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高渗性药物给药后人脑水肿的磁共振研究。特别提及弛豫时间和质子磁共振波谱。

Magnetic resonance studies in human brain oedema following administration of hyperosmotic agents. Special references to relaxation times and proton MRS.

作者信息

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

机构信息

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

出版信息

Acta Neurochir Suppl (Wien). 1990;51:131-3. doi: 10.1007/978-3-7091-9115-6_44.

Abstract

Changes of proton relaxation times (T1 and T2) and proton Magnetic Resonance Spectroscopy (MRS) were studied in patients with brain oedema following administration of hyperosmotic agents. Relaxation times of oedema tended to decrease following infusion of hyperosmotic agents. In most patients examined, changes of relaxation times tended to achieve their lowest value at 30-60 minutes after infusion. However, the changes of relaxation times were not uniform. In some patients, relaxation times continued to decrease for more than 2 hours, while in other patients relaxation times which had earlier decreased subsequently had increased at 2 hours. The peak of water components, obtained by SIDAC (Spectroscopic Imaging by Dephasing Amplitude Changing) method was observed to change as did relaxation times. Changes of relaxation times and the peak of water components, obtained by SIDAC (Spectroscopic Imaging by Dephasing Amplitude Changing) method was observed to change as did relaxation times. Changes of relaxation times and the peak of water component may vary depending upon factors including the kinds of lesions causing oedema, phase of oedema (acute or chronic), etc. Proton relaxation times and the peak of water component obtained by proton MRS were useful in evaluating the changes of oedematous area.

摘要

在给予高渗剂后,对脑水肿患者的质子弛豫时间(T1和T2)变化以及质子磁共振波谱(MRS)进行了研究。输注高渗剂后,水肿的弛豫时间趋于缩短。在大多数接受检查的患者中,弛豫时间的变化在输注后30 - 60分钟时趋于达到最低值。然而,弛豫时间的变化并不一致。在一些患者中,弛豫时间持续下降超过2小时,而在其他患者中,早期下降的弛豫时间在2小时时随后又增加了。通过SIDAC(通过去相位幅度变化进行光谱成像)方法获得的水成分峰值与弛豫时间一样被观察到发生了变化。通过SIDAC(通过去相位幅度变化进行光谱成像)方法获得的弛豫时间和水成分峰值的变化与弛豫时间的变化一样被观察到。弛豫时间和水成分峰值的变化可能因包括引起水肿的病变种类、水肿阶段(急性或慢性)等因素而有所不同。通过质子MRS获得的质子弛豫时间和水成分峰值在评估水肿区域的变化方面是有用的。

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