A sonic analysis system was developed for the detection of cervical and int
racranial vascular disease (CVD). In this study, sound signals detected thr
ough the patient's forehead were analyzed using a short-time Fourier transf
ormation method, and data were evaluated according to the intensity of spec
tra. A total of 49 patients with CVD and 34 control subjects were studied a
nd classified into four grades according to the intensity of the spectra. T
he true positive rate was 83.7% in patients with CVD, and the true negative
rate was 94.1% in the control group. The sensitivity and specificity of th
is analysis system were 83.7% and 5.9%, respectively. The true positive rat
es for cerebral stenosis/occlusion, cerebral aneurysm, and arteriovenous ma
lformation/fistula were 85.7%, 73.7%, and 100%, respectively. The future go
al is clinical application as a mass-screening test for brain disease. This
system shows potential for this purpose, and further development will cont
inue.