Measurement of regional brain temperature using proton spectroscopic imaging: validation and application to acute ischemic stroke

被引:64
作者
Marshall, Ian [1 ]
Karaszewski, Bartosz [1 ]
Wardlaw, Joanna M. [1 ]
Cvoro, Vera [1 ]
Wartolowska, Karolina [1 ]
Armitage, Paul A. [1 ]
Carpenter, Trevor [1 ]
Bastin, Mark E. [1 ]
Farrall, Andrew [1 ]
Haga, Kristin [1 ]
机构
[1] Univ Edinburgh, Brain Imaging Res Ctr Scotland, SHEFC, Edinburgh, Midlothian, Scotland
关键词
spectroscopic imaging; temperature; brain; stroke;
D O I
10.1016/j.mri.2006.02.002
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A magnetic resonance proton spectroscopic imaging (SI) technique was developed to measure regional brain temperatures in human subjects. The technique was validated in a homogeneous phantom and in four healthy volunteers. Simulations and calculations determined the theoretical measurement precision as approximately +/-0.3 degrees C for individual 1-ml voxels. In healthy volunteers, repeated measurements oil individual voxels had all S.D.= 1.2 degrees C. In a clinical study. 40 patients with acute ischemic stroke were imaged within 26 h (mean. 10 h) of onset. Temperatures were highest in the region that appeared abnormal (i.e.. ischemic) on diffusion-weighted imaging (DWI) compared with a normal-appearing brain. The mean temperature difference between the DWI "lesion" area and the "normal brain" was 0.17 degrees C [P < 10(-3), range, 2.45 degrees C (hotter)-2.17 degrees C (cooler)]. Noninvasive temperature measurement by SI has sufficient precision to be used in Studies of pathophysiology in stroke and in other brain disorders and to monitor therapies. (C) 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:699 / 706
页数:8
相关论文
共 31 条
[21]   Therapeutic hypothermia for acute stroke [J].
Olsen, TS ;
Weber, UJ ;
Kammersgaard, LP .
LANCET NEUROLOGY, 2003, 2 (07) :410-416
[22]   In vivo measurement of regional brain metabolic response to hyperventilation using magnetic resonance: Proton echo planar spectroscopic imaging (PEPSI) [J].
Posse, S ;
Dager, SR ;
Richards, TL ;
Yuan, C ;
Ogg, R ;
Artru, AA ;
MullerGartner, HW ;
Hayes, C .
MAGNETIC RESONANCE IN MEDICINE, 1997, 37 (06) :858-865
[23]  
Press W. H., 1992, NUMERICAL RECIPES C, P274
[24]  
RAO CR, 1946, P CAMBRIDGE PHIL SOC, V43, P280
[25]   Body temperature in acute stroke: Relation to stroke severity, infarct size, mortality, and outcome [J].
Reith, J ;
Jorgensen, HS ;
Pedersen, PM ;
Nakayama, H ;
Raaschou, HO ;
Jeppesen, LL ;
Olsen, TS .
LANCET, 1996, 347 (8999) :422-425
[26]   Brain temperature monitoring and modulation in patients with severe MCA infarction [J].
Schwab, S ;
Schwarz, S ;
Steiner, T ;
Pilz, J ;
Spranger, M ;
Hacke, W .
NEUROLOGY, 1997, 48 (03) :58005-58005
[27]  
van den Boogaart A, 1994, MATH SIGNAL PROCESSI, VIII, P175
[28]  
VANDENBOOGAART A, 1996, P ESMRMB 13 ANN M PR, P318
[29]   Improved method for accurate and efficient quantification of MRS data with use of prior knowledge [J].
Vanhamme, L ;
van den Boogaart, A ;
Van Huffel, S .
JOURNAL OF MAGNETIC RESONANCE, 1997, 129 (01) :35-43
[30]   TEMPERATURE-CHANGES OF GREATER-THAN-OR-EQUAL-TO-1-DEGREES-C ALTER FUNCTIONAL NEUROLOGIC OUTCOME AND HISTOPATHOLOGY IN A CANINE MODEL OF COMPLETE CEREBRAL-ISCHEMIA [J].
WASS, CT ;
LANIER, WL ;
HOFER, RE ;
SCHEITHAUER, BW ;
ANDREWS, AG .
ANESTHESIOLOGY, 1995, 83 (02) :325-335