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《Journal of Clinical Radiology》 2008-09
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The Multislice CT Evaluation of Carotid Artery Stenosis in Patients with TIA

WANG Liping, ZHAO Chunyu, LI Shuyan Department of CT,The First Hospital of Harbin Medical University,Harbin,Heilongjiang Province 150001,P.R.China  
Objective AbstractObjective To explore the clinical application and follow up value of CT angiography (CTA) and CT perfusion imaging (CTP) in carotid artery stenosis in patients with TIA.Materials and Methods 46 patients with TIA were performed with CT plain scan and CTA. Among them, there were 25 cases with CTP. The degree and location of artery stenosis, and its correlation with abnormal CTP were evaluated. 23 persons without TIA and negative result by CT plain were regarded as control group.Results Among the 46 cases, there were 17 normal cases and 29 cases with lacunar infarction, 13 cases were multiple arteries involved. CTA showed that 38 internal carotid arteries with stenosis, the mild stenosis in 11 arteries (28.9%), the moderate stenosis in 20 arteries (52.6%), the severe stenosis in 7 arteries (18.4%). 22 patients had abnormal CT perfusion and 3 had normal CT perfusion results in 25 cases with CTP.Conclusion Carotid artery CTA combined with CTP can reveal the internal carotid artery disease, and also can predict the stroke, which is helpful to interfere in patients with TIA in early stage.
【Fund】: 黑龙江省卫生厅资助项目(编号:2006-026)
【CateGory Index】: R743.3
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