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冷损伤所致脑水肿的磁共振研究——甘油给药前后弛豫时间的变化

Magnetic resonance study of brain oedema induced by cold injury--changes in relaxation times before and after the administration of glycerol.

作者信息

Yatsushiro K, Niiro M, Asakura T, Sasahira M, Terada K, Uchimura K, Fujimoto T

机构信息

Department of Neurosurgery, Faculty of Medicine, University of Kagoshima, Japan.

出版信息

Acta Neurochir Suppl (Wien). 1990;51:113-5. doi: 10.1007/978-3-7091-9115-6_38.

Abstract

Experiments were carried out to determine the ability of magnetic resonance systems to assess change in relaxation times following the induction of experimental brain oedema and subsequent administration of hypertonic glycerol. Nine small mongrel dogs were used for these experiments. Twenty-four hours after producing a cold lesion, magnetic resonance (MR) studies were performed and physiological data were measured. Thirty min after beginning the administration of glycerol, serum osmotic pressure was raised 88 mOsm/l. After administering glycerol a small reduction in long spin echo images was observed in the periventricular high intensity area. The T1 and T2 values appeared to be decreased from 30 min after glycerol administration. This decrease continued until the period of observation ended. Statistically significant changes in the T2 values, especially in the white matter of the opposite side, were seen. The changes in T1 were generally not statistically significant. We conclude that the changes in water content of the oedematous brain following the administration of glycerol can be detected by magnetic resonance systems, that these changes become appreciable 30 min after administration of glycerol and continue at least two more hours, and that the changes in T2 were larger than those in T1.

摘要

进行了多项实验,以确定磁共振系统评估实验性脑水肿诱导后及随后给予高渗甘油后弛豫时间变化的能力。九只小型杂种犬用于这些实验。产生冷损伤24小时后,进行磁共振(MR)研究并测量生理数据。开始给予甘油30分钟后,血清渗透压升高88 mOsm/l。给予甘油后,在脑室周围高强度区域观察到长自旋回波图像略有降低。甘油给药30分钟后,T1和T2值似乎降低。这种降低一直持续到观察期结束。在T2值上观察到统计学上的显著变化,尤其是在对侧白质中。T1的变化一般无统计学意义。我们得出结论,磁共振系统可以检测到给予甘油后水肿脑组织含水量的变化,这些变化在给予甘油30分钟后变得明显,并至少持续另外两个小时,且T2的变化大于T1的变化。

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