Arterial spin labelling qualitative assessment in paediatric patients with MRI-negative epilepsy

Author(s):  
L. Pasca ◽  
F. Sanvito ◽  
E. Ballante ◽  
M. Totaro ◽  
M. Paoletti ◽  
...  
2019 ◽  
Vol 32 (6) ◽  
pp. 431-437 ◽  
Author(s):  
Roberto Cannella ◽  
Gianvincenzo Sparacia ◽  
Vincenzina Lo Re ◽  
Elisa Oddo ◽  
Giuseppe Mamone ◽  
...  

Purpose The aim of this study was to assess the novel advanced magnetic resonance imaging findings of acute stage cortical laminar necrosis developing after complicated cardiovascular or abdominal surgery. Materials and methods This institutional review board-approved study included patients with postoperative stroke due to cortical laminar necrosis imaged with magnetic resonance in the acute stage. Brain magnetic resonance imaging examinations were obtained on a 3T magnetic resonance scanner within 48 hours of the neurological symptoms, including diffusion-weighted images (b value, 1000 s/mm2) and arterial spin labelling using a pseudo-continuous arterial spin labelling method in four patients. Conventional and advanced magnetic resonance images were analysed to assess the imaging features in acute stage cortical laminar necrosis. Results The final population consisted of 14 patients (seven men and seven women, mean age 61 years, range 32–79 years) diagnosed with stroke and acute phase cortical laminar necrosis. All the patients presented with cortical lesions showing restricted diffusion on diffusion-weighted images and hypointensity on the apparent diffusion coefficient map. Cortical hyperintensity on T2-weighted or fluid-attenuated inversion recovery images was found in three (21%) and six (43%) patients, respectively. Reduced perfusion was noted in three out of four patients imaged with arterial spin labelling, while in one case no corresponding perfusion abnormality was noted on the arterial spin labelling maps. Arterial spin labelling abnormalities were much more extensive than diffusion restriction in two patients, and they were associated with a poor outcome. Conclusion Cortical hyperintense abnormalities on diffusion-weighted imaging may be the only sign of developing cortical laminar necrosis injury. The acquisition of arterial spin labelling helps to identify perfusion alterations and the extension of the ischaemic injury.


Author(s):  
Amirah Faisal Alsaedi ◽  
David Lee Thomas ◽  
Enrico De Vita ◽  
Jasmina Panovska-Griffiths ◽  
Sotirios Bisdas ◽  
...  

2018 ◽  
Vol 39 (8) ◽  
pp. 1557-1569 ◽  
Author(s):  
James R Larkin ◽  
Manon A Simard ◽  
Alexandre A Khrapitchev ◽  
James A Meakin ◽  
Thomas W Okell ◽  
...  

Cerebral blood flow is an important parameter in many diseases and functional studies that can be accurately measured in humans using arterial spin labelling (ASL) MRI. However, although rat models are frequently used for preclinical studies of both human disease and brain function, rat CBF measurements show poor consistency between studies. This lack of reproducibility is due, partly, to the smaller size and differing head geometry of rats compared to humans, as well as the differing analysis methodologies employed and higher field strengths used for preclinical MRI. To address these issues, we have implemented, optimised and validated a multiphase pseudo-continuous ASL technique, which overcomes many of the limitations of rat CBF measurement. Three rat strains (Wistar, Sprague Dawley and Berlin Druckrey IX) were used, and CBF values validated against gold-standard autoradiography measurements. Label positioning was found to be optimal at 45°, while post-label delay was optimised to 0.55 s. Whole brain CBF measures were 109 ± 22, 111 ± 18 and 100 ± 15 mL/100 g/min by multiphase pCASL, and 108 ± 12, 116 ± 14 and 122 ± 16 mL/100 g/min by autoradiography in Wistar, SD and BDIX cohorts, respectively. Tumour model analysis shows that the developed methods also apply in disease states. Thus, optimised multiphase pCASL provides robust, reproducible and non-invasive measurement of CBF in rats.


2006 ◽  
Vol 14 (7S_Part_15) ◽  
pp. P851-P852
Author(s):  
Yolanda Ohene ◽  
Ian F. Harrison ◽  
Payam Nahavandi ◽  
Ozama Ismail ◽  
Ole P. Ottersen ◽  
...  

2012 ◽  
Vol 18 (11) ◽  
pp. 1570-1576 ◽  
Author(s):  
Michael Amann ◽  
Lutz Achtnichts ◽  
Jochen G Hirsch ◽  
Yvonne Naegelin ◽  
Johannes Gregori ◽  
...  

Background: We hypothesized that in multiple sclerosis (MS) patients, reduced cortical perfusion is associated with chronic white matter injury. Objective: To investigate the influence of different clinical and magnetic resonance imaging characteristics on cortical perfusion. Methods: Cerebral blood flow (CBF) was assessed by applying a pulsed arterial spin labelling (ASL) technique combined with single-shot 3D-GRASE (gradient-spin echo) in a cohort of 165 MS patients with a relapsing–remitting ( n=123) or secondary progressive disease course ( n=42). Mean age was 45.4 years (20–68 years), mean disease duration was 14.2 years (1–48 years). Results: Mean cortical CBF was 45.6 ml/100g per min (SD: 7.8 ml/100g per min). Stepwise multiple linear regression models were calculated to investigate the relationship between different factor sets and mean CBF. The model with the highest adjusted coefficient of determination included T2 lesion load, age, gender and disease duration as significant factors. Post-hoc Spearman rank correlation revealed significant correlation of adjusted CBF with T2 lesion load (t=−0.35, p=1*10–6), with age (t =−0.34, p=4*10–6), and with disease duration (t=0.16, p=0.03), while Expanded Disability Status Scale (EDSS) did not reach significance in either model. Conclusion: This study suggests that the amount of white matter lesions indicates a reduced metabolic demand and reduced perfusion at a cortical level.


2009 ◽  
Vol 19 (12) ◽  
pp. 2819-2825 ◽  
Author(s):  
Takashi Yoshiura ◽  
Akio Hiwatashi ◽  
Tomoyuki Noguchi ◽  
Koji Yamashita ◽  
Yasumasa Ohyagi ◽  
...  

NeuroImage ◽  
2019 ◽  
Vol 188 ◽  
pp. 515-523 ◽  
Author(s):  
Yolanda Ohene ◽  
Ian F. Harrison ◽  
Payam Nahavandi ◽  
Ozama Ismail ◽  
Eleanor V. Bird ◽  
...  

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