CBF MEASURED BY XE-CT - APPROACH TO ANALYSIS AND NORMAL VALUES

被引:106
作者
YONAS, H
DARBY, JM
MARKS, EC
DURHAM, SR
MAXWELL, C
机构
[1] UNIV PITTSBURGH,SCH MED,DEPT NEUROSURG,PITTSBURGH,PA 15261
[2] UNIV PITTSBURGH,SCH MED,DEPT RADIOL,PITTSBURGH,PA 15261
[3] UNIV PITTSBURGH,SCH MED,DEPT CRIT CARE MED,PITTSBURGH,PA 15261
关键词
CEREBRAL BLOOD FLOW; COMPUTED TOMOGRAPHY; XENON;
D O I
10.1038/jcbfm.1991.128
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Normal reference values and a practical approach to CBF analysis are needed for routine clinical analysis and interpretation of xenon-enhanced computed tomography (CT) CBF studies. We measured CBF in 67 normal individuals with the GE 9800 CT scanner adapted for CBF imaging with stable Xe. CBF values for vascular territories were systematically analyzed using the clustering of contiguous 2-cm circular regions of interest (ROIs) placed within the cortical mantle and basal ganglia. Mixed cortical flows averaged 51 +/- 10 ml . 100 g-1 . min-1. High and low flow compartments, sampled by placing 5-mm circular ROIs in regions containing the highest and lowest flow values in each hemisphere, averaged 84 +/- 14 and 20 +/- 5 ml . 100 g-1 . min-1, respectively. Mixed cortical flow values as well as values within the high flow compartment demonstrated significant decline with age; however, there were no significant age-related changes in the low flow compartment. The clustering of systematically placed cortical and subcortical ROIs has provided a normative data base for Xe-CT CBF and a flexible and uncomplicated method for the analysis of CBF maps generated by Xe-enhanced CT.
引用
收藏
页码:716 / 725
页数:10
相关论文
共 61 条
[51]   CEREBRAL BLOOD-FLOW MEASURED BY XENON-ENHANCED COMPUTED-TOMOGRAPHY AS A GUIDE TO MANAGEMENT OF PATIENTS WITH CEREBROVASCULAR-DISEASE [J].
WEBSTER, MW ;
STEED, DL ;
YONAS, H ;
LATCHAW, RE ;
WOLFSON, SK ;
GUR, D .
JOURNAL OF VASCULAR SURGERY, 1986, 3 (02) :298-304
[52]   XENON INHALATION AS AN ADJUNCT TO COMPUTERIZED TOMOGRAPHY OF BRAIN - PRELIMINARY-STUDY [J].
WINKLER, SS ;
SACKETT, JF ;
HOLDEN, JE ;
FLEMMING, DC ;
ALEXANDER, SC ;
MADSEN, M ;
KIMMEL, RI .
INVESTIGATIVE RADIOLOGY, 1977, 12 (01) :15-18
[53]   RESPIRATORY DEPRESSION IN GOATS BY STABLE XENON - IMPLICATIONS FOR CT STUDIES [J].
WINKLER, SS ;
NIELSEN, A ;
MESINA, J .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1987, 11 (03) :496-498
[54]   XENON-ENHANCED COMPUTED-TOMOGRAPHY COMPARED WITH [C-14] IODOANTIPYRINE FOR NORMAL AND LOW CEREBRAL BLOOD-FLOW STATES IN BABOONS [J].
WOLFSON, SK ;
CLARK, J ;
GREENBERG, JH ;
GUR, D ;
YONAS, H ;
BRENNER, RP ;
COOK, EE ;
LORDEON, PA .
STROKE, 1990, 21 (05) :751-757
[55]   CORRELATIONS BETWEEN REGIONAL CEREBRAL BLOOD-FLOW AND AGE-RELATED BRAIN ATROPHY - A QUANTITATIVE STUDY WITH COMPUTED-TOMOGRAPHY AND THE XE-133 INHALATION METHOD [J].
YAMAGUCHI, T ;
HATAZAWA, J ;
KUBOTA, K ;
ABE, Y ;
FUJIWARA, T ;
MATSUZAWA, T .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1983, 31 (07) :412-416
[56]   STABLE XENON CT BLOOD-FLOW MAPPING FOR EVALUATION OF PATIENTS WITH EXTRACRANIAL-INTRACRANIAL BYPASS-SURGERY [J].
YONAS, H ;
GUR, D ;
GOOD, BC ;
LATCHAW, RE ;
WOLFSON, SK ;
GOOD, WF ;
MAITZ, GS ;
COLSHER, JG ;
BARNES, JE ;
COLLIANDER, KG ;
TEETER, BC .
JOURNAL OF NEUROSURGERY, 1985, 62 (03) :324-333
[57]   SIDE-EFFECTS OF XENON INHALATION [J].
YONAS, H ;
GRUNDY, B ;
GUR, D ;
SHABASON, L ;
WOLFSON, SK ;
COOK, EE .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1981, 5 (04) :591-592
[58]  
Yonas H, 1990, Neurosurg Clin N Am, V1, P307
[59]   RELIEF OF NONHEMISPHERIC SYMPTOMS IN LOW FLOW STATES BY ANTERIOR CIRCULATION REVASCULARIZATION - A PHYSIOLOGICAL APPROACH [J].
YONAS, H ;
STEED, DL ;
LATCHAW, RE ;
GUR, D ;
PEITZMAN, AB ;
WEBSTER, MW .
JOURNAL OF VASCULAR SURGERY, 1987, 5 (02) :289-297
[60]   DETERMINATION OF IRREVERSIBLE ISCHEMIA BY XENON-ENHANCED COMPUTED TOMOGRAPHIC MONITORING OF CEREBRAL BLOOD-FLOW IN PATIENTS WITH SYMPTOMATIC VASOSPASM [J].
YONAS, H ;
SEKHAR, L ;
JOHNSON, DW ;
GUR, D .
NEUROSURGERY, 1989, 24 (03) :368-372