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猫急性中风:动态对比增强磁共振成像与T2加权和扩散加权磁共振成像的比较

Acute stroke in cats: comparison of dynamic susceptibility-contrast MR imaging with T2- and diffusion-weighted MR imaging.

作者信息

Maeda M, Itoh S, Ide H, Matsuda T, Kobayashi H, Kubota T, Ishii Y

机构信息

Department of Radiology, Fukui Medical School, Japan.

出版信息

Radiology. 1993 Oct;189(1):227-32. doi: 10.1148/radiology.189.1.8372198.

Abstract

PURPOSE

To evaluate the hemodynamics of acute stroke in cats by means of dynamic susceptibility-contrast magnetic resonance (MR) imaging compared with standard T2- and diffusion-weighted MR imaging.

MATERIALS AND METHODS

Unilateral permanent occlusion of the middle cerebral artery was performed in 18 cats. MR imaging was performed with each method 2 hours (n = 2), 6 hours (n = 10), and 24 hours (n = 11) after occlusion.

RESULTS

At every time point, dynamic MR images clearly showed ischemic regions of steady-state signal hyperintensity and areas of less dynamic decrease in signal intensity that corresponded closely to those seen on diffusion-weighted MR images. T2-weighted MR images did not reveal regions of high signal intensity 2 hours after occlusion. The measurements of relative blood volume obtained with the dynamic method were significantly lower in steady-state hyperintense ischemic areas of the affected side than those in the contralateral normal areas at 6 and 24 hours (P < .001).

CONCLUSION

This dynamic method can advance the time of detection of early ischemia in comparison with T2-weighted MR imaging and provides functional information about hemodynamics not provided by other methods of MR imaging.

摘要

目的

通过动态磁敏感对比磁共振成像(MR)评估猫急性卒中的血流动力学,并与标准T2加权和扩散加权MR成像进行比较。

材料与方法

对18只猫进行大脑中动脉单侧永久性闭塞。在闭塞后2小时(n = 2)、6小时(n = 10)和24小时(n = 11)分别用每种方法进行MR成像。

结果

在每个时间点,动态MR图像均清晰显示出稳态信号高强化的缺血区域以及信号强度动态下降较少的区域,这些区域与扩散加权MR图像上所见区域密切对应。T2加权MR图像在闭塞后2小时未显示高信号强度区域。在6小时和24小时时,用动态方法测得的患侧稳态高强化缺血区域的相对血容量明显低于对侧正常区域(P <.001)。

结论

与T2加权MR成像相比,这种动态方法可以提前检测早期缺血的时间,并提供其他MR成像方法无法提供的血流动力学功能信息。

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