Objective To study the clinical value of TCD, MRA and DSA in the diagnosis of intracranial artery stenosis in ischemic cerebrovascular disease (ICVD). Methods Imaging data of 96 cases of ICVD patients with transcranial Doppler ultrasound (TCD), magnetic resonance angiography (MRA), digital subtraction angiography (DSA) were analyzed retrospectively. Set DSA results as the gold standard and analyze the diagnostic value of TCD, MRA in ICVD patients. Results A total of 56 cases of normal intracranial arteries, 14 cases were mild stenosis, 8 cases were moderate stenosis, 4 cases were severe stenosis, 14 cases of occlusion were detected by DSA, 51 cases were normal, 12 cases of mild stenosis, 10 cases of moderate stenosis, 6 cases of severe stenosis, 17 cases of occlusion were detected by TCD, 56 cases of normal, 13 cases of mild stenosis, 9 cases of moderate stenosis were detected by MRA. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value of TCD were 82.14%, 87.50%, 84.37%, 90.19%, 77.77%, kappa value was 0.684, and for MRA were 89.28%, 85.00%, 87.50%, 89.28%, 95.00%, and kappa value was 0.742, respectively. The sensitivity and negative predictive value of TCD were significantly lower than those of MRA and DSA, but the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of MRA and DSA in the diagnosis of intracranial vascular stenosis had no significant difference. Conclusion DSA is the "gold standard" for the diagnosis of IVCD intracranial artery stenosis. Compared with DSA, TCD and MRA have good consistency in the diagnosis of ICVD intracranial artery stenosis, and MRA and DSA have better consistency..