Document Detail


Quantitative hemodynamic studies in moyamoya disease: a review.
MedLine Citation:
PMID:  19335131     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Moyamoya disease is characterized by a chronic stenoocclusive vasculopathy affecting the terminal internal carotid arteries. The clinical presentation and outcome of moyamoya disease remain varied based on angiographic studies alone, and much work has been done to study cerebral hemodynamics in this group of patients. The ability to measure cerebral blood flow (CBF) accurately continues to improve with time, and with it a better understanding of the pathophysiological mechanisms in patients with moyamoya disease. The main imaging techniques used to evaluate cerebral hemodynamics include PET, SPECT, xenon-enhanced CT, dynamic perfusion CT, MR imaging with dynamic susceptibility contrast and with arterial spin labeling, and Doppler ultrasonography. More invasive techniques include intraoperative ultrasonography. The authors review the current knowledge of CBF in this group of patients and the role each main quantitative method has played in evaluating them, both in the disease state and after surgical intervention.
Authors:
Marco Lee; Greg Zaharchuk; Raphael Guzman; Achal Achrol; Teresa Bell-Stephens; Gary K Steinberg
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Neurosurgical focus     Volume:  26     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-01     Completed Date:  2009-07-14     Revised Date:  2010-09-23    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E5     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Stanford Stroke Center, Stanford, California, USA. marcolee@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Cerebral Angiography / methods,  trends
Cerebral Arteries / physiopathology*,  radiography,  ultrasonography
Cerebrovascular Circulation / physiology*
Diagnostic Imaging / methods*,  trends
Hemodynamics / physiology*
Humans
Moyamoya Disease / diagnosis*,  physiopathology*
Radioisotopes / diagnostic use
Tomography, X-Ray Computed / methods,  trends
Ultrasonography / methods,  trends
Grant Support
ID/Acronym/Agency:
R01 NS066506-02/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
0/Radioisotopes
Comments/Corrections

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