Please use this identifier to cite or link to this item: https://doi.org/10.1111/j.1552-6569.2009.00412.x
Title: Validation of Transcranial Doppler with Magnetic Resonance Angiography in Acute Cerebral Ischemia
Authors: Boddu, D.B.
Sharma, V.K. 
Bandaru, V.C.S.S.
Jyotsna, Y.
Padmaja, D.
Suvarna, A.
Kaul, S.
Keywords: Acute cerebral ischemia
Intracranial stenosis
Magnetic resonance angiography
Transcranial Doppler
Issue Date: Apr-2011
Citation: Boddu, D.B., Sharma, V.K., Bandaru, V.C.S.S., Jyotsna, Y., Padmaja, D., Suvarna, A., Kaul, S. (2011-04). Validation of Transcranial Doppler with Magnetic Resonance Angiography in Acute Cerebral Ischemia. Journal of Neuroimaging 21 (2) : e34-e40. ScholarBank@NUS Repository. https://doi.org/10.1111/j.1552-6569.2009.00412.x
Abstract: Transcranial Doppler (TCD) is often used as a screening tool for detecting intracranial stenosis. Since TCD results may vary among laboratories and sonographers, it requires validation against an imaging modality. We evaluated diagnostic accuracy of TCD performed in our laboratory against time-of-flight (TOF) magnetic resonance angiography (MRA) in detecting intracranial stenosis in patients with acute cerebral ischemia. METHODS: Consecutive patients with acute (50%) and severe (>70%) stenosis on TOF-MRA. RESULTS: One hundred and fifty patients (74% males; mean age 53 years) underwent neurovascular evaluation with TCD and MRA. Twenty-two (14.6%) patients were excluded due to absent temporal acoustic windows. Middle cerebral artery TCD PSV values of >140 cm/s and >180 cm/s were found to predict a >50% and >70% focal stenosis, respectively. Optimal cut-off PSV values for other major proximal intracranial arteries were also established. CONCLUSIONS: TCD performed in our laboratory shows satisfactory agreement with TOF-MRA in diagnosis and grading of proximal intracranial stenosis in patients with acute cerebral ischemia. © 2009 by the American Society of Neuroimaging.
Source Title: Journal of Neuroimaging
URI: http://scholarbank.nus.edu.sg/handle/10635/125476
ISSN: 10512284
DOI: 10.1111/j.1552-6569.2009.00412.x
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