Evidence map›Paper›PMID 34181190›Full record

Trial reportTranslational stroke research2022

Carotid Plaque Vulnerability Assessed by Combined Shear Wave Elastography and Ultrafast Doppler Compared to Histology.

Guillaume Goudot, Jonas Sitruk, Anatole Jimenez, Pierre Julia, Lina Khider, Jean-Marc Alsac, Salma El Batti, Patrick Bruneval, Kisaki Amemyia, Olivier Pedreira and 6 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Translational stroke research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03234257 (Evaluation of the Carotid Plaque Stability by Ultrafast-ultrasound Imaging), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

NCT03234257 nacompletednot on this map

Evaluation of the Carotid Plaque Stability by Ultrafast-ultrasound Imaging (UF)

TypeinterventionalSponsorFrench Cardiology SocietyRan2017 to 2020Enrolled69ConditionsCarotid StenosisArmsUF-ultrasound
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Observational
  6. Article
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  14. Review
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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

16 authors at 3 institutions in 1 country.

Guillaume GoudotVascular Medicine Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France. guillaume.goudot@aphp.fr.ORCID 0000-0003-4327-5568
Jonas SitrukVascular Medicine Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Anatole JimenezPhysics for Medicine Paris, INSERM U1273, ESPCI Paris, CNRS FRE 2031, PSL Research University, Paris, France.
Pierre JuliaVascular Surgery Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Lina KhiderVascular Medicine Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Jean-Marc AlsacVascular Surgery Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Salma El BattiVascular Surgery Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Patrick BrunevalPathology Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Kisaki AmemyiaPathology Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Olivier PedreiraPhysics for Medicine Paris, INSERM U1273, ESPCI Paris, CNRS FRE 2031, PSL Research University, Paris, France.
Hélène MorteletteVascular Medicine Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
David CalvetDepartment of Neurology and Stroke Unit, Sainte-Anne Hospital, GHU Paris Psychiatrie Et Neurosciences, INSERM 1266, Institut de Psychiatrie Et Neurosciences de Paris, DHU Neurovasc, Paris University, Paris, France.
Mickaël TanterPhysics for Medicine Paris, INSERM U1273, ESPCI Paris, CNRS FRE 2031, PSL Research University, Paris, France.
Tristan MiraultVascular Medicine Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Mathieu PernotPhysics for Medicine Paris, INSERM U1273, ESPCI Paris, CNRS FRE 2031, PSL Research University, Paris, France.
Emmanuel MessasVascular Medicine Department, Georges Pompidou European Hospital, APHP, Paris University, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ultrafast ultrasound imaging (UUI) provides an estimation of carotid plaque stiffness by shear wave elastography (SWE) and the quantification of wall shear stress (WSS) by ultrafast Doppler. We aimed to evaluate the combined criteria of plaque stiffness and WSS applied on the plaque as potential biomarkers of plaque vulnerability assessed by histology. We included patients for whom carotid endarterectomy had been decided by a multidisciplinary team. UUI was performed within 48 h before surgery, and acquisitions were obtained on a carotid longitudinal view. After endarterectomy, gross examination and histological analysis were performed on each removed plaque. Forty-six plaques with SWE data and 29 with WSS data were analyzed. Histological analysis revealed 29 vulnerable and 17 stable plaques. Gray-scale median analysis by B-mode, mean, and standard deviation of stiffness by SWE did not differ between vulnerable and stable plaques. SWE analysis revealed that the percentage of stiffness range of 3-5 m/s was significantly increased in vulnerable plaques (p = 0.048). WSS alone showed no difference between stable and vulnerable plaques regardless of the segment of the plaque which was analyzed. A multiparametric score using maximal WSS at the peak of the plaque associated with SWE texture analysis parameters was calculated by stepwise regression, leading to a score with a sensitivity of 80% and a specificity of 78%. Area under the receiver operating characteristics curve was 0.85. A multiparameter scoring system including plaque stiffness and flow analysis using UUI allows to effectively identify histologically vulnerable carotid plaques. ClinicalTrials.gov Identifier: NCT03234257.

Indexed as

Carotid StenosisElasticity Imaging TechniquesEndarterectomy, CarotidPlaque, AtheroscleroticCarotid ArteriesHumansCarotid plaqueShear wave elastographyUltrasoundWall shear stress

Identifiers

PMID34181190
OpenAlexW3175641994

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.