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利用磁共振血管造影术对低碳酸血症的脑血容量反应

Regional cerebral blood volume response to hypocapnia using susceptibility contrast MRI.

作者信息

Payen J F, Briot E, Tropres I, Julien-Dolbec C, Montigon O, Decorps M

机构信息

Unité mixte INSERM-Université Joseph Fourier: U438, LRC CEA, H opital Albert Michallon, BP 217, 38043 Grenoble, France.

出版信息

NMR Biomed. 2000 Nov;13(7):384-91. doi: 10.1002/1099-1492(200011)13:7<384::aid-nbm655>3.0.co;2-v.

Abstract

We used steady-state susceptibility contrast MRI to evaluate the regional cerebral blood volume (rCBV) response to hypocapnia in anesthetised rats. The rCBV was determined in the dorsoparietal neocortex, the corpus striatum, the cerebellum, as well as blood volume in extracerebral tissue (group 1). In addition, we used laser-Doppler flow (LDF) measurements in the left dorsoparietal neocortex (group 2), to correlate changes in CBV and in cerebral blood flow. Baseline values, expressed as a percentage of blood volume in each voxel, were higher in the brain regions than in extracerebral tissue. Hypocapnia (P(a)CO(2) approximately 25 mmHg) resulted in a significant decrease in CBV in the cerebellum (-17 +/- 9%), in the corpus striatum (-15 +/- 6%) and in the neocortex (-12 +/- 7%), compared to the normocapnic CBV values (group 1). These changes were in good agreement with the values obtained using alternative techniques. No significant changes in blood volume were found in extracerebral tissue. The CBV changes were reversed during the recovery period. In the left dorsoparietal neocortex, the reduction in LDF (group 2) induced by hypocapnia (-21 +/- 8%) was in accordance with the values predicted by the Poiseuille's law. We conclude that rCBV changes during CO(2) manipulation can be accurately measured by susceptibility contrast MRI. Abbreviations used: ANOVA analysis of variance CBF cerebral blood flow CBV cerebral blood volume CPMG Carr-Purcell-Meiboom-Gill FiO(2) fractional inspired oxygen ICP intracranial pressure LDF laser-Doppler flow MABP mean arterial blood pressure MRI magnetic resonance imaging MTT mean transit time PaCO(2) arterial partial pressure of carbon dioxide PaO(2) arterial partial pressure of oxygen PET positron emission tomography rCBV regional cerebral blood volume SPECT single-photon emission computed tomography

摘要

我们使用稳态磁化率对比磁共振成像(MRI)来评估麻醉大鼠低碳酸血症时局部脑血容量(rCBV)的反应。在背顶叶新皮层、纹状体、小脑以及脑外组织的血容量(第1组)中测定rCBV。此外,我们在左侧背顶叶新皮层进行激光多普勒血流(LDF)测量(第2组),以关联CBV和脑血流量的变化。以每个体素血容量的百分比表示的基线值,在脑区高于脑外组织。与正常碳酸血症时的CBV值相比(第1组),低碳酸血症(动脉血二氧化碳分压[P(a)CO₂]约为25 mmHg)导致小脑的CBV显著降低(-17±9%)、纹状体(-15±6%)和新皮层(-12±7%)。这些变化与使用其他技术获得的值高度一致。在脑外组织中未发现血容量有显著变化。在恢复期,CBV变化得以逆转。在左侧背顶叶新皮层,低碳酸血症诱导的LDF降低(第2组)(-21±8%)符合泊肃叶定律预测的值。我们得出结论,在二氧化碳调控期间的rCBV变化可通过磁化率对比MRI准确测量。使用的缩写:ANOVA方差分析;CBF脑血流量;CBV脑血容量;CPMG Carr-Purcell-Meiboom-Gill序列;FiO₂吸入氧分数;ICP颅内压;LDF激光多普勒血流;MABP平均动脉血压;MRI磁共振成像;MTT平均通过时间;PaCO₂动脉血二氧化碳分压;PaO₂动脉血氧分压;PET正电子发射断层扫描;rCBV局部脑血容量;SPECT单光子发射计算机断层扫描

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