Improving imaging to optimize screening strategies for carotid artery stenosis.
Carotid stenosis is a major risk factor for ischemic stroke. Recently, the United States Preventive Services Task Force issued a recommendation against screening for carotid stenosis in the general population. There is the potential for efficient risk-stratifying or staged screening approaches that identify individuals at highest risk for carotid stenosis and stroke, but these tools have yet to be proven effective in external validation studies. In this paper, we review how medical imaging can be used to detect carotid stenosis and highlight several areas that could be improved to identify potentially efficient screening strategies for carotid stenosis.
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: anpandya@hsph.harvard.edu.
Ankur
A
Pandya
Department of Radiology, Weill Cornell Medical College, New York, NY, USA; Feil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY USA.
Ajay
A
Gupta
D016893:Carotid Stenosis / Q000175:diagnosis*; D003952:Diagnostic Imaging / Q000592:standards*; D006801:Humans; D058996:Quality Improvement; D018570:Risk Assessment; D012307:Risk Factors
Carotid stenosis; Risk stratification; Screening; Stroke