Document Detail


Dynamic contrast-enhanced brain perfusion imaging: technique and clinical applications.
MedLine Citation:
PMID:  11138635     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Magnetic resonance (MR) and computed tomographic (CT) perfusion imaging are evolving noninvasive imaging techniques that, unlike conventional MR and CT angiographic methods, can be used to evaluate capillary level tissue perfusion. These techniques can provide early, highly accurate delineation of ischemic tissue, allowing the underlying hemodynamic disturbances of disorders such as stroke and vasospasm to be further analyzed, as well as defining abnormal regions of blood pool in brain tumors. Because MR perfusion (MRP) and CT perfusion (CTP) imaging can assess physiologic parameters such as cerebral blood flow (CBF), cerebral blood volume (CBV), and mean transit time (MTT), they offer additional data that can be useful in the detection and characterization of entities such as tumor, infection, inflammation, and infarction, which all can have similar appearances on both contrast and noncontrast enhanced conventional CT and MR images. They can also facilitate the further evaluation of processes such as early dementia, psychiatric illnesses, and migraine headaches, which may appear normal on routine CT and MR imaging. MRP and CTP might also be of value in distinguishing residual or recurrent tumor from treatment effects such as radiation-induced necrosis. This article reviews the background principles, scanning techniques, and clinical applications of noninvasive cerebral perfusion imaging.
Authors:
F G Aksoy; M H Lev
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Seminars in ultrasound, CT, and MR     Volume:  21     ISSN:  0887-2171     ISO Abbreviation:  Semin. Ultrasound CT MR     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-01-02     Completed Date:  2001-02-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8504689     Medline TA:  Semin Ultrasound CT MR     Country:  United States    
Other Details:
Languages:  eng     Pagination:  462-77     Citation Subset:  IM    
Affiliation:
Department of Radiology, Massachusetts General Hospital, Boston 02116, USA. fgaksoy@partners.org
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MeSH Terms
Descriptor/Qualifier:
Brain / blood supply*,  metabolism,  pathology*,  radiography
Brain Diseases / diagnosis*
Brain Neoplasms / diagnosis
Cerebrovascular Circulation*
Contrast Media
Humans
Magnetic Resonance Imaging / methods*
Regional Blood Flow
Stroke / diagnosis
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media

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


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