Value of transcranial Doppler ultrasound combined with C-shaped arm CT in the clinical prediction of acute ischemic cerebrovascular disease

SUN Xiaoxin; CHEN Jingxia; Du Wenwen; LI Guanglei; GUO Naijiao

doi:10.7619/jcmp.20230410

Journal of Clinical Medicine in Practice > 2023 > 27(21): 135-138. > DOI: 10.7619/jcmp.20230410

SUN Xiaoxin, CHEN Jingxia, Du Wenwen, LI Guanglei, GUO Naijiao. Value of transcranial Doppler ultrasound combined with C-shaped arm CT in the clinical prediction of acute ischemic cerebrovascular disease[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 135-138. DOI: 10.7619/jcmp.20230410

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Value of transcranial Doppler ultrasound combined with C-shaped arm CT in the clinical prediction of acute ischemic cerebrovascular disease

the Third Hospital of Peking University Qinhuangdao Hospital, Qinhuangdao, Hebei, 066000

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Received Date: February 14, 2023
Revised Date: June 27, 2023
Available Online: November 23, 2023

Graphical Abstract

Abstract

Abstract

Objective
To explore the clinical value of transcranial Doppler examination (TCD) combined with C-shaped arm CT technique for prediction of acute ischemic cerebrovascular disease(ICVD) before intervention.
Methods
Fifty-seven patients with acute ICVD were selected as the study objects. When all patients underwent interventional therapy, C-shaped arm CT technology and TCD were used to obtain images, and the examination results were recorded in detail. Digital subtraction angiography (DSA) was used as the "gold standard" to evaluate the clinical value of TCD combined with C-shaped arm CT before acute ICVD interventional therapy.
Results
A total of 613 intracranial and extracranial vessels were detected by DSA in 57 patients with acute ICVD. DSA showed that there were 153 (24.96%) intracranial and extracranial stenosis or occlusion vessels and 460 (75.04%) normal extracranial vessels; compared with DSA gold standard, the positive prediction rate of C-shaped arm CT was 91.16% (134/147), that of TCD was 90.60% (135/149), and that of TCD combined with C-shaped arm CT was 90.42% (151/167). There were no significant differences in positive predictive value, specificity and accuracy between C-shaped arm CT, TCD and TCD combined with C-shaped arm CT (P>0.05); there was no significant difference in the negative predictive value and sensitivity of C-shaped arm CT and TCD (P>0.05); the negative predictive value and sensitivity of TCD combined with C-shaped arm CT were significantly higher than those of the C-shaped arm CT and TCD (P < 0.05).
Conclusion
TCD combined with C-shaped arm CT technology has high clinical value in predicting acute ICVD patients before interventional therapy, and can effectively reduce the rate of missed diagnosis and has high diagnostic efficiency.

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References (19)

References

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Value of transcranial Doppler ultrasound combined with C-shaped arm CT in the clinical prediction of acute ischemic cerebrovascular disease

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