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Shear Wave Elastography for the Assessment of Carotid Plaque Vulnerability: A Systematic Review.

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Title: Shear Wave Elastography for the Assessment of Carotid Plaque Vulnerability: A Systematic Review.
Authors: Mbroh, Joshua (AUTHOR), Tünnerhoff, Johannes (AUTHOR), Poli, Khouloud (AUTHOR), Bender, Benjamin (AUTHOR), Schwarz, Patricia (AUTHOR), Mengel, Annerose (AUTHOR), Gomez-Exposito, Alexandra (AUTHOR), Kowarik, Markus (AUTHOR), Feil, Katharina (AUTHOR), Wisslicen, Marco (AUTHOR), Wang, Yi (AUTHOR), Ernemann, Ulrike (AUTHOR), Ziemann, Ulf (AUTHOR), Poli, Sven (AUTHOR)
Source: Acta Neurologica Scandinavica. 5/11/2023, p1-13. 13p.
Subjects: Atherosclerotic plaque, Acoustic radiation force impulse imaging, Shear waves, Carotid artery diseases, Carotid artery stenosis, Young's modulus
Abstract: Evidence for the management of asymptomatic carotid stenosis and possibly symptomatic nonstenosing carotid artery disease is limited. In contrary to calcified plaques, soft plaques are considered vulnerable and prone to rupture. Shear wave elastography (SWE), a novel ultrasound technique which uses acoustic wave force to propagate shear wave in tissues, can quantify tissue stiffness through the estimation of Young's modulus (YM) in kPa or shear wave velocity in meter/second. This systematic review is aimed at evaluating the feasibility of SWE in carotid plaque risk stratification in relation to ischemic stroke (PROSPERO registration: CRD42022309709). 18 studies, obtained via search on PubMed, Cochrane, and Embase from inception until November 1, 2022, assessed SWE's feasibility in carotid plaque risk stratification in humans (13 studies) and phantom models (5 studies). Human studies showed heterogeneity with respect to SWE devices, acquisition settings, and methodology, which consequently reflected in the between-study variability of YM values used for distinguishing vulnerable/symptomatic (27–52 kPa) and stable/asymptomatic (28–115 kPa) carotid plaques. However, within-study assessment of all human studies indicated SWE's feasibility in carotid plaque risk stratification. Furthermore, four out of five carotid plaque phantom studies showed the potential of SWE to discriminate tissues of different stiffness comparable to the carotid vessel wall, soft and hard plaques, and with good reproducibility. SWE may potentially offer a bedside risk stratification tool for identifying patients with vulnerable carotid plaques, who may benefit from carotid surgery, stenting, or prolonged dual antiplatelet therapy. Patients with stable carotid plaques could be spared the risks of potentially harmful treatments and complications. However, available data are not enough to facilitate the immediate clinical application of SWE, and therefore, larger prospective clinical are warranted. [ABSTRACT FROM AUTHOR]
Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Shear Wave Elastography for the Assessment of Carotid Plaque Vulnerability: A Systematic Review.
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  Data: <searchLink fieldCode="AR" term="%22Mbroh%2C+Joshua%22">Mbroh, Joshua</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tünnerhoff%2C+Johannes%22">Tünnerhoff, Johannes</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poli%2C+Khouloud%22">Poli, Khouloud</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bender%2C+Benjamin%22">Bender, Benjamin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schwarz%2C+Patricia%22">Schwarz, Patricia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mengel%2C+Annerose%22">Mengel, Annerose</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gomez-Exposito%2C+Alexandra%22">Gomez-Exposito, Alexandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kowarik%2C+Markus%22">Kowarik, Markus</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Feil%2C+Katharina%22">Feil, Katharina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wisslicen%2C+Marco%22">Wisslicen, Marco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Yi%22">Wang, Yi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ernemann%2C+Ulrike%22">Ernemann, Ulrike</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ziemann%2C+Ulf%22">Ziemann, Ulf</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poli%2C+Sven%22">Poli, Sven</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Neurologica+Scandinavica%22">Acta Neurologica Scandinavica</searchLink>. 5/11/2023, p1-13. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Atherosclerotic+plaque%22">Atherosclerotic plaque</searchLink><br /><searchLink fieldCode="DE" term="%22Acoustic+radiation+force+impulse+imaging%22">Acoustic radiation force impulse imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Shear+waves%22">Shear waves</searchLink><br /><searchLink fieldCode="DE" term="%22Carotid+artery+diseases%22">Carotid artery diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Carotid+artery+stenosis%22">Carotid artery stenosis</searchLink><br /><searchLink fieldCode="DE" term="%22Young's+modulus%22">Young's modulus</searchLink>
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  Data: Evidence for the management of asymptomatic carotid stenosis and possibly symptomatic nonstenosing carotid artery disease is limited. In contrary to calcified plaques, soft plaques are considered vulnerable and prone to rupture. Shear wave elastography (SWE), a novel ultrasound technique which uses acoustic wave force to propagate shear wave in tissues, can quantify tissue stiffness through the estimation of Young's modulus (YM) in kPa or shear wave velocity in meter/second. This systematic review is aimed at evaluating the feasibility of SWE in carotid plaque risk stratification in relation to ischemic stroke (PROSPERO registration: CRD42022309709). 18 studies, obtained via search on PubMed, Cochrane, and Embase from inception until November 1, 2022, assessed SWE's feasibility in carotid plaque risk stratification in humans (13 studies) and phantom models (5 studies). Human studies showed heterogeneity with respect to SWE devices, acquisition settings, and methodology, which consequently reflected in the between-study variability of YM values used for distinguishing vulnerable/symptomatic (27–52 kPa) and stable/asymptomatic (28–115 kPa) carotid plaques. However, within-study assessment of all human studies indicated SWE's feasibility in carotid plaque risk stratification. Furthermore, four out of five carotid plaque phantom studies showed the potential of SWE to discriminate tissues of different stiffness comparable to the carotid vessel wall, soft and hard plaques, and with good reproducibility. SWE may potentially offer a bedside risk stratification tool for identifying patients with vulnerable carotid plaques, who may benefit from carotid surgery, stenting, or prolonged dual antiplatelet therapy. Patients with stable carotid plaques could be spared the risks of potentially harmful treatments and complications. However, available data are not enough to facilitate the immediate clinical application of SWE, and therefore, larger prospective clinical are warranted. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1155/2023/5084699
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      – Code: eng
        Text: English
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        PageCount: 13
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    Subjects:
      – SubjectFull: Atherosclerotic plaque
        Type: general
      – SubjectFull: Acoustic radiation force impulse imaging
        Type: general
      – SubjectFull: Shear waves
        Type: general
      – SubjectFull: Carotid artery diseases
        Type: general
      – SubjectFull: Carotid artery stenosis
        Type: general
      – SubjectFull: Young's modulus
        Type: general
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      – TitleFull: Shear Wave Elastography for the Assessment of Carotid Plaque Vulnerability: A Systematic Review.
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              M: 05
              Text: 5/11/2023
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              Y: 2023
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