Ultraschall Med 2019; 40(04): 517
DOI: 10.1055/a-0890-4900
Letter to the Editor
© Georg Thieme Verlag KG Stuttgart · New York

Authors’ Response to Letter: Validation of Multiparametric Ultrasonography Criteria with Digital Subtraction Angiography in Carotid Artery Disease: A Prospective Multicenter Study

Kristian Barlinn
1  Department of Neurology, University Hospital Carl Gustav Carus, Dresden, Germany
Georg Gahn
2  Department of Neurology, Municipal Hospital Karlsruhe gGmbH, Karlsruhe, Germany
Christos Krogias
3  Department of Neurology, St. Josef Hospital, Ruhr University Bochum, Germany
Harald Mudra
4  Department of Cardiology, Klinikum Muenchen-Neuperlach, Munich, Germany
Andrei V. Alexandrov
5  Department of Neurology, The University of Tennessee Health Science Center, Memphis, United States
Norbert Weiss
6  Center for Vascular Medicine and Department of Medicine III, Division of Angiology
Volker Puetz
1  Department of Neurology, University Hospital Carl Gustav Carus, Dresden, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
25 June 2019 (online)

We thank Prof. von Reutern for commenting on our article on the prospective multicenter validation of the revised DEGUM ultrasound criteria for carotid artery stenosis grading [1] [2]. We would like to emphasize that our study was not meant to evaluate the ultrasound modality per se, but rather the revised and widely used multiparametric DEGUM approach for ultrasound grading of carotid artery disease as many other approaches have been validated before [3]. Any diagnostic approach adopted by an ultrasound laboratory has to undergo validation [4], especially when it is regularly used for treatment decisions in carotid artery disease. We agree that technological progress in the last decades and improved understanding of hemodynamics have facilitated the assessment of carotid artery disease. However, this alone does not supersede its scientific validation.