title: Site-specific progression of carotid artery intimal-medial thickness.
abstract: OBJECTIVE
  To characterize the intercorrelation of changes in intimal-medial thickness (IMT) among carotid artery sites and examine the influence of diabetes and sex on these correlations.
  
  
  METHODS
  Ultrasonographic IMT measurements from the near and far walls of common and internal segments in the arteries of 1207 participants of the Insulin Resistance Atherosclerosis Study (IRAS) were analyzed to estimate the underlying correlations of IMT changes (average of 5.2 years) among artery sites after correction for measurement error.
  
  
  RESULTS
  Differences in IMT progression associated with diabetes and sex were evident at all sites. IMT changes were strongly correlated between left and right arteries (r=0.32-0.73) and near and far walls (r=0.42-0.87). Correlations of IMT changes at corresponding sites of internal versus common segments were reduced from r=0.32 among normal individuals to r=0.09 among those with diabetes, but were similar for women and men.
  
  
  CONCLUSIONS
  IMT progression is a diffuse process involving all carotid artery sites. Diabetes does not influence the bilateral and radial nature of progression, but reduces the correlation between distal sites within an artery. Pooling measurements across arteries and walls often yields the most efficient analyses.
authors.affiliation: Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. mesplan@wfubmc.edu
authors.forename: Mark A
authors.initials: MA
authors.lastname: Espeland
authors.forename: Greg W
authors.initials: GW
authors.lastname: Evans
authors.forename: Lynne E
authors.initials: LE
authors.lastname: Wagenknecht
authors.forename: Daniel H
authors.initials: DH
authors.lastname: O'Leary
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Zaccaro
authors.forename: J Robin
authors.initials: JR
authors.lastname: Crouse
authors.forename: George
authors.initials: G
authors.lastname: Howard
authors.forename: Steven M
authors.initials: SM
authors.lastname: Haffner
mesh_terms: D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000473:pathology*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D005951:Glucose Tolerance Test; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology; D008297:Male; D012737:Sex Factors; D013223:Statistics as Topic; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology*; D018084:Ultrasonography, Interventional