Document Detail


Arterial spin labeling perfusion MRI at multiple delay times: a correlative study with H(2)(15)O positron emission tomography in patients with symptomatic carotid artery occlusion.
MedLine Citation:
PMID:  19809464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arterial spin labeling (ASL) perfusion magnetic resonance imaging (MRI) with image acquisition at multiple inversion times is a noninvasive ASL technique able to compensate for spatial heterogeneities in transit times caused by collateral blood flow in patients with severe stenosis of the cerebropetal blood vessels. Our aim was to compare ASL-MRI and H(2)(15)O positron emission tomography (PET), the gold standard for cerebral blood flow (CBF) assessment, in patients with a symptomatic internal carotid artery (ICA) occlusion. Fourteen patients (63+/-14 years) with a symptomatic ICA occlusion underwent both ASL-MRI and H(2)(15)O PET. The ASL-MRI was performed using a pulsed STAR labeling technique at multiple inversion times within 7 days of the PET. The CBF was measured in the gray-matter of the anterior, middle and posterior cerebral artery, and white-matter. Both PET and ASL-MRI showed a significantly decreased CBF in the gray-matter of the middle cerebral artery in the hemisphere ipsilateral to the ICA occlusion. The average gray-matter CBF measured with ASL-MRI (71.8+/-4.3 mL/min/100 g) was higher (P<0.01) than measured with H(2)(15)O PET (43.1+/-1.0 mL/min/100 g). In conclusion, ASL-MRI at multiple TIs is capable of depicting areas of regions with low CBF in patients with an occlusion of the ICA, although a systematic overestimation of CBF relative to H(2)(15)O PET was noted.
Authors:
Reinoud P H Bokkers; Jochem P Bremmer; Bart N M van Berckel; Adriaan A Lammertsma; Jeroen Hendrikse; Josien P W Pluim; L Jaap Kappelle; Ronald Boellaard; Catharina J M Klijn
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-07
Journal Detail:
Title:  Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism     Volume:  30     ISSN:  1559-7016     ISO Abbreviation:  J. Cereb. Blood Flow Metab.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-04     Completed Date:  2010-02-03     Revised Date:  2011-07-20    
Medline Journal Info:
Nlm Unique ID:  8112566     Medline TA:  J Cereb Blood Flow Metab     Country:  United States    
Other Details:
Languages:  eng     Pagination:  222-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands. r.p.h.bokkers@umcutrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Stenosis / radionuclide imaging*
Cerebrovascular Circulation / physiology
Cerebrovascular Disorders / radionuclide imaging
Deuterium / diagnostic use
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Oxygen Radioisotopes / diagnostic use
Positron-Emission Tomography
Risk Factors
Spin Labels
Chemical
Reg. No./Substance:
0/Oxygen Radioisotopes; 0/Spin Labels; 7782-39-0/Deuterium
Comments/Corrections

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