High resolution B-mode
ultrasound images of the
common carotid artery are obtained with an
ultrasound transducer using a standardized methodology. Subjects are supine with the head counter-rotated 45 degrees using a head pillow. The
jugular vein and carotid
artery are located and positioned in a vertical stacked orientation. The
transducer is rotated 90 degrees around the centerline of the transverse image of the stacked structure to obtain a longitudinal image while maintaining the vessels in a stacked position. A computerized methodology assists operators to accurately replicate images obtained over several spaced-apart examinations. The methodology utilizes a split-screen display in which the arterial
ultrasound image from an earlier examination is displayed on one side of the screen while a real-time "live"
ultrasound image from a current examination is displayed next to the earlier image on the opposite side of the screen. By viewing both images, whether simultaneously or alternately, while manually adjusting the ultrasound
transducer, an operator is able to bring into view the real-time image that best matches a selected image from the earlier ultrasound examination. Utilizing this methodology, measurement of vascular dimensions such as carotid arterial IMT and
diameter, the
coefficient of variation is substantially reduced to values approximating from about 1.0% to about 1.25%. All images contain anatomical landmarks for reproducing probe angulation, including
visualization of the carotid
bulb, stacking of the
jugular vein above the carotid
artery, and initial
instrumentation settings, used at a baseline measurement are maintained during all follow-up examinations.