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3T 下 T2'- 和 PASL 基灌注图:氧通气对脑自动调节的影响。

T2'- and PASL-based perfusion mapping at 3 Tesla: influence of oxygen-ventilation on cerebral autoregulation.

机构信息

Institute of Neuroradiology, University Hospital, Goethe University Frankfurt am Main, Frankfurt am Main, Germany.

出版信息

J Magn Reson Imaging. 2012 Dec;36(6):1347-52. doi: 10.1002/jmri.23777. Epub 2012 Aug 21.

Abstract

PURPOSE

To use T2'-mapping together with Pulsed Arterial Spin Labeling (PASL) providing quantitative information of deoxygenation level and cerebral blood flow (CBF) in the cerebral gray matter to obtain simultaneous information about the cerebral oxygen metabolism and the resulting cerebral vasoreactivity under normoxic and hyperoxic conditions.

MATERIALS AND METHODS

Twelve young, healthy volunteers underwent MRI under normoxic and hyperoxic conditions performing PASL and high-resolution, motion-corrected T2* and T2-mapping to calculate T2'values. Regions of interest (ROI) were placed in the frontoparietal cortex and thalamus by manual and automatic segmentation. For each ROI, mean normoxic T2'- and CBF values were extracted and compared with the same parameters assessed under hyperoxic ventilation.

RESULTS

A hyperoxic-induced decrease of the CBF could be shown in the frontoparietal cortex (P = 0.009). The T2 values of frontoparietal cortex decreased under hyperoxic inhalation compared with normoxia (P = 0.01), whereas T2' remained unchanged.

CONCLUSION

Motion-corrected high-resolution T2'-maps can be used together with PASL to evaluate the DeoxyHb content in relation to CBF in the cerebral gray matter. We could show that cortical CBF decreases under hyperoxic inhalation in healthy young subjects, whereas the T2' values remained constant. These data suggest that hyperoxic-induced vasoconstriction may protect the brain against hyperoxemia.

摘要

目的

利用 T2' 映射结合脉冲动脉自旋标记(PASL)提供脱氧水平和脑血流量(CBF)的定量信息,以获得在正常氧合和高氧条件下关于脑氧代谢和由此产生的脑血管反应的同时信息。

材料和方法

12 名年轻健康志愿者在正常氧合和高氧条件下进行 MRI 检查,同时进行 PASL 和高分辨率、运动校正 T2* 和 T2 映射,以计算 T2' 值。通过手动和自动分割,在额顶叶皮层和丘脑中放置感兴趣区(ROI)。对于每个 ROI,提取平均正常氧 T2' 和 CBF 值,并与高氧通气下评估的相同参数进行比较。

结果

可以在前额顶叶皮层中显示出高氧诱导的 CBF 下降(P = 0.009)。与正常氧相比,高氧吸入时额顶叶皮质的 T2 值降低(P = 0.01),而 T2' 保持不变。

结论

运动校正的高分辨率 T2' 图可与 PASL 一起用于评估大脑灰质中 DeoxyHb 含量与 CBF 的关系。我们可以表明,在健康年轻受试者中,高氧吸入会导致皮质 CBF 下降,而 T2' 值保持不变。这些数据表明,高氧诱导的血管收缩可能会保护大脑免受高氧血症的影响。

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