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. 2019 Feb 15;101(3):141–149. doi: 10.1308/rcsann.2019.0010

Table 6.

Comparison of computed tomography carotid angiography compared with duplex ultrasound – sensitivity and specificity

Criteria Weighted mean (%) Studies (n) Carotids (n)
Sensitivity Specificity
CTA – NASCET > 70% stenosis 88.9 92.4 17 1882
CTA – NASCET > 70% stenosisa 90.6 93 9 1245
CTA – NASCET > 50% stenosis 81.7 85.6 6 770
Duplex – PSV > 50% stenosis 85.1 86.4 8 3271
Duplex – PSV > 70% stenosis 85.8 84.5 20 3329
Duplex – PSV > 70% stenosisb 86.5 87.8 12 2223
Duplex – PSV > 70% stenosisa,c 92.3 89 4 857
Duplex – EDV > 70% stenosis 91.7 72 3 436
Duplex – EDV + PSV > 70% stenosis 97.3 94.2 4 1337
Duplex – EDV + PSV > 70% stenosisa 98.7 94.1 3 1245

a Gold standard.

b Non-consensus and consensus.

c Consensus only.

EDV, end diastolic velocity; NASCET, North American Symptomatic Carotid Endarterectomy Trial; PSV, peak systolic velocity.