Evidence map›Paper›PMID 25619778›Full record

ArticleUltrasound in medicine & biology2015

Non-invasive in vivo characterization of human carotid plaques with acoustic radiation force impulse ultrasound: comparison with histology after endarterectomy.

Tomasz J Czernuszewicz, Jonathon W Homeister, Melissa C Caughey, Mark A Farber, Joseph J Fulton, Peter F Ford, William A Marston, Raghuveer Vallabhaneni, Timothy C Nichols, Caterina M Gallippi

Open access · greenAbstract readComparative Study
In one paragraph

Article in Ultrasound in medicine & biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 71 citations in OpenAlex.

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  8. Deep Convolutional Neural Networks for Displacement Estimation in ARFI Imaging.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2021
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  9. Pulse Wave Imaging Coupled With Vector Flow Mapping: A Phantom, Simulation, and In Vivo Study.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2021
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  20. Delineation of Human Carotid Plaque Features In Vivo by Exploiting Displacement Variance.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2019
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Tomasz J CzernuszewiczJoint Department of Biomedical Engineering, University of North Carolina and North Carolina State University, Chapel Hill, North Carolina, USA.
Jonathon W HomeisterDepartment of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, North Carolina, USA; McAllister Heart Institute, University of North Carolina, Chapel Hill, North Carolina, USA.
Melissa C CaugheyDepartment of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Mark A FarberDepartment of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Joseph J FultonDepartment of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Peter F FordDepartment of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
William A MarstonDepartment of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Raghuveer VallabhaneniDepartment of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Timothy C NicholsDepartment of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, North Carolina, USA; Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Caterina M GallippiMcAllister Heart Institute, University of North Carolina, Chapel Hill, North Carolina, USA; Department of Electrical and Computer Engineering, North Carolina State University, Raleigh, North Carolina, USA; Biomedical Research Imaging Center, University of North Carolina, Chapel Hill, North Carolina, USA. Electronic address: cmgallip@bme.unc.edu.
University of North Carolina at Chapel Hill · USNorth Carolina State University · US

Funding

Pre-doctoral Training Program in Integrative Vascular BiologyT32HL069768 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Christopher P. Mack · 2002 to 2026
$9.7M
Transcutaneous ARFI Ultrasound for Differentiating Carotid Plaque with High Stroke RiskR01HL092944 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GALLIPPI, CATERINA M · 2009 to 2022
$5.5M
DP ARF Ultrasound for Monitoring Muscle Degeneration in Duchenne Muscular DystropR01NS074057 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GALLIPPI, CATERINA M · 2011 to 2015
$2.0M
Independent Scientist: ARFI and RWI Ultrasound for Improved Atherosclerosis ImagiK02HL105659 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GALLIPPI, CATERINA M · 2010 to 2014
$509k
NHLBI NIH HHS K02 HL105659NHLBI NIH HHS R01 HL092944NHLBI NIH HHS T32 HL069768NINDS NIH HHS R01 NS074057
6 · The paper itself

Abstract

Ischemic stroke from thromboembolic sources is linked to carotid artery atherosclerotic disease with a trend toward medical management in asymptomatic patients. Extent of disease is currently diagnosed by non-invasive imaging techniques that measure luminal stenosis, but it has been suggested that a better biomarker for determining risk of future thromboembolic events is plaque morphology and composition. Specifically, plaques that are composed of mechanically soft lipid/necrotic regions covered by thin fibrous caps are the most vulnerable to rupture. An ultrasound technique that non-invasively interrogates the mechanical properties of soft tissue, called acoustic radiation force impulse (ARFI) imaging, has been developed as a new modality for atherosclerotic plaque characterization using phantoms and atherosclerotic pigs, but the technique has yet to be validated in vivo in humans. In this preliminary study, in vivo ARFI imaging is presented in a case study format for four patients undergoing clinically indicated carotid endarterectomy and compared with histology. In two type Va plaques, characterized by lipid/necrotic cores covered by fibrous caps, mean ARFI displacements in focal regions were high relative to the surrounding plaque material, suggesting soft features were covered by stiffer layers within the plaques. In two type Vb plaques, characterized by heavy calcification, mean ARFI peak displacements were low relative to the surrounding plaque and arterial wall, suggesting stiff tissue. This pilot study illustrates the feasibility and challenges of transcutaneous ARFI for characterizing the material and structural composition of carotid atherosclerotic plaques via mechanical properties, in humans, in vivo.

Indexed as

Endarterectomy, CarotidAgedCarotid Artery, InternalCarotid StenosisElasticity Imaging TechniquesFemaleHumansMaleMiddle AgedPlaque, AtheroscleroticPredictive Value of TestsRisk AssessmentRisk FactorsStrokeTreatment OutcomeAcoustic radiation force impulseAtherosclerosisCarotid endarterectomyPlaque characterizationStrokeUltrasound

Identifiers

PMID25619778
PMCPMC4331250
OpenAlexW2030830578

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.