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Calcifications in the neck region of patients with carotid artery stenosis: a computed tomography angiography study of topographic anatomy
Umeå University, Faculty of Medicine, Department of Odontology.
Umeå University, Faculty of Medicine, Department of Odontology.
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0003-1320-4400
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Medicine.ORCID iD: 0000-0001-5317-4563
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2020 (English)In: Oral surgery, oral medicine, oral pathology and oral radiology, ISSN 2212-4403, E-ISSN 2212-4411, Vol. 129, no 5, p. 523-530Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this study was to map the vertical locations of calcified carotid plaques (CCPs), osseous anatomic structures, and calcified soft tissues in the area of the carotid artery, determine to what extent CCPs are superimposed on the cervical spine in coronal images, and analyze the differences between men and women.

Study Design: Computed tomography angiography (CTA) scans of 79 patients were studied. CCPs were discovered in 152 of the total 158 neck sides. Evaluations were performed by using sagittal and coronal reformatted CTA images with maximum intensity projection.

Results: Most of the calcified anatomic structures studied, including the carotid bifurcation, were found in close relationship to the level of the third and fourth cervical vertebrae. In the coronal view, all or most of the areas of the CCPs were superimposed on the cervical spine in 22 of 44 (50%) neck sides with CCP in women and in 37 of 108 (34.2%) in men (P = .070).

Conclusions: The carotid bifurcation is in close proximity to various calcified anatomic structures. This should be taken into account when diagnosing CCPs in panoramic radiographs. In the coronal view, CCPs and the cervical spine are often superimposed; thus, coronal images are not recommended for confirmation of putative carotid calcifications diagnosed on the basis of panoramic radiographs.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 129, no 5, p. 523-530
National Category
Dentistry Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:umu:diva-171282DOI: 10.1016/j.oooo.2019.09.018ISI: 000533604300016PubMedID: 31932251Scopus ID: 2-s2.0-85077678229OAI: oai:DiVA.org:umu-171282DiVA, id: diva2:1433572
Available from: 2020-05-31 Created: 2020-05-31 Last updated: 2023-03-24Bibliographically approved

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Barut, OyaAhlqvist, JanGaroff, MariaJohansson, EliasJohansson, MagnusWester, PerLevring Jäghagen, Eva

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Barut, OyaAhlqvist, JanGaroff, MariaJohansson, EliasJohansson, MagnusWester, PerLevring Jäghagen, Eva
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Department of OdontologyClinical NeuroscienceSection of Medicine
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Oral surgery, oral medicine, oral pathology and oral radiology
DentistryRadiology, Nuclear Medicine and Medical Imaging

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