Zhang YH, Liang D. Magnetic resonance imaging combined with serum endolipin and galactagoglobin-3 to diagnose cerebral infarction in the elderly with diabetes mellitus. World J Diabetes 2024; 15(7): 1509-1517 [PMID: 39099812 DOI: 10.4239/wjd.v15.i7.1509]
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World J Diabetes. Jul 15, 2024; 15(7): 1509-1517 Published online Jul 15, 2024. doi: 10.4239/wjd.v15.i7.1509
Table 1 Comparison of clinical data between the two patient groups
Indicators
Diabetic cerebral infarction group (n = 62)
Non-diabetic cerebral infarction group (n = 88)
t/χ2
P value
Gender (cases)
Male
36
50
0.023
0.879
Female
26
38
Smoking history (cases)
Yes
21
30
0.001
0.978
No
41
58
Drinking history (cases)
Yes
15
21
0.002
0.963
No
47
67
Infarction location (cases)
Left side
32
45
0.003
0.954
Right side
30
43
Age (yr)
68.85 ± 4.18
69.10 ± 4.24
0.128
0.721
Diastolic blood pressure (mmHg)
76.53 ± 3.34
76.10 ± 3.40
0.59
0.444
Systolic blood pressure (mmHg)
121.23 ± 8.53
120.76 ± 8.64
0.109
0.742
BMI index (kg/m2)
22.04 ± 4.16
21.89 ± 4.20
0.047
0.829
Lesion volume (cm3)
8.80 ± 1.16
8.74 ± 1.21
0.093
0.761
Time from onset to admission (h)
2.50 ± 1.03
2.53 ± 1.05
0.03
0.862
Waist circumference (cm)
82.05 ± 8.56
81.78 ± 8.62
0.036
0.85
Table 2 Comparison of serum endolipin and galactagoglobin-3 expression in the two groups
Group
Visfatin (µg/L)
Gal-3 (ng/mL)
Diabetic cerebral infarction group (n = 62)
36.58 ± 8.12
10.58 ± 3.48
Non-diabetic cerebral infarction group (n = 88)
26.13 ± 6.82
6.28 ± 2.39
t
8.536
8.975
P value
< 0.001
< 0.001
Table 3 Comparison of arterial lumen examination parameters between the two groups
Group
VA (mm2)
LA (mm2)
WA (mm2)
NWI
Stenosis rate (%)
Diabetic cerebral infarction group (n = 62)
131.28 ± 24.23
67.14 ± 18.53
58.15 ± 6.64
0.48 ± 0.10
48.52 ± 12.08
Non-diabetic cerebral infarction group (n = 88)
118.82 ± 21.02
65.82 ± 16.20
48.28 ± 6.35
0.42 ± 0.08
36.12 ± 8.83
t
3.555
0.463
9.199
4.075
7.264
P value
0.001
0.644
< 0.001
< 0.001
< 0.001
Table 4 Comparison of plaque nature detection in the two groups, n (%)
Group
Necrotic lipid nuclear plaque
Plaque intraplaque hemorrhage
Plaque ulceration
Plaque calcification
Total
Diabetic cerebral infarction group (n = 62)
36 (58.06)
8 (12.90)
3 (4.84)
13 (20.97)
60 (96.77)
Non-diabetic cerebral infarction group (n = 88)
23 (26.14)
15 (17.05)
10 (11.36)
13 (14.77)
61 (69.32)
Z
15.539
0.481
1.956
0.974
17.582
P value
< 0.001
0.488
0.162
0.324
< 0.001
Table 5 Clinical value of MRI combined with serum endostatin and galactagoglobin-3 in the diagnosis of diabetic cerebral infarction
Indicators
AUC
Youden index
Sensitivity (%)
Specificity (%)
SE
95%CI
MRI
0.858
0.605
94.30
66.10
0.0317
0.792-0.910
Visfatin
0.784
0.481
85.20
62.90
0.0383
0.710-0.847
Gal-3
0.807
0.521
79.50
72.60
0.0378
0.735-0.867
MRI combined with serum Visfatin and Gal-3
0.981
0.846
94.30
90.30
0.00865
0.944-0.996
Citation: Zhang YH, Liang D. Magnetic resonance imaging combined with serum endolipin and galactagoglobin-3 to diagnose cerebral infarction in the elderly with diabetes mellitus. World J Diabetes 2024; 15(7): 1509-1517