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氙气吸入作为脑部计算机断层扫描的辅助手段:初步研究。

Xenon inhalation as an adjunct to computerized tomography of the brain: preliminary study.

作者信息

Winkler S S, Sackett J F, Holden J E, Flemming D C, Alexander S C, Madsen M, Kimmel R I

出版信息

Invest Radiol. 1977 Jan-Feb;12(1):15-8. doi: 10.1097/00004424-197701000-00005.

DOI:10.1097/00004424-197701000-00005
PMID:402332
Abstract

The purpose of this study is to determine whether computerized tomography can distinguish between brain tissue and brain tissue containing dissolved xenon at physiologic concentrations. Xenon is an inert gas of high atomic number (54), and is highly soluble in tissue, particularly in fat. Its presence in the brain after inhalation is manifested by well known anesthetic effects. Phantom studies using xenon in equilibrium at atomospheric pressure with water, corn oil, and milk samples of varying known fat content, demonstrate that xenon is detectable in all cases with a steep linear increase in change of attenuation factor (EMI number) with increasing fat content. In the rhesus monkey xenon is readily detectable at 20% inhaled gas concentration, with linear detectable at 20% inhaled gas concentration, with linear increase of attenuation factor with increasing concentration. The possible application of our findings to the study of brain pathophysiology is discussed. Since xenon is a potent although safe anesthestic, caution in clinical application is advised.

摘要

本研究的目的是确定计算机断层扫描能否区分脑组织与含有生理浓度溶解氙气的脑组织。氙是一种原子序数较高(54)的惰性气体,在组织中高度可溶,尤其是在脂肪中。吸入后其在大脑中的存在表现为众所周知的麻醉作用。使用氙在大气压下与水、玉米油和已知不同脂肪含量的牛奶样本达到平衡的模型研究表明,在所有情况下都能检测到氙,随着脂肪含量增加,衰减系数(EMI值)变化呈陡峭线性增加。在恒河猴中,吸入气体浓度为20%时很容易检测到氙,随着浓度增加,衰减系数呈线性增加。讨论了我们的研究结果在脑病理生理学研究中的可能应用。由于氙是一种强效但安全的麻醉剂,建议在临床应用中谨慎使用。

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Xenon inhalation as an adjunct to computerized tomography of the brain: preliminary study.氙气吸入作为脑部计算机断层扫描的辅助手段:初步研究。
Invest Radiol. 1977 Jan-Feb;12(1):15-8. doi: 10.1097/00004424-197701000-00005.
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Xenon Anesthesia and CT: Noninvasive Measures of Brain Anesthetic Concentration.氙气麻醉与CT:脑麻醉药浓度的无创测量方法
Methods Enzymol. 2018;602:289-298. doi: 10.1016/bs.mie.2018.01.011. Epub 2018 Mar 3.
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Simultaneous measurement of regional cerebral blood flow by perfusion CT and stable xenon CT: a validation study.灌注CT与稳定氙CT同步测量局部脑血流量:一项验证研究。
AJNR Am J Neuroradiol. 2001 May;22(5):905-14.
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Xenon CT measurement of cerebral blood flow in hydrocephalus.
Childs Nerv Syst. 1995 Jul;11(7):388-91. doi: 10.1007/BF00717402.
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Detection of demyelinated plaques with xenon-enhanced computed tomography.氙增强计算机断层扫描检测脱髓鞘斑块
Neuroradiology. 1980 Dec;20(4):181-3. doi: 10.1007/BF00336679.
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LCBF values decline while L lambda values increase during normal human aging measured by stable xenon-enhanced computed tomography.
Neuroradiology. 1988;30(6):463-72. doi: 10.1007/BF00339684.
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Iodide and xenon enhancement of computed tomography (CT) in multiple sclerosis (MS).碘化物与氙气对多发性硬化症(MS)计算机断层扫描(CT)的增强作用。
Neuroradiology. 1978 May 31;15(3):153-8. doi: 10.1007/BF00329059.
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Diagnosis of subdural haematoma by computed axial tomography: use of xenon inhalation for contrast enhancement.通过计算机轴向断层扫描诊断硬膜下血肿:使用氙气吸入进行对比增强。
J Neurol Neurosurg Psychiatry. 1978 Apr;41(4):370-3. doi: 10.1136/jnnp.41.4.370.
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Physiologic changes in regional cerebral blood flow defined by xenon-enhanced CT scanning.
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