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利用电影相位对比磁共振成像测量肠系膜上动脉和肠系膜下动脉的血流速度及流量。

Flow velocity and volume measurement of superior and inferior mesenteric artery with cine phase contrast magnetic resonance imaging.

作者信息

Naganawa S, Cooper T G, Jenner G, Potchen E J, Ishigaki T

机构信息

Department of Radiology, Michigan State University.

出版信息

Radiat Med. 1994 Sep-Oct;12(5):213-20.

PMID:7863025
Abstract

The flow velocity and volume of the superior and inferior mesenteric arteries (SMA, IMA) were measured with cine phase contrast magnetic resonance (MR) imaging in five healthy volunteers. Each volunteer was first measured in a fasting state, and then one, two, and three hours after a meal. The average SMA flow volume of the volunteers was 230.3 +/- 46.8 ml/min (mean +/- standard error) during the fasting state, and 714.7 +/- 207.7 ml/min, 339.2 +/- 85.7 ml/min, and 263.8 +/- 21.0 ml/min, respectively, at one, two, and three hours postmeal. The increase at one hour postmeal was statistically significant (p < 0.05). The corresponding flow measurements in the IMA were 63.1 +/- 11.2 ml/min, 67.6 +/- 11.2 ml/min, 57.9 +/- 8.6 ml/min, and 53.2 +/- 6.8 ml/min. These values do not represent a statistically significant flow volume change in the IMA. In all volunteers, the SMA volumetric flow increased the most one hour after the food challenge (72-400% relative to baseline). Diastolic velocity in the SMA increased significantly one hour postmeal, but systolic velocity did not change significantly. The IMA did not demonstrate a significant change in either systolic or diastolic velocity. The difference between the SMA and IMA in the way of reacting against the food challenge is thought to represent the difference between the requirements of small and large intestine for blood supply after the food challenge. These data demonstrate the possibility of this modality for the assessment of conditions such as chronic mesenteric ischemia.

摘要

采用电影相位对比磁共振成像技术,对5名健康志愿者的肠系膜上动脉(SMA)和肠系膜下动脉(IMA)的血流速度和血流量进行了测量。每位志愿者首先在空腹状态下进行测量,然后在进食后1小时、2小时和3小时分别进行测量。志愿者在空腹状态下的平均SMA血流量为230.3±46.8ml/分钟(平均值±标准误差),进食后1小时、2小时和3小时分别为714.7±207.7ml/分钟、339.2±85.7ml/分钟和263.8±21.0ml/分钟。进食后1小时的增加具有统计学意义(p<0.05)。IMA的相应血流量测量值分别为63.1±11.2ml/分钟、67.6±11.2ml/分钟、57.9±8.6ml/分钟和53.2±6.8ml/分钟。这些值在IMA中并不代表具有统计学意义的血流量变化。在所有志愿者中,食物激发后1小时SMA的容积流量增加最多(相对于基线增加72%-400%)。进食后1小时SMA的舒张期速度显著增加,但收缩期速度没有显著变化。IMA的收缩期或舒张期速度均未显示出显著变化。SMA和IMA在对食物激发反应方式上的差异被认为代表了食物激发后小肠和大肠对血液供应需求的差异。这些数据证明了这种方法用于评估慢性肠系膜缺血等病症的可能性。

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