超音波ドプラ血流計による頸部内頸動脈の狭窄性病変の診断
Bモード法と超音波パルスドプラ血流計の複合装置により頸部内頸動脈の狭窄性病変の診断を試みた.対象は陳旧性の脳梗塞または一過性脳虚血患者32名35血管である.狭窄性病変の診断は, 内頸動脈の最高流速 (VmaxICA) および総頸動脈の最高流速 (VmaxCCA) を測定して, VmaxICAおよびflow velocity ratio (VmaxICA/VmaxCCA) を使用して診断を行った.VmaxICAの2,500Hzを基準にすると, sensitivityが不十分であり, VmaxICAの2,000Hzを基準にするとspeci負cityが不十分であった.Flow velocity ra...
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| Published in | 脳卒中 Vol. 12; no. 2; pp. 123 - 129 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脳卒中学会
1990
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0912-0726 1883-1923 |
| DOI | 10.3995/jstroke.12.123 |
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| Abstract | Bモード法と超音波パルスドプラ血流計の複合装置により頸部内頸動脈の狭窄性病変の診断を試みた.対象は陳旧性の脳梗塞または一過性脳虚血患者32名35血管である.狭窄性病変の診断は, 内頸動脈の最高流速 (VmaxICA) および総頸動脈の最高流速 (VmaxCCA) を測定して, VmaxICAおよびflow velocity ratio (VmaxICA/VmaxCCA) を使用して診断を行った.VmaxICAの2,500Hzを基準にすると, sensitivityが不十分であり, VmaxICAの2,000Hzを基準にするとspeci負cityが不十分であった.Flow velocity ratioの1.10を基準によるとsensitivity 100%, specificity 86%であった.Flow velocity ratioを使用する本方法は頸部内頸動脈の狭窄性病変の診断に有用と考えられる. |
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| AbstractList | Bモード法と超音波パルスドプラ血流計の複合装置により頸部内頸動脈の狭窄性病変の診断を試みた.対象は陳旧性の脳梗塞または一過性脳虚血患者32名35血管である.狭窄性病変の診断は, 内頸動脈の最高流速 (VmaxICA) および総頸動脈の最高流速 (VmaxCCA) を測定して, VmaxICAおよびflow velocity ratio (VmaxICA/VmaxCCA) を使用して診断を行った.VmaxICAの2,500Hzを基準にすると, sensitivityが不十分であり, VmaxICAの2,000Hzを基準にするとspeci負cityが不十分であった.Flow velocity ratioの1.10を基準によるとsensitivity 100%, specificity 86%であった.Flow velocity ratioを使用する本方法は頸部内頸動脈の狭窄性病変の診断に有用と考えられる. |
| Author | 芦田, 敬一 森脇, 博 阿部, 裕 今泉, 昌利 滝沢, 哲 |
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| References | 12) Zwiebel WJ, Zagzebski JA, Crummy AB, et al : Correlation of peak Doppler frequency with lumen narrowing in carotid stenosis. Stroke 13 : 386-391, 1982 4) Blackshear WM Jr, Phillips DJ, Chikos PM, et al : Carotid artery velocity patterns in normal and stenotic vessels. Stroke 11 : 67-71, 1980 9) Archie JP Jr, Feldtman RW : Critical stenosis of the internal carotid artery. Surgery 89 : 67 -72, 1981 14) Sheldon CD, Murie JA, Quin RO : Ultrasonic Doppler spectral broading in the diagnosis of the internal carotid stenosis. Ultrasound Med Biol 9 : 575-580, 1983 15) van Merode T, Hick P, Hoeks APG, et al : Limitations of Doppler spectral broading in the early detection of carotid artery disease due to the size of the sample volume. Ultrasound Med Biol 9 : 581-586, 1983 16) Garth KE, Carroll BA, Sommer FG, et al : Duplex ultrasound scanning of the carotid arteries with velocity spectrum analysis. Radiology 147 : 823-827, 1983 3) Barnes RW, Russell HE, Bone GE, et al : Doppler cerebrovascular examiantion : Improved results with refinements in technique. Stroke 8 : 468-471, 1977 10) Camerota AJ, Cranley JJ, Cook SF : Realtime B-mode carotid imaging in diagnosis of cerebrovascular disease. Surgery 89 : 718-729, 1981 2) Machleder HI, Barker VF : Noninvasive methods for evaluation of extracranial cerebrovascular disease. Arch Surg 112 : 944-946, 1977 6) Hames TK, Ratliff DA, Humphries KN, et al : The accuracy of duplex scanning in the evaluation of early carotid disease. Ultrasound Med Biol 11 : 819-825, 1985 17) Keagy BA, Pharr WF, Thomas D, et al : Evaluation of the peak frequency ratio (PFR) measurement in the detection of internal carotid artery stenosis. J Clin Ultrasound 10 : 109-112, 1982 13) Krause H, Segard M, Carey P, et al : Doppler power frequency spectrum analysis in the diagnosis of carotid artery disease. Stroke 15 : 351 -358, 1984 1) Kartchner MM, McRae LP, Morrison FD, et al : Noninvasive detection and evaluation of carotid occlusive disease. Arch Surg 106 : 528-535, 1973 8) David TE, Humphries AW, Young JR, et al : A corerlation f neck bruits and arteriosclerotic carotid arteries. Arch Surg 107 : 729-731, 1973 7) Silverstein A, Lehrer GM, Mones R : Relation of certain diagnostic features of carotid occlusion to collateral circulation. Neurology 10 : 409-417, 1960 5) Fell G, Phillips DJ, Chikos PM, et al : Ultrasonic duplex scanning for disease of the carotid artery. Circulation 64 : 1191-1195, 1981 11) 芦田敬一 : Willis動脈輸を介する側副血行機能に関する研究.脈管学22 : 117-125, 1982 |
| References_xml | – reference: 9) Archie JP Jr, Feldtman RW : Critical stenosis of the internal carotid artery. Surgery 89 : 67 -72, 1981 – reference: 2) Machleder HI, Barker VF : Noninvasive methods for evaluation of extracranial cerebrovascular disease. Arch Surg 112 : 944-946, 1977 – reference: 16) Garth KE, Carroll BA, Sommer FG, et al : Duplex ultrasound scanning of the carotid arteries with velocity spectrum analysis. Radiology 147 : 823-827, 1983 – reference: 10) Camerota AJ, Cranley JJ, Cook SF : Realtime B-mode carotid imaging in diagnosis of cerebrovascular disease. Surgery 89 : 718-729, 1981 – reference: 4) Blackshear WM Jr, Phillips DJ, Chikos PM, et al : Carotid artery velocity patterns in normal and stenotic vessels. Stroke 11 : 67-71, 1980 – reference: 13) Krause H, Segard M, Carey P, et al : Doppler power frequency spectrum analysis in the diagnosis of carotid artery disease. Stroke 15 : 351 -358, 1984 – reference: 3) Barnes RW, Russell HE, Bone GE, et al : Doppler cerebrovascular examiantion : Improved results with refinements in technique. Stroke 8 : 468-471, 1977 – reference: 11) 芦田敬一 : Willis動脈輸を介する側副血行機能に関する研究.脈管学22 : 117-125, 1982 – reference: 14) Sheldon CD, Murie JA, Quin RO : Ultrasonic Doppler spectral broading in the diagnosis of the internal carotid stenosis. Ultrasound Med Biol 9 : 575-580, 1983 – reference: 15) van Merode T, Hick P, Hoeks APG, et al : Limitations of Doppler spectral broading in the early detection of carotid artery disease due to the size of the sample volume. Ultrasound Med Biol 9 : 581-586, 1983 – reference: 8) David TE, Humphries AW, Young JR, et al : A corerlation f neck bruits and arteriosclerotic carotid arteries. Arch Surg 107 : 729-731, 1973 – reference: 12) Zwiebel WJ, Zagzebski JA, Crummy AB, et al : Correlation of peak Doppler frequency with lumen narrowing in carotid stenosis. Stroke 13 : 386-391, 1982 – reference: 17) Keagy BA, Pharr WF, Thomas D, et al : Evaluation of the peak frequency ratio (PFR) measurement in the detection of internal carotid artery stenosis. J Clin Ultrasound 10 : 109-112, 1982 – reference: 6) Hames TK, Ratliff DA, Humphries KN, et al : The accuracy of duplex scanning in the evaluation of early carotid disease. Ultrasound Med Biol 11 : 819-825, 1985 – reference: 1) Kartchner MM, McRae LP, Morrison FD, et al : Noninvasive detection and evaluation of carotid occlusive disease. Arch Surg 106 : 528-535, 1973 – reference: 7) Silverstein A, Lehrer GM, Mones R : Relation of certain diagnostic features of carotid occlusion to collateral circulation. Neurology 10 : 409-417, 1960 – reference: 5) Fell G, Phillips DJ, Chikos PM, et al : Ultrasonic duplex scanning for disease of the carotid artery. Circulation 64 : 1191-1195, 1981 |
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| Snippet | Bモード法と超音波パルスドプラ血流計の複合装置により頸部内頸動脈の狭窄性病変の診断を試みた.対象は陳旧性の脳梗塞または一過性脳虚血患者32名35血管である.狭窄性病変の診断は, 内頸動脈の最高流速 (VmaxICA) および総頸動脈の最高流速 (VmaxCCA) を測定して, VmaxICAおよびflow... |
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| SubjectTerms | Bモード法 内頸動脈狭窄症 超音波パルスドプラ血流計 |
| Title | 超音波ドプラ血流計による頸部内頸動脈の狭窄性病変の診断 |
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