Document Detail


Absolute CBF and CBV measurements by MRI bolus tracking before and after acetazolamide challenge: repeatabilily and comparison with PET in humans.
MedLine Citation:
PMID:  15907309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bolus tracking magnetic resonance imaging (MRI) is a powerful technique for assessing cerebral perfusion, but its capability to measure absolute cerebral blood flow (CBF) and volume (CBV) values is still debated. To validate the MRI technique, absolute CBF and CBV values in healthy humans obtained by echo planar gradient echo MRI were compared to H(2)(15)O and (11)CO positron emission tomography (PET) before and after acetazolamide (ACZ) (n = 8) or saline (n = 4) administration. The repeatability of CBF and CBV measurements was moderate with both methods, and slightly lower with MRI than with PET. At rest, the mean CBF values were similar with both techniques except in the cortex where they were moderately higher with MRI. CBV was higher with MRI than with PET in all areas, which may reflect an underestimation of the arterial input function (AIF). After ACZ, a significant CBF increase was observed in gray matter with both MRI and PET, suggesting that MRI might be used to assess the cerebrovascular reserve. In individual subjects, the correlation between MRI and PET measurements was good for both CBF and CBV (R(2) between 0.70 and 0.84). However, when all results were considered as a group, R(2) was lower (0.40 to 0.65), and the limits of agreement between the two methods (SD of the difference) were large. Our data suggest that physiologic CBF values and systematically overestimated CBV values may be obtained with MRI in healthy humans, but that an individual scale factor should be applied to MRI measurements to improve the agreement with PET.
Authors:
Cécile B Grandin; Anne Bol; Anne M Smith; Christian Michel; Guy Cosnard
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-04-19
Journal Detail:
Title:  NeuroImage     Volume:  26     ISSN:  1053-8119     ISO Abbreviation:  Neuroimage     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-23     Completed Date:  2005-08-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9215515     Medline TA:  Neuroimage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  525-35     Citation Subset:  IM    
Affiliation:
Department of Radiology, St Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium. grandin@rdgn.ucl.ac.be
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MeSH Terms
Descriptor/Qualifier:
Acetazolamide / diagnostic use*
Adult
Anticonvulsants / diagnostic use*
Blood Vessels / anatomy & histology,  physiology
Blood Volume / physiology*
Brain / anatomy & histology*,  radionuclide imaging*
Cerebral Arteries / anatomy & histology,  physiology
Cerebrovascular Circulation / physiology*
Data Interpretation, Statistical
Humans
Image Interpretation, Computer-Assisted
Magnetic Resonance Imaging
Male
Positron-Emission Tomography
Reproducibility of Results
Chemical
Reg. No./Substance:
0/Anticonvulsants; 59-66-5/Acetazolamide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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