[The comparative information value of radiodiagnostic methods in the detection of stenosing lesions of the major arteries of the head].
To define the comparative informative value of different radiation diagnostic techniques, such as transcranial Doppler study (TCDS), duplex scanning (DS) of the great arteries of the head, magnetic resonance angiography (MRA) of vessels of the vessels of Willis and great arteries of the head, digital subtraction angiography (DSA), the authors analyze the results of examination of 15 patients with stenotic lesions of common carotid bifurcations and upper segments of inferior carotids. A full agreement of DSA and MRA findings was revealed in 6 patients; of them 5 and 1 patients had inferior carotid occlusion and subocclusion, respectively. There was mainly a discordance of data on lesion re-evaluation in < 90-99% (MRA revealed a complete lack of blood flow) and < 70% stenosis (changes were estimated as physiological turbulence in the bulb of the inferior carotid while analyzing MR images). A combination of MRA and DS of the great arteries of the head for diagnosis the presence and extent of stenosis and TCDS for evaluation of the activation of collateral circulatory pathways and a cerebrovascular reserve may virtually replace DSA which must probably be used only when the data obtained by different methods.
Ana'eva
N I
NI
Borisov
A V
AV
Golikov
K V
KV
D000368:Aged; D015901:Angiography, Digital Subtraction; D002545:Brain Ischemia / Q000175:diagnosis*; D002533:Cerebral Angiography / Q000295:instrumentation / Q000379:methods*; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D017585:Ultrasonography, Doppler, Transcranial / Q000295:instrumentation / Q000379:methods*