USEFULNESS OF 3-DIMENSIONAL TIME-OF-FLIGHT MR-ANGIOGRAPHY FOR EVALUATION OF CAROTID-ARTERY BIFURCATION STENOSIS

被引:14
作者
UEHARA, T [1 ]
TABUCHI, M [1 ]
OHSUMI, Y [1 ]
YONEDA, Y [1 ]
MORI, E [1 ]
机构
[1] HYOGO INST AGING BRAIN & COGNIT DISORDERS,DEPT CLIN NEUROSCI,HIMEJI,HYOGO,JAPAN
关键词
MAGNETIC RESONANCE ANGIOGRAPHY; ANGIOGRAPHY; CEREBROVASCULAR DISEASE; CAROTID ARTERY STENOSIS; DIAGNOSIS;
D O I
10.1159/000107852
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We evaluated the usefulness of three-dimensional time-of-flight magnetic resonance angiography (3-D TOF MRA) in the estimation of carotid artery bifurcation stenosis by comparing it with conventional angiography in 81 vessels of 44 patients with cerebrovascular ischemic diseases. Agreement of interpretation on 3-D TOF MRA between two observers was equivalent to that on conventional angiography, indicating that both modalities were similarly reliable. A high correlation between MRA and conventional angiography assessments was apparent (Spearman rank correlation coefficients = 0.96, p = 0.0001). Calculating sensitivity and specificity of MRA for each cutoff point of severity, sensitivity ranged from 93.8 to 100%, and specificity from 96.1 to 98.5%. The only limitation of 3-D TOF MRA was that severe stenosis often mimicked occlusion. We concluded that 3-D TOF MRA is useful for evaluation of narrowing of carotid artery bifurcation.
引用
收藏
页码:199 / 203
页数:5
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