The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening

Carotid ultrasound is a widely utilized, non-invasive diagnostic tool primarily performed to detect significant carotid artery stenosis, and thus, to prevent cerebrovascular events using primary and secondary prevention strategies, while also serving as an important measure of future cardiovascular...

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Main Author: Hyangkyoung Kim
Format: Article
Language:English
Published: The Korean Surgical Ultrasound Society 2025-05-01
Series:Journal of Surgical Ultrasound
Subjects:
Online Access:http://www.jsu.or.kr/journal/view.html?doi=10.46268/jsu.2025.12.1.1
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author Hyangkyoung Kim
author_facet Hyangkyoung Kim
author_sort Hyangkyoung Kim
collection DOAJ
description Carotid ultrasound is a widely utilized, non-invasive diagnostic tool primarily performed to detect significant carotid artery stenosis, and thus, to prevent cerebrovascular events using primary and secondary prevention strategies, while also serving as an important measure of future cardiovascular risk. This imaging modality is particularly valuable for identifying asymptomatic individuals with high-grade stenosis who might benefit from timely medical or surgical intervention to reduce the risk of ischemic stroke. Carotid ultrasound provides critical information on systemic atherosclerosis and prognostic information relevant to overall cardiovascular health. In addition, carotid intima-media thickness (CIMT) is considered a reliable marker for assessing subclinical atherosclerosis and stratifying cardiovascular risk, and high-resolution ultrasound CIMT measurements enable the early detection of atherosclerotic changes, even in individuals without overt clinical symptoms. This review explores the multifaceted utility of carotid ultrasound, emphasizes its roles for primary prevention in high-risk populations and secondary prevention in patients with established cardiovascular disease, and its broader application for CIMT-based cardiovascular risk stratification.
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spelling doaj-art-d2d46e60327f4cf7bb4840e4166562ae2025-08-20T03:22:22ZengThe Korean Surgical Ultrasound SocietyJournal of Surgical Ultrasound2288-91402025-05-011211610.46268/jsu.2025.12.1.1jsu.2025.12.1.1The Role of Carotid Intima-Media Thickness in Carotid Ultrasound ScreeningHyangkyoung Kim0Department of Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, KoreaCarotid ultrasound is a widely utilized, non-invasive diagnostic tool primarily performed to detect significant carotid artery stenosis, and thus, to prevent cerebrovascular events using primary and secondary prevention strategies, while also serving as an important measure of future cardiovascular risk. This imaging modality is particularly valuable for identifying asymptomatic individuals with high-grade stenosis who might benefit from timely medical or surgical intervention to reduce the risk of ischemic stroke. Carotid ultrasound provides critical information on systemic atherosclerosis and prognostic information relevant to overall cardiovascular health. In addition, carotid intima-media thickness (CIMT) is considered a reliable marker for assessing subclinical atherosclerosis and stratifying cardiovascular risk, and high-resolution ultrasound CIMT measurements enable the early detection of atherosclerotic changes, even in individuals without overt clinical symptoms. This review explores the multifaceted utility of carotid ultrasound, emphasizes its roles for primary prevention in high-risk populations and secondary prevention in patients with established cardiovascular disease, and its broader application for CIMT-based cardiovascular risk stratification.http://www.jsu.or.kr/journal/view.html?doi=10.46268/jsu.2025.12.1.1carotid ultrasoundcarotid intima-media thicknessatherosclerosiscardiovascular risk assessment
spellingShingle Hyangkyoung Kim
The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening
Journal of Surgical Ultrasound
carotid ultrasound
carotid intima-media thickness
atherosclerosis
cardiovascular risk assessment
title The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening
title_full The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening
title_fullStr The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening
title_full_unstemmed The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening
title_short The Role of Carotid Intima-Media Thickness in Carotid Ultrasound Screening
title_sort role of carotid intima media thickness in carotid ultrasound screening
topic carotid ultrasound
carotid intima-media thickness
atherosclerosis
cardiovascular risk assessment
url http://www.jsu.or.kr/journal/view.html?doi=10.46268/jsu.2025.12.1.1
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