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Perfusion Measurements (perfusion + measurement)

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Medical Sciences	100%

Selected Abstracts

Quantitative lung perfusion mapping at 0.2 T using FAIR True-FISP MRI

MAGNETIC RESONANCE IN MEDICINE, Issue 5 2006
Petros Martirosian
Abstract Perfusion measurements in lung tissue using arterial spin labeling (ASL) techniques are hampered by strong microscopic field gradients induced by susceptibility differences between the alveolar air and the lung parenchyma. A true fast imaging with steady precession (True-FISP) sequence was adapted for applications in flow-sensitive alternating inversion recovery (FAIR) lung perfusion imaging at 0.2 Tesla and 1.5 Tesla. Conditions of microscopic static field distribution were assessed in four healthy volunteers at both field strengths using multiecho gradient-echo sequences. The full width at half maximum (FWHM) values of the frequency distribution for 180,277 Hz at 1.5 Tesla were more than threefold higher compared to 39,109 Hz at 0.2 Tesla. The influence of microscopic field inhomogeneities on the True-FISP signal yield was simulated numerically. Conditions allowed for the development of a FAIR True-FISP sequence for lung perfusion measurement at 0.2 Tesla, whereas at 1.5 Tesla microscopic field inhomogeneities appeared too distinct. Perfusion measurements of lung tissue were performed on eight healthy volunteers and two patients at 0.2 Tesla using the optimized FAIR True-FISP sequence. The average perfusion rates in peripheral lung regions in transverse, sagittal, and coronal slices of the left/right lung were 418/400, 398/416, and 370/368 ml/100 g/min, respectively. This work suggests that FAIR True-FISP sequences can be considered appropriate for noninvasive lung perfusion examinations at low field strength. Magn Reson Med, 2006. © 2006 Wiley-Liss, Inc. [source]

Perfusion MR imaging with pulsed arterial spin-labeling: Basic principles and applications in functional brain imaging

CONCEPTS IN MAGNETIC RESONANCE, Issue 5 2002
Yihong Yang
Abstract Basic principles of the arterial spin-labeling perfusion MRI are described, with focus on a brain perfusion model with pulsed labeling. A multislice perfusion imaging sequence with adiabatic inversion and spiral scanning is illustrated as an example. The mechanism of the perfusion measurement, the quantification of cerebral blood flow, and the suppression of potential artifacts are discussed. Applications of the perfusion imaging in brain activation studies, including simultaneous detection of blood flow and blood oxygenation, are demonstrated. Important issues associated with the applications such as sensitivity, quantification, and temporal resolution are discussed. © 2002 Wiley Periodicals, Inc. Concepts Magn Reson 14: 347,357, 2002 [source]

Method for improving the accuracy of quantitative cerebral perfusion imaging,

JOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 5 2005
Ken E. Sakaie PhD
Abstract Purpose To improve the accuracy of dynamic susceptibility contrast (DSC) measurements of cerebral blood flow (CBF) and volume (CBV). Materials and Methods In eight volunteers, steady-state CBV (CBVSS) was measured using TrueFISP readout of inversion recovery (IR) before and after injection of a bolus of contrast. A standard DSC (STD) perfusion measurement was performed by echo-planar imaging (EPI) during passage of the bolus and subsequently used to calculate the CBF (CBFDSC) and CBV (CBVDSC). The ratio of CBVSS to CBVDSC was used to calibrate measurements of CBV and CBF on a subject-by-subject basis. Results Agreement of values of CBV (1.77 ± 0.27 mL/100 g in white matter (WM), 3.65 ± 1.04 mL/100 g in gray matter (GM)), and CBF (23.6 ± 2.4 mL/(100 g min) in WM, 57.3 ± 18.2 mL/(100 g min) in GM) with published gold-standard values shows improvement after calibration. An F-test comparison of the coefficients of variation of the CBV and CBF showed a significant reduction, with calibration, of the variability of CBV in WM (P< 0.001) and GM (P < 0.03), and of CBF in WM (P < 0.0001). Conclusion The addition of a CBVSS measurement to an STD measurement of cerebral perfusion improves the accuracy of CBV and CBF measurements. The method may prove useful for assessing patients suffering from acute stroke. J. Magn. Reson. Imaging 2005;21:512,519. © 2005 Wiley-Liss, Inc. [source]

Quantitative lung perfusion mapping at 0.2 T using FAIR True-FISP MRI

Quantitative contrast-enhanced perfusion measurements of the human lung using the prebolus approach

JOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 1 2009
Markus Oechsner MS
Abstract Purpose To investigate dynamic contrast-enhanced MRI (DCE-MRI) for quantification of pulmonary blood flow (PBF) and blood volume (PBV) using the prebolus approach and to compare the results to the global lung perfusion (GLP). Materials and Methods Eleven volunteers were examined by applying different contrast agent doses (0.5, 1.0, 2.0, and 3.0 mL gadolinium diethylene triamine pentaacetic acid [Gd-DTPA]), using a saturation-recovery (SR) true fast imaging with steady precession (TrueFISP) sequence. PBF and PBV were determined for single bolus and prebolus. Region of interest (ROI) evaluation was performed and parameter maps were calculated. Additionally, cardiac output (CO) and lung volume were determined and GLP was calculated as a contrast agent,independent reference value. Results The prebolus results showed good agreement with low-dose single-bolus and GLP: PBF (mean ± SD in units of mL/minute/100 mL) = single bolus 190 ± 73 (0.5-mL dose) and 193 ± 63 (1.0-mL dose); prebolus 192 ± 70 (1.0,2.0-mL dose) and 165 ± 52 (1.0,3.0-mL dose); GLP (mL/minute/100 mL) = 187 ± 34. Higher single-bolus resulted in overestimated values due to arterial input function (AIF) saturation. Conclusion The prebolus approach enables independent determination of appropriate doses for AIF and tissue signal. Using this technique, the signal-to-noise ratio (SNR) from lung parenchyma can be increased, resulting in improved PBF and PBV quantification, which is especially useful for the generation of parameter maps. J. Magn. Reson. Imaging 2009;30:104,111. © 2009 Wiley-Liss, Inc. [source]

Susceptibility Contrast and Arterial Spin Labeled Perfusion MRI in Cerebrovascular Disease

JOURNAL OF NEUROIMAGING, Issue 1 2003
Ronald L. Wolf MD
ABSTRACT Purpose. To directly compare dynamic susceptibility contrast (DSC) and continuous arterial spin labeled (CASL) magnetic resonance (MR) perfusion techniques in patients with known cerebrovascular disease, with the goals of identifying possible pitfalls in interpretation and determining potential for a complementary role in this setting. Methods. DSC and CASL MR perfusion studies were performed and compared in 11 patients with acute and/or chronic cerebrovascular disease. Using an automated segmentation technique, Pearson correlation coefficients were generated for CASL perfusion measurements compared to DSC perfusion maps (time-to-peak [TTP], relative cerebral blood volume [rCBV], cerebral blood flow [rCBF], and mean transit time [MTT]) by hemisphere and vascular territory. Results. TTP maps obtained using DSC perfusion MR correlated best both subjectively and objectively with CASL perfusion MRmeasurements when all patients studied were considered. If patients with a major transit delay were excluded, DSC rCBF correlated best with CASL CBF measurements. Conclusion. There may be a complementary role for CASL and DSC perfusion MR methods in cerebrovascular disease, especially in the setting of a marked transit delay. [source]

Evaluation of an AIF correction algorithm for dynamic susceptibility contrast-enhanced perfusion MRI

MAGNETIC RESONANCE IN MEDICINE, Issue 1 2008
Peter Brunecker
Abstract For longitudinal studies in patients suffering from cerebrovascular diseases the poor reproducibility of perfusion measurements via dynamic susceptibility-weighted contrast-enhanced MRI (DSC-MRI) is a relevant concern. We evaluate a novel algorithm capable of overcoming limitations in DSC-MRI caused by partial volume and saturation issues in the arterial input function (AIF) by a blood flow stimulation-study. In 21 subjects, perfusion parameters before and after administration of blood flow stimulating L -arginine were calculated utilizing a block-circulant singular value decomposition (cSVD). A total of two different raters and three different rater conditions were employed to select AIFs: Besides 1) an AIF selection by an experienced rater, a beginner rater applied a steady state-oriented strategy, returning; 2) raw; and 3) corrected AIFs. Highly significant changes in regional cerebral blood flow (rCBF) by 9.0% (P < 0.01) could only be found when the AIF correction was performed. To further test for improved reproducibility, in a subgroup of seven subjects the baseline measurement was repeated 6 weeks after the first examination. In this group as well, using the correction algorithm decreased the SD of the difference between the two baseline measurements by 42%. Magn Reson Med 60:102,110, 2008. © 2008 Wiley-Liss, Inc. [source]

Fast mapping of myocardial blood flow with MR first-pass perfusion imaging

MAGNETIC RESONANCE IN MEDICINE, Issue 6 2008
Thomas A. Goldstein
Abstract Accurate and fast quantification of myocardial blood flow (MBF) with MR first-pass perfusion imaging techniques on a pixel-by-pixel basis remains difficult due to relatively long calculation times and noise-sensitive algorithms. In this study, Zierler's central volume principle was used to develop an algorithm for the calculation of MBF with few assumptions on the shapes of residue curves. Simulation was performed to evaluate the accuracy of this algorithm in the determination of MBF. To examine our algorithm in vivo, studies were performed in nine normal dogs. Two first-pass perfusion imaging sessions were performed with the administration of the intravascular contrast agent Gadomer at rest and during dipyridamole-induced vasodilation. Radiolabeled microspheres were injected to measure MBF at the same time. MBF measurements in dogs using MR methods correlated well with the microsphere measurements (R2 = 0.96, slope = 0.9), demonstrating a fair accuracy in the perfusion measurements at rest and during the vasodilation stress. In addition to its accuracy, this method can also be optimized to run relatively fast, providing potential for fast and accurate myocardial perfusion mapping in a clinical setting. Magn Reson Med, 2008. © 2008 Wiley-Liss, Inc. [source]

Normal cerebral perfusion measurements using arterial spin labeling: Reproducibility, stability, and age and gender effects

MAGNETIC RESONANCE IN MEDICINE, Issue 4 2004
Laura M. Parkes
Abstract Before meaningful conclusions can be drawn from clinical measures of cerebral blood perfusion, the precision of the measurement must be determined and set in the context of inter- and intrasubject sources of variability. This work establishes the reproducibility of perfusion measurements using the noninvasive MRI technique of continuous arterial spin labeling (CASL). Perfusion was measured in 34 healthy normal subjects. Intersubject variability was assessed, and age and gender contributions were estimated. Intersubject variation was found to be large, with up to 100% perfusion difference for subjects of the same age and gender. Repeated measurements in one subject showed that perfusion remains remarkably stable in the short term when compared with intersubject variation and the large capacity for perfusion change in the brain. A significant decrease in the ratio of gray-matter to white-matter perfusion was found with increasing age (0.79% per year (P < 0.0005)). This appears to be due mainly to a reduction in gray-matter perfusion, which was found to decrease by 0.45% per year (P = 0.04). Regional analysis suggested that the gray-matter age-related changes were predominantly localized in the frontal cortex. Whole-brain perfusion was 13% higher (P = 0.02) in females compared to males. Magn Reson Med 51:736,743, 2004. © 2004 Wiley-Liss, Inc. [source]

Validation and advantages of FAWSETS perfusion measurements in skeletal muscle

NMR IN BIOMEDICINE, Issue 4 2005
Kenneth I. Marro
Abstract This work discusses the strengths, limitations and validity of a novel arterial spin labeling technique when used specifically to measure perfusion in limb skeletal muscle. The technique, flow-driven arterial water stimulation with elimination of tissue signal (FAWSETS), offers several advantages over existing arterial spin labeling techniques. The primary goal of this study was to determine the perfusion signal response to changes in net hind limb flow that were independently verifiable. The range of perfusate flow was relevant to skeletal muscle during mild to moderate exercise. Localized, single voxel measurements were acquired from a 5,mm-thick slice in the isolated perfused rat hind limb at variable net flow rates. The results show that the perfusion signal is linearly proportional to net hind limb flow with a correlation coefficient of 0.974 (p,=,0.0013). FAWSETS is especially well suited for studies of skeletal muscle perfusion, where it eliminates the need to compensate for magnetization transfer and arterial transit time effects. A conceptual discussion of the basic principles underlying these advantages is presented. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Arterial spin-labeled perfusion combined with segmentation techniques to evaluate cerebral blood flow in white and gray matter of children with sickle cell anemia,

PEDIATRIC BLOOD & CANCER, Issue 1 2009
Kathleen J. Helton MD
Abstract Background Changes in cerebral perfusion are an important feature of the pathophysiology of sickle cell anemia (SCA); cerebrovascular ischemia occurs frequently and leads to neurocognitive deficits, silent infarcts, and overt stroke. Non-invasive MRI methods to measure cerebral blood flow (CBF) by arterial spin labeling (ASL) afford new opportunities to characterize disease- and therapy-induced changes in cerebral hemodynamics in patients with SCA. Recent studies have documented elevated gray matter (GM) CBF in untreated children with SCA, but no measurements of white matter (WM) CBF have been reported. Procedures Pulsed ASL with automated brain image segmentation-classification techniques were used to determine the CBF in GM, WM, and abnormal white matter (ABWM) of 21 children with SCA, 18 of whom were receiving hydroxyurea therapy. Results GM and WM CBF were highly associated (R2,=,0.76, P,<,0.0001) and the GM to WM CBF ratio was 1.6 (95% confidence interval: 1.43,1.83). Global GM CBF in our treated cohort was 87,±,24 mL/min/100 g, a value lower than previously reported in untreated patients with SCA. CBF was elevated in normal appearing WM (43,±,14 mL/min/100 g) but decreased in ABWM (6,±,12 mL/min/100 g), compared to published normal pediatric controls. Hemispheric asymmetry in CBF was noted in most patients. Conclusions These perfusion measurements suggest that hydroxyurea may normalize GM CBF in children with SCA, but altered perfusion in WM may persist. This novel combined approach for CBF quantification will facilitate prospective studies of cerebral vasculopathy in SCA, particularly regarding the effects of treatments such as hydroxyurea. Pediatr Blood Cancer 2009;52:85,91. © 2008 Wiley-Liss, Inc. [source]

,-blockers improve chronic ischaemia of the lower urinary tract in patients with lower urinary tract symptoms

BJU INTERNATIONAL, Issue 3 2008
Germar-M.
OBJECTIVE To investigate whether a mechanism of action of ,-blockers on lower urinary tract symptoms (LUTS) involves improved perfusion of the LUT. PATIENTS, SUBJECTS AND METHODS The accuracy of perfusion measurements using transrectal colour Doppler ultrasound (TRCDUS) and colour pixel density (CPD) was initially confirmed in a porcine model. Following this confirmation, measurements were taken from four healthy male volunteers and 19 patients with LUTS. The urinary bladder was filled slowly (50 mL/min) with 0.2 m KCl, which resembles the osmolarity of concentrated urine, and evaluated by cystometry. In parallel, TRCDUS and measurement of the CPD of the LUT were performed. The patients with LUTS were then treated with daily ,-blocker (0.4 mg tamsulosin) for 5 weeks and urodynamic variables as well as perfusion were evaluated again. RESULTS In the healthy men, perfusion of the LUT increased considerably (157%) during filling of the bladder to a mean (sd) maximum cystometric capacity (Cmax) of 481 (28.9) mL. All the patients with LUTS had a reduced mean Cmax during filling with KCl at 322.4 (58.5) mL. The mean CPD in the urinary bladder and the prostate were only increased by 58.4% during filling with KCl. After ,-blocker therapy the mean Cmax during filling with KCl rose to 382.5 (42.9) mL; furthermore, perfusion of the LUT measured by CPD was significantly increased (132.8%). CONCLUSIONS The present data strongly suggest that LUTS are associated with chronic ischaemia of the prostate and urinary bladder. ,-blockers increase perfusion in the LUT and Cmax. These results might explain the therapeutic effects of ,-blockers on LUTS. [source]