The usefulness of super-selective arterial spin labeling for postoperative evaluation of pediatric moyamoya disease: technical note

被引:3
作者
Yoshikane, Tsutomu [1 ]
Hayashi, Kentaro [1 ]
Obara, Makoto [1 ,2 ]
Katsube, Takeshi [1 ,3 ]
Asou, Hiroya [3 ]
机构
[1] Shimane Univ, Fac Med, Dept Neurosurg, 89-1 Enya, Izumo, Shimane 6938501, Japan
[2] Philips Japan Ltd, MR Clin Sci, Tokyo, Japan
[3] Shimane Univ, Fac Med, Dept Radiol, Izumo, Shimane, Japan
关键词
MR technique; Arterial spin labeling; Super-selective ASL; Moyamoya disease; Pediatric radiology; PROGRESS;
D O I
10.1007/s00234-024-03402-2
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Moyamoya disease is characterized by progressive internal carotid artery (ICA) occlusion. Extracranial-intracranial bypass surgery is effective, particularly in pediatric patients; imaging plays a crucial role in evaluating intracranial perfusion pre- and post-surgery. Arterial spin labeling (ASL) is a magnetic resonance technique employed for noninvasive, whole-brain perfusion assessment by magnetically labeling inflowing blood. However, ASL cannot evaluate the territories and development of each vessel perfusion compared with digital subtraction angiography (DSA). Recently, super-selective ASL (SS-ASL) has been developed, performing pinpoint labeling on a specific artery at a time, and offering a tomographic view that distinctly displays blood supply areas for each vessel. Unlike DSA, SS-ASL is noninvasive and can be repeatedly performed in pediatric patients. In conclusion, SS-ASL is useful for evaluating bypass development over time and understanding the pathophysiology of pediatric moyamoya disease.
引用
收藏
页码:1391 / 1395
页数:5
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