PROTON SPECTROSCOPY OF HUMAN STROKE - ASSESSMENT OF TRANSVERSE RELAXATION-TIMES AND PARTIAL VOLUME EFFECTS IN SINGLE VOLUME STEAM MRS

被引:20
作者
BLAMIRE, AM [1 ]
GRAHAM, GD [1 ]
ROTHMAN, DL [1 ]
PRICHARD, JW [1 ]
机构
[1] YALE UNIV,SCH MED,DEPT MOLEC BIOPHYS & BIOCHEM,NEW HAVEN,CT 06510
关键词
STROKE; MAGNETIC RESONANCE; PROTON SPECTROSCOPY; PARTIAL VOLUME; TRANSVERSE RELAXATION TIME; LACTATE; N-ACETYL-ASPARTATE;
D O I
10.1016/0730-725X(94)90087-8
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Proton T-2 relaxation times were measured in 13 stroke patients and 13 aged-matched normal subjects at 2.1 T. Spectra were acquired from an 8-cc volume using the STEAM sequence with echo times (TE) of 30.4 ms and 270.0 ms and repetition time of 2.8 s. Transverse relaxation times were estimated using two-point calculations. Percentage volume of infarct in the STEAM voxel was measured on spin-echo MRI encompassing the infarct and correlated with the peak amplitude of N-acetylated compounds (NA). T-2 values of NA, creatine, and choline resonances showed no significant difference between patients and controls. T-2 for lactate in patients was 780 +/- 257 ms, respectively (mean +/- SE, n = 7). In stroke patients, high inverse correlation was found between the absolute NA signal and partial volume of normal brain contributing to each spectrum (p < .001, r = 0.97). Together with unchanged T-2, this suggests that NAA largely disappears from infarcted tissue within 24 hr postinfarct.
引用
收藏
页码:1227 / 1235
页数:9
相关论文
共 28 条
[1]  
Prichard, Shulman, NMR spectroscopy of brain metabolism in vivo, Annu. Rev. Neurosci., 9, pp. 61-85, (1986)
[2]  
Frahm, Bruhn, Gyngell, Merboldt, Hanicke, Sauter, Localized high-resolution proton NMR spectroscopy using stimulated echoes: Initial applications to human brain in vivo, Magn. Reson. Med., 9, pp. 79-93, (1989)
[3]  
Rothman, Hanstock, Petroff, Novotny, Prichard, Shulman, Localized <sup>1</sup>H NMR spectra of glutamate in human brain, Magn. Reson. Med., 25, pp. 94-106, (1992)
[4]  
Wolinsky, Narayana, Fenstermacher, Proton magnetic resonance spectroscopy in multiple sclerosis, Neurology, 40, pp. 1764-1769, (1990)
[5]  
Larsson, Christiansen, Jensen, Frederiksen, Heltberg, Olsen, Henriksen, Localized in vivo proton spectroscopy in the brain of patients with multiple sclerosis, Magn. Reson. Med., 22, pp. 23-31, (1991)
[6]  
Matthews, Francis, Antel, Arnold, Proton magnetic resonance spectroscopy for metabolic characterization of plaques in multiple sclerosis, Neurology, 41, pp. 1251-1256, (1991)
[7]  
Segebarth, Baleriaux, Luyten, den Hollander, Detection of metabolic heterogeneity of human intracranial tumors in vivo by <sup>1</sup>H NMR spectroscopic imaging, Magn. Reson. Med., 13, pp. 62-76, (1990)
[8]  
Gill, Thomas, Van Bruggen, Gadian, Peden, Bell, Cox, Menon, Iles, Bryant, Coutts, Proton MR spectroscopy of intracranial tumours: In vivo and in vitro studies, J. Comput. Assist. Tomogr., 14, pp. 497-504, (1990)
[9]  
Berkelbach van der Sprenkel, Luyten, van Rijen, Tulleken, den Hollander, Cerebral lactate detected by regional proton magnetic resonance spectroscopy in a patient with cerebral infarction, Stroke, 19, pp. 1556-1560, (1988)
[10]  
Bruhn, Frahm, Gyngell, Merboldt, Hanicke, Sauter, Cerebral metabolism in man after acute stroke: New observations using localized proton NMR spectroscopy, Magn. Reson. Med., 9, pp. 126-131, (1991)