The value of superb microvascular imaging in the diagnosis of cervical artery dissection
- VernacularTitle:超微血管成像技术在颈部动脉夹层诊断中的价值
- Author:
Jinyuan ZHANG
1
;
Wei MA
1
;
Haiou CUI
1
Author Information
- Publication Type:Journal Article
- Keywords: Cervical artery; Dissection; Ultrasonography; Superb microvascular imaging
- From: Journal of Apoplexy and Nervous Diseases 2022;39(2):119-122
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the diagnostic value of superb microvascular imaging(SMI) in cervical artery dissection.Methods A total of 42 patients with cervical artery dissection diagnosed by the Department of Neurology of our hospital from June 2017 to June 2021 were collected to evaluate the consistency of SMI and CTA/MRA+DSA in the diagnosis of cervical artery dissection,and to compare the accuracy and sensitivity of SMI.Results Among 42 patients,the positive rate of cervical artery dissection with ultrasonography,SMI,CTA or MRA and DSA were 42.8 %（18/42）,90.4% （38/42） and 92.6%（39/42） respectively.The DSA mostly showed the line-like sign(n=19,48.7%); Ultrasonography and SMI mostly showed the intramural hematoma.SMI and CTA/MRA+DSA showed the good consistency in the diagnosis of cervical artery dissection（Kappa=0.340，P=0.056).Superb microvascular imaging was superior to ultrasonography in the detection of cervical artery dissection（Kappa=5.895，P=0.015）.The area under the ROC superb microvascular imaging diagnosis of cervical artery dissection was 0.966.It is suggested that superb microvascular imaging has high accuracy in diagnose cervical artery dissection.Conclusion Superb microvascular imaging has high clinical value in the diagnosis of various types of cervical artery dissection.
- Full text:2024072611365028663The value of superb microvascular imaging in the diagnosis of cervical artery dissection.pdf
