Shear Wave Elastography for Carotid Atherosclerotic Plaques
NCT06214429 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 43
Last updated 2025-04-06
Summary
The goal of this prospective diagnostic accuracy cohort study is to compare the accuracy of carotid atherosclerotic plaques stiffness assessed by shear wave elastography (SWE) with greyscale median values (GSM), magnetic resonance imaging (MRI) and histopathological findings in patients with carotid atherosclerotic plaques causing stenosis above 50%, symptomatic or not.
The main question it aims to answer is: is the plaque stiffness correlatable with GSM values, MRI findings or histopathological findings? Participants will be subjected to a vascular ultrasound study in which the SWE and GSM will be assessed. The second imaging modality for stenosis confirmation will be MRI and patients with confirmed symptomatic stenosis above 50% or assymptomatic stenosis above 70% will be considered for surgery intervention (endarterectomy or angioplasty). Patients that undergo endarterectomy will have the carotid plaques subjected to a histopathological study. The study will not arbitrate about the treatment decision.
Conditions
- Carotid Atherosclerosis
Interventions
- DIAGNOSTIC_TEST
-
Vascular Ultrasound
Complete vascular ultrasound routine in B mode, color mode and Doppler.
- DIAGNOSTIC_TEST
-
Shear Wave Elastography
Vascular ultrasound assisted shear wave elastography of the atherosclerotic plaque.
- DIAGNOSTIC_TEST
-
Greyscale Median
Vascular ultrasound assisted assessment of the plaque in B mode. The plaque image will be post-processed for the histogram median value for the plaque area.
- DIAGNOSTIC_TEST
-
Magnetic Resonance Imaging
Assessment of the plaque and carotid residual lumen by magnetic resonance.
- DIAGNOSTIC_TEST
-
Histopathology
Histopathology findings for patients that undergo carotid endarterectomy.
Sponsors & Collaborators
-
UPECLIN HC FM Botucatu Unesp
lead OTHER
Principal Investigators
-
Matheus Bertanha, Ph.D. · São Paulo State University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-03-01
- Primary Completion
- 2025-06-30
- Completion
- 2025-12-31
Countries
- Brazil
Study Locations
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