Mapping of the cerebral vascular response to hypoxia and hypercapnia using quantitative perfusion MRI at 3 T

2007 ◽  
Vol 21 (5) ◽  
pp. 464-472 ◽  
Author(s):  
Ulrike Nöth ◽  
Futoshi Kotajima ◽  
Ralf Deichmann ◽  
Robert Turner ◽  
Douglas R. Corfield
2006 ◽  
Vol 24 (6) ◽  
pp. 1229-1235 ◽  
Author(s):  
Ulrike Nöth ◽  
Guy E. Meadows ◽  
Futoshi Kotajima ◽  
Ralf Deichmann ◽  
Douglas R. Corfield ◽  
...  

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Hiroshi Nakajima ◽  
Shinya Okamoto ◽  
Hajime Sakuma ◽  
Tairo Kurita ◽  
Motonori Nagata ◽  
...  

Background: The TIMI myocardial blush grade (MBG) has been shown to be a strong angiographic predictor of mortality in patients with TIMI 3 flow after primary angioplasty. This study was conducted to evaluate the relationship between regional myocardial perfusion quantified by cardiac magnetic resonance and angiographic reperfusion score defined by MBG. Methods: We studied 29 consecutive patients (25 men, age 63±13 years) with ST-segment elevation acute myocardial infarction (LAD lesion: 12, RCA lesion: 16, LCx lesion: 2) who underwent primary angioplasty within 6 hours from the onset and showed TIMI grade 3. MBG was determined on angiography at the end of angioplasty. All patients underwent rest myocardial perfusion MRI during initial hospitalization, and regional MBF (ml/min/g) was quantified by using a Patlak plot method. Myocardial perfusion (MP) ratio was calculated from quantitative perfusion MRI, as MBF in infarction area/MBF in normal area. The optimal cut-off value of MP ratio that can predict MBG 3 on coronary angiography was determined by using a receiver-operating characteristic (ROC) analysis. Results: In 29 patients with TIMI 3 flow after angioplasty, 4 patients had MBG 0–1, 7 had MBG 2 and 18 had MBG 3. The MP ratio in MBG 3 group calculated from quantitative perfusion MRI was significantly higher than the MP ratios in MBG 0 –1 group and MBG 2 group (0.96±0.18 vs. 0.48±0.25, P<0.001; 0.96±0.18 vs. 0.66±0.19, P=0.003, respectively). There was no significant difference between the MP ratios in MBG 0 –1 group and MBG 2 group. The ROC curve revealed that MP ratio of 0.74 is an optimal threshold to distinguish MBG 3 from MBG 0 –2, with a high area under the curve of 0.90. Conclusions: The result of this study demonstrates that MP ratio quantified from rest perfusion MRI correlated well with MBG on coronary angiography.


Stroke ◽  
1995 ◽  
Vol 26 (4) ◽  
pp. 682-687 ◽  
Author(s):  
Robert W. McPherson ◽  
Jeffrey R. Kirsch ◽  
Ramsis F. Ghaly ◽  
Richard J. Traystman

2014 ◽  
Vol 3 (1) ◽  
pp. 47-60 ◽  
Author(s):  
Reshmi Rajendran ◽  
Wei Huang ◽  
Annie Mei Yee Tang ◽  
Jie Ming Liang ◽  
Stephanie Choo ◽  
...  

1976 ◽  
Vol 45 (4) ◽  
pp. 423-431 ◽  
Author(s):  
Masayuki Matsuda ◽  
John Stirling Meyer ◽  
Vinod D. Deshmukh ◽  
Yukio Tagashira

✓ Effects of intravertebral, intracarotid, and intravenous infusion of acetylcholine on cerebral blood flow (CBF) and metabolism were studied in 17 baboons anesthetized with pentobarbital. We measured CBF by the bilateral jugular venous outflow technique using two electromagnetic flowmeters. Effect of acetylcholine infusion on cerebral vascular response to hypercapnia was also assessed. Intravertebral infusion of acetylcholine (0.01 mg/kg/min) increased CBF by 27% and cerebral metabolic rate for oxygen by 19% and decreased cerebral vascular resistance by 25%. On intracarotid injection of acetylcholine, only an 8% increase in CBF was observed, and intravenous infusion produced no change in the parameters observed. Acetylcholine administered by any of the three routes did not enhance the CBF response to hypercapnia. Increase in CBF on intravertebral administration of acetylcholine is associated with an arousal effect and an increase in cerebral metabolism.


1999 ◽  
Vol 27 (Supplement) ◽  
pp. A60
Author(s):  
Claudia S Robertson ◽  
Alex B Valadka ◽  
Ari G Chacko ◽  
Yasafumi Mizutani

Author(s):  
Chun‐Ming Chen ◽  
Hui‐Chieh Yang ◽  
Hsin‐Hua Hsieh ◽  
Tsai‐Ying Liao ◽  
Yen‐Chih Huang ◽  
...  

Stroke ◽  
1983 ◽  
Vol 14 (5) ◽  
pp. 765-768 ◽  
Author(s):  
F P Holladay ◽  
J R Bean ◽  
B Young ◽  
E P Todd ◽  
M W Roy

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