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ID 10859
Eprint ID
10859
フルテキストURL
Thumnail K003224.pdf 90.5 KB
タイトル(別表記)
頸部内頚動脈慢性閉塞性疾患におけるFAIR-HASTEを用いた脳灌流画像:DSC-pMRIとの対比
著者
井田 健太郎 岡山大学
抄録
To determine the efficacy of flow-sensitive alternating inversion recovery using half-Fourier single-shot turbo spin-echo (FAIR-HASTE) in detecting cerebral hypoperfusion in chronic carotid occlusive disease, we subjected 12 patients with various degrees of cervical internal carotid artery stenoses and/or occlusion (Stenosis group) and 24 volunteers (Normal group) to FAIR-HASTE. In addition, 10 out of 12 patients in the Stenosis group underwent dynamic susceptibility contrast-perfusion magnetic resonance imaging (DSC-pMRI) before and after revascularization in the dominantly affected side. The absolute asymmetry indexes (AIs) of both cerebral hemispheres in the Normal and Stenosis groups were compared in FAIR-HASTE. In addition, the AIs were compared with those in the Stenosis group before and after revascularization in both FAIR-HASTE and regional cerebral blood flow (rCBF), calculated with DSC-pMRI. A statistically significant difference was recognized between the AIs in the Normal and Stenosis groups (AI = 2.25 +- 1.92, 8.09 +- 4.60, respectively ; p < 0.0001). Furthermore, in the Stenosis group the AIs on both FAIR-HASTE (8.88 +- 4.93, 2.22 +- 1.79, respectively ; p = 0.0003) and rCBF (7.13 +- 3.57, 1.25 +- 1.33, respectively ; p = 0.0003) significantly decreased after revascularization. In the Stenosis group, before revascularization, signal intensity on both FAIR-HASTE and rCBF had a tendency to be lower in the dominantly affected side. FAIR-HASTE imaging was useful in the detection and evaluation of cerebral hypoperfusion in chronic occlusive carotid disease.
キーワード
brain
perfusion
MRI
FAIR
HASTE
備考
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16943858&dopt=Abstract
発行日
2006-06-30
出版物タイトル
資料タイプ
学位論文
学位授与番号
甲第3224号
学位授与年月日
2006-06-30
学位・専攻分野
博士(医学)
授与大学
岡山大学
オフィシャル URL
http://escholarship.lib.okayama-u.ac.jp/cgi/viewcontent.cgi?article=1063&context=amo
言語
Japanese
論文のバージョン
none
査読
不明