ABSTRACT
Objective To investigate the clinical application of SWI in detecting calcifications of vertebral artery wall.Methods 1 95 patients who accepted craniocerebral CT scans,and MRI scans (includingT1 WI,T2 WI,T2 GFLAIR,SWI)in recent three years in the Affiliated Hospital of Binzhou Medical University were reviewed.Taking CT as a standard,the calcification of intracranial vertebral artery wall was analyzed using conventional MRI and SWI sequences,and their sensitivities and specificities were calculated.Correlations among various imaging modalities were assessed by measuring the maximum diameter of calcifications.Results The sensitivity of SWI was 93%, and the specificity of SWI was 9 9%.The sensitivity of conventional MRI was 3 1%,and the specificity of conventional MRI was 9 1%. The correlation between SWI and CT was R2＝0.77 (0.60－0.89),while the correlation between conventional MRI and CT was R2＝0.22 (0.02－0.80).Conclusion SWI has high sensitivity and specificity in detecting calcification of intracranial vertebral artery wall,and has a good correlation with CT in measuring calcification,which can be a inspection method to detect calcification of intracranial vertebral artery wall.
ABSTRACT
Objective To explore the clinical application value of transcranial Doppler on patients with hyperlipidemia. Methods 80 patients with hyperlipemia and 70 healthy people were studied by transcranial Doppler ultrasound(TCD) of interal carotid artery hemodynamics. Results 57 (71.7%)of the 80 patients with hyperlipemia had arteriosclerosis, and terminal sclerosis happened on 12 patients ( 13.3% ). Compared with the control group, the difference was all statistically significant ( P ＜ 0.05 ). Conclusion Hemodynamics at the terminal of interal carotid artery patients with hyperlipemia was obvious abnormal studied by transcranial Doppler ultrasound (TCD) , and sclerosis of interal carotid artery is common complication of patients with hyperlipemia. Results showed that TCD could be used as a routine method for testing of patients with hyperlipemia and had some value in preventing cerebrovascular disease induced by hyperlipidemia.