Yan Qingguang, Jin Gui, Qin Mingxin, Zhao Jun, Wang Jian, Sun Jian
Biomed Tech (Berl). 2017 Feb 1;62(1):23-36. doi: 10.1515/bmt-2015-0129.
Intracranial hemorrhage (ICH) is the bleeding induced by parenchyma vascular rupture. In this paper, four novel coils (a contralateral hemisphere cancellation coil, a coaxial coil, a double-end exciting coil, and a Helmholtz coil) were developed to detect the volume change of ICH with the magnetic induction phase shift (MIPS) technique. Both numerical studies on an ICH model and animal experiments on rabbits' hemorrhage model were performed with four coils. Twenty rabbits were measured for each coil. The animal results were consistent with the simulation and the theoretical analysis for each coil. The MIPS first declined and then increased with increasing injection volume, indicating the existence of a turning point. The MRI images showed that the average CSF decreased in the heads of five rabbits after blood injection was approximately equal to the average injection volume corresponding to the turning point of all animals. Thus, we concluded that when the MIPS turning point occurs, the CSF is already exhausted and the compensatory stage has ended. The results show that the MIPS technique has the potential to detect ICH growth and MIPS changes with increasing blood in a regular way. The turning point is expected to provide an early warning for ICH growth.
颅内出血(ICH)是由实质血管破裂引起的出血。在本文中,开发了四种新型线圈(对侧半球抵消线圈、同轴线圈、双端激励线圈和亥姆霍兹线圈),以利用磁感应相移(MIPS)技术检测颅内出血的体积变化。对颅内出血模型进行了数值研究,并对兔出血模型进行了动物实验,均使用了这四种线圈。每种线圈测量了20只兔子。每种线圈的动物实验结果与模拟结果及理论分析一致。随着注射量增加,MIPS先下降后上升,表明存在一个转折点。MRI图像显示,五只兔子注射血液后头部脑脊液平均减少量约等于所有动物转折点对应的平均注射量。因此,我们得出结论,当MIPS转折点出现时,脑脊液已耗尽,代偿阶段已结束。结果表明,MIPS技术有潜力检测颅内出血的增长情况,且MIPS会随着血液增加而有规律地变化。该转折点有望为颅内出血的增长提供早期预警。