IDENTIFICATION OF COLLATERALLY PERFUSED AREAS FOLLOWING FOCAL CEREBRAL-ISCHEMIA IN THE RAT BY COMPARISON OF GRADIENT-ECHO AND DIFFUSION-WEIGHTED MRI

被引：85

作者：

ROUSSEL, SA ^{[1
]}

VANBRUGGEN, N ^{[1
]}

KING, MD ^{[1
]}

GADIAN, DG ^{[1
]}

机构：

[1] ROYAL COLL SURGEONS ENGLAND,INST CHILD HLTH,BIOPHYS UNIT,LONDON WC1N 1EH,ENGLAND

来源：

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM | 1995年 / 15卷 / 04期

基金：

英国惠康基金;

关键词：

BLOOD OXYGENATION; FOCAL CEREBRAL ISCHEMIA; MAGNETIC RESONANCE IMAGING;

D O I：

10.1038/jcbfm.1995.71

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diffusion-weighted (DW) and gradient echo (GE) magnetic resonance images were acquired before and after occlusion of the middle cerebral artery (MCA) in the rat. Upon occlusion, an increase in DW imaging signal intensity was observed in a core area within the MCA territory, most likely reflecting cytotoxic edema. The signal from GE images, which is sensitive to changes in the absolute amount of deoxyhemoglobin, decreased following ischemia within a region that extended beyond the core area observed with DW imaging. This hypointensity is attributed to increases in blood volume and/or oxygen extraction fraction, which result from a decrease in perfusion pressure in the collaterally perfused area. The evolution of the GE imaging signal intensity from different regions was studied for 3.5 h following the occlusion. In the core area, the GE imaging signal returned towards baseline values after similar to 1-2 h, while it remained stable in the surrounding area. This feature may reflect a decrease in hematocrit due to microcirculatory defect and/or a decrease in the oxygen extraction fraction due to ongoing infarction of the tissue and may indicate that tissue recovery is severely compromised. The combined use of DW and GE imaging offers great promise for the noninvasive identification of specific pathological events with high spatial resolution.

引用

页码：578 / 586

页数：9

共 48 条

[1]

Astrup J., Siesjo B.K., Symon L., Thresholds in cerebral ischemia - The ischemic penumbra, Stroke, 12, pp. 723-725, (1981)

[2]

Auer L.M., Pucher R., Leber K., Ischiyama N., Autoregulatory response of pial vessels in the cat, Neurol Res, 9, pp. 245-248, (1987)

[3]

Bendall M.R., Connelly A., McKendry J.M., Elimination of coupling between cylindrical transmit coils and surface-receive coils for in vivo NMR, Magn Reson Med, 3, pp. 157-163, (1986)

[4]

Benveniste H., Hedlund L.W., Johnson G.A., Mechanism of detection of acute cerebral ischemia in rats by diffusion-weighted magnetic resonance microscopy, Stroke, 23, pp. 746-754, (1992)

[5]

Buchweitz-Milton E., Weiss H.R., Effect of MCA occlusion on brain O<sub>2</sub> supply and consumption determined microspectrophotometrically, Am J Physiol, 253, (1987)

[6]

Busza A.L., Allen K.L., King M.D., Van Bruggen N., Williams S.R., Gadian D.G., Diffusion-weighted imaging studies of cerebral ischemia in gerbils. Potential relevance to energy failure, Stroke, 23, pp. 1602-1612, (1992)

[7]

Cordes M., Henkes H., Roll D., Eichstadt H., Christe W., Langer M., Felix R., Subacute and chronic cerebral infarctions: SPECT and gadolinium-DTPA enhanced MR imaging, J Comput Assist Tomogr, 13, pp. 567-571, (1989)

[8]

Coyle P., Feng X., Risk area and infarct area relations in the hypertensive stroke-prone rat, Stroke, 24, pp. 705-710, (1993)

[9]

Coyle P., Jokelainen P.T., Dorsal cerebral arterial collaterals of the rat, Anal Rec, 203, pp. 397-404, (1982)

[10]

De Crespigny A.J., Wendland M.F., Derugin N., Kozniewska E., Moseley M.E., Real-time observation of transient focal ischemia and hyperemia in cat brain, Magn Reson Med, 27, pp. 391-397, (1992)

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