra-media thickness) using high-resolution ultrasound, and wall thickness using magnetic resonance imaging, were obtained. Results: All ultrasound-derived measures of the arterial wall thickness were highly correlated with wall thickness by magnetic resonance imaging (all P< 0.001); as expected the total wall thickness by ultrasound measure was most tightly correlated (correlation coefficient ₌ 0.814, P< 0.0001). In multivariable models, there was evidence that both carotid intima-media thickness and carotid extra-media thickness contributed independently to the variance in wall thickness by magnetic resonance imaging, especially for the most severe focal thickening. Measures of carotid wall thickness that incorporated all three layers of the arterial wall were more closely correlated with the number of cardiovascular risk factors than carotid intima-media thickness alone. Conclusions: These results indicate that the arterial adventitia is an important contributor to the wall thickness measure derived by magnetic resonance imaging, and that carotid extra-media thickness likely provides additional information concerning arterial structure than that obtained from carotid intima-media thickness alone.

Affiliations:

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<series><title level="j" type="main">Atherosclerosis</title>
<title level="j" type="abbreviated">Atherosclerosis</title>
<idno type="ISSN">0021-9150</idno>
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<seriesStmt><title level="j" type="main">Atherosclerosis</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adventitia</term>
<term>Atherosclerosis</term>
<term>Cardiovascular disease</term>
<term>Carotid</term>
<term>Comparative study</term>
<term>Magnetic resonance</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Thickening</term>
<term>Ultrasound</term>
<term>Ultrasound imaging</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Athérosclérose</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Carotide</term>
<term>Epaississement</term>
<term>Etude comparative</term>
<term>Imagerie ultrasonore</term>
<term>Imagerie RMN</term>
<term>Ultrason</term>
<term>Résonance magnétique</term>
<term>Adventice</term>
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<front><div type="abstract" xml:lang="en">Objective: Carotid intima-media thickness is a well established non-invasive surrogate marker of cardiovascular disease, however there is evidence that structural modification of the arterial adventitia also accompanies cardiovascular risk factors and might be involved causally in atherosclerosis. We sought to determine the relative contributions of the intima-media and adventitia to variation in ultrasound and magnetic resonance derived measures of carotid wall thickness. Methods: Carotid ultrasound and magnetic resonance imaging were undertaken in 20 participants. Carotid intima-media thickness, carotid extra-media thickness (which incorporates the arterial adventitia) and total wall thickness (a combined near-wall intima-media thickness and carotid extra-media thickness) using high-resolution ultrasound, and wall thickness using magnetic resonance imaging, were obtained. Results: All ultrasound-derived measures of the arterial wall thickness were highly correlated with wall thickness by magnetic resonance imaging (all P< 0.001); as expected the total wall thickness by ultrasound measure was most tightly correlated (correlation coefficient <sub>=</sub>
 0.814, P< 0.0001). In multivariable models, there was evidence that both carotid intima-media thickness and carotid extra-media thickness contributed independently to the variance in wall thickness by magnetic resonance imaging, especially for the most severe focal thickening. Measures of carotid wall thickness that incorporated all three layers of the arterial wall were more closely correlated with the number of cardiovascular risk factors than carotid intima-media thickness alone. Conclusions: These results indicate that the arterial adventitia is an important contributor to the wall thickness measure derived by magnetic resonance imaging, and that carotid extra-media thickness likely provides additional information concerning arterial structure than that obtained from carotid intima-media thickness alone.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
<li>Région Bretagne</li>
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<li>Rennes</li>
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<orgName><li>Université Claude Bernard Lyon 1</li>
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<country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Skilton, Michael R" sort="Skilton, Michael R" uniqKey="Skilton M" first="Michael R." last="Skilton">Michael R. Skilton</name>
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<name sortKey="Bernard, Sophie" sort="Bernard, Sophie" uniqKey="Bernard S" first="Sophie" last="Bernard">Sophie Bernard</name>
<name sortKey="Bernard, Sophie" sort="Bernard, Sophie" uniqKey="Bernard S" first="Sophie" last="Bernard">Sophie Bernard</name>
<name sortKey="Bonnet, Fabrice" sort="Bonnet, Fabrice" uniqKey="Bonnet F" first="Fabrice" last="Bonnet">Fabrice Bonnet</name>
<name sortKey="Bonnet, Fabrice" sort="Bonnet, Fabrice" uniqKey="Bonnet F" first="Fabrice" last="Bonnet">Fabrice Bonnet</name>
<name sortKey="Bonnet, Fabrice" sort="Bonnet, Fabrice" uniqKey="Bonnet F" first="Fabrice" last="Bonnet">Fabrice Bonnet</name>
<name sortKey="Boussel, Loic" sort="Boussel, Loic" uniqKey="Boussel L" first="Loic" last="Boussel">Loic Boussel</name>
<name sortKey="Charles Douek, Philippe" sort="Charles Douek, Philippe" uniqKey="Charles Douek P" first="Philippe" last="Charles Douek">Philippe Charles Douek</name>
<name sortKey="Moulin, Philippe" sort="Moulin, Philippe" uniqKey="Moulin P" first="Philippe" last="Moulin">Philippe Moulin</name>
<name sortKey="Moulin, Philippe" sort="Moulin, Philippe" uniqKey="Moulin P" first="Philippe" last="Moulin">Philippe Moulin</name>
<name sortKey="Serusclat, Andre" sort="Serusclat, Andre" uniqKey="Serusclat A" first="Andre" last="Serusclat">Andre Serusclat</name>
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   |texte=   Carotid intima-media and adventitial thickening: Comparison of new and established ultrasound and magnetic resonance imaging techniques
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	Serveur d'exploration sur les relations entre la France et l'Australie
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Serveur d'exploration sur les relations entre la France et l'Australie

Carotid intima-media and adventitial thickening: Comparison of new and established ultrasound and magnetic resonance imaging techniques

Carotid intima-media and adventitial thickening: Comparison of new and established ultrasound and magnetic resonance imaging techniques

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