Relation Between Cerebral Perfusion Territories and Location of Cerebral Infarcts

被引:32
作者
Hendrikse, Jeroen [1 ]
Petersen, Esben Thade [2 ,4 ]
Cheze, Amandine [2 ]
Chng, Soke Miang [2 ]
Venketasubramanian, Narayanaswamy [3 ]
Golay, Xavier [2 ,5 ]
机构
[1] Univ Med Ctr Utrecht, Dept Radiol, Utrecht, Netherlands
[2] Natl Inst Neurosci, Dept Neuroradiol, Singapore, Singapore
[3] Natl Inst Neurosci, Dept Neurol, Singapore, Singapore
[4] Aarhus Univ Hosp, CFIN, Dept Neuroradiol, DK-8000 Aarhus, Denmark
[5] Singapore Bioimaging Consortium, Lab Mol Imaging, Singapore, Singapore
基金
英国医学研究理事会;
关键词
cerebral hemodynamics; collateral circulation; magnetic resonance imaging; perfusion; stroke; ACUTE ISCHEMIC-STROKE; COLLATERAL CIRCULATION; CLASSIFICATION; ARTERIES; MRI; FLOW; SYSTEM;
D O I
10.1161/STROKEAHA.108.539866
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Purpose-The perfusion territories of the brain-feeding arteries are difficult to assess in vivo and therefore standard cerebral perfusion territory templates are often used to determine the relation between cerebral infarcts and the feeding vasculature. In the present study, we compared this infarct classification, using standard templates, with the individualized depiction of cerebral perfusion territories on MRI. Methods-The ethics committee of our institution approved the study protocol. A total of 159 patients (92 male, 67 female; mean age, 58.9 years) with first-time clinical symptoms of cerebral ischemia were included in the study. Diffusion-weighted imaging was used for depiction of the area of ischemia and the perfusion territories of the left internal carotid artery, right internal carotid artery, and vertebrobasilar arteries were visualized with territorial arterial spin labeling MRI. Infarct locations with respect to cerebral perfusion territories were evaluated with and without territorial arterial spin labeling MRI images. Results-In 92% of the patients, the territorial arterial spin labeling images were of diagnostic quality. One hundred thirty-six patients showed areas of ischemia on diffusion-weighted images. The additional information from the territorial arterial spin labeling images changed the classification in 11% of the cortical or border zone infarcts (6 of 56), whereas no territorial changes were observed in lacunar, periventricular, cerebellar, and brainstem infarcts. Conclusion-The diagnostic information provided by perfusion territory imaging in patients with stroke is valuable for the classification of cortical and border zone infarcts, whereas no change of the textbook-based classification was observed for other infarct types. (Stroke. 2009; 40: 1617-1622.)
引用
收藏
页码:1617 / 1622
页数:6
相关论文
共 50 条
  • [31] Cerebral perfusion in relation to cognitive function and type 2 diabetes
    A. M. Tiehuis
    K. L. Vincken
    E. van den Berg
    J. Hendrikse
    S. M. Manschot
    W. P. T. M. Mali
    L. J. Kappelle
    G. J. Biessels
    Diabetologia, 2008, 51 : 1321 - 1326
  • [32] Cerebral perfusion in relation to cognitive function and type 2 diabetes
    Tiehuis, A. M.
    Vincken, K. L.
    van den Berg, E.
    Hendrikse, J.
    Manschot, S. M.
    Mali, W. P. T. M.
    Kappelle, L. J.
    Biessels, G. J.
    DIABETOLOGIA, 2008, 51 (07) : 1321 - 1326
  • [33] Challenges in Diagnosing Cerebral Lacunar Infarcts
    Gunda, Bence
    Gyoergy Varallyay
    Rudas, Gabor
    Daniel Bereczki
    CURRENT MEDICAL IMAGING, 2009, 5 (02) : 75 - 84
  • [34] Perspectives for the treatment of acute cerebral infarcts
    Leys, D.
    Mas, J. -L
    BULLETIN DE L ACADEMIE NATIONALE DE MEDECINE, 2023, 207 (03): : 247 - 256
  • [35] Method for improving the accuracy of quantitative cerebral perfusion imaging
    Sakaie, KE
    Shin, W
    Curtin, KR
    McCarthy, RM
    Cashen, TA
    Carroll, TJ
    JOURNAL OF MAGNETIC RESONANCE IMAGING, 2005, 21 (05) : 512 - 519
  • [36] A digital map of middle cerebral artery infarcts associated with middle cerebral artery trunk and branch occlusion
    Phan, TG
    Donnan, GA
    Wright, PM
    Reutens, DC
    STROKE, 2005, 36 (05) : 986 - 991
  • [37] Short-Term Outcome and In-Hospital Complications After Acute Cerebral Infarcts in Multiple Arterial Territories
    Novotny, Vojtech
    Khanevski, Andrej N.
    Bjerkreim, Anna T.
    Kvistad, Christopher E.
    Fromm, Annette
    Waje-Andreassen, Ulrike
    Naess, Halvor
    Thomassen, Lars
    Logallo, Nicola
    STROKE, 2019, 50 (12) : 3625 - 3627
  • [38] Cerebral Perfusion Imaging and Plateau Waves
    Slawski, Diana
    Lyman, Kyle A.
    Thatikunta, Prateek
    Gold, Carl A.
    Albers, Gregory W.
    STROKE, 2023, 54 (05) : E224 - E228
  • [39] Multiple Cerebral Infarcts in a Young Patient Associated With Marijuana Use
    Volpon, Leila Costa
    Muniz de Melo Sousa, Camila Lacerda
    Kavaguti Moreira, Silvia Keiko
    Teixeira, Sara Reis
    de Carvalho Panzeri Carlotti, Ana Paula
    JOURNAL OF ADDICTION MEDICINE, 2017, 11 (05) : 405 - 407
  • [40] Cerebral perfusion imaging predicts final infarct volume after basilar artery thrombectomy
    Yuen, Nicole
    Mlynash, Michael
    Riordan, Andrea
    Lansberg, Maarten
    Christensen, Soren
    Cereda, Carlo W.
    Bianco, Giovanni
    Giurgiutiu, Dan -Victor
    Alemseged, Fana
    Pileggi, Marco
    Campbell, Bruce
    Albers, Gregory W.
    Heit, Jeremy J.
    JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2023, 32 (01)