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.