Factors influencing intracranial vessel densities on unenhanced computed tomography: differences between hemispheres

Clin Imaging. 2016 Nov-Dec;40(6):1081-1085. doi: 10.1016/j.clinimag.2016.06.012. Epub 2016 Jun 25.

Abstract

The aim was to identify the factors influencing intracranial vessel density (VD). The Hounsfield units of the dense vessel and the contralateral side were measured in 34 patients with arterial clots, 20 with venous clots, and 196 without clots and correlated with skull thickness, density and dimensions, gender, age, red blood cell count (RBC), hemoglobin (HB), hematocrit (HT), creatinine, and sodium. Positive correlations were found between VD and HT, RBC, HB, creatinine, and occipital bone density. Density differences between the right and left intracranial vessels were more accurate (sensitivity/specificity/accuracy=0.91/0.93/0.93 and 0.75/0.87/0.85, respectively) for detecting clots than VD alone. HT, RBC, and HB are the main factors that correlate with VD.

Keywords: Hematocrit; Intracranial clots; Intracranial vessel densities; Sinus thrombosis; Stroke.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arteries / pathology*
  • Brain / blood supply*
  • Erythrocyte Count
  • Erythrocytes*
  • Female
  • Hematocrit
  • Hemoglobins / metabolism*
  • Humans
  • Male
  • Middle Aged
  • Regional Blood Flow
  • Sensitivity and Specificity
  • Sinus Thrombosis, Intracranial / diagnosis*
  • Sinus Thrombosis, Intracranial / diagnostic imaging
  • Thrombosis / diagnosis
  • Thrombosis / diagnostic imaging
  • Tomography, X-Ray Computed / methods*
  • Veins / pathology*
  • Young Adult

Substances

  • Hemoglobins