Skip to main content

Acetazolamide Vasoreactivity Evaluated by Transcranial Ultrasonic Power Harmonic Imaging and Doppler Sonography

  • Conference paper
Minimally Invasive Neurosurgery and Multidisciplinary Neurotraumatology

Abstract

Transcranial ultrasonic harmonic imaging utilizing echo-contrast agents (ECA) has been introduced for repeatable non-invasive bedside measurements of brain tissue perfusion. Quantitative parameters from time-intensity curve analysis after a bolus ECA injection have been evaluated [14] and correlated with dynamic CT [3,5] and perfusion magnetic resonance imaging (MRI) [6]. However, quantitative reliability has not yet been established, mainly due to skull- and depth-dependent attenuation of the ultrasound signals [13]. Furthermore, the dye-dilution principle [7] commonly utilized in neuroradiological perfusion imaging would not be applicable to bolus ultrasonic kinetics due to the additional problems of ECA bubble saturation [8] and shadowing effects [9].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Postert T, Muhs A, Meves S, et al (1998) Transient response harmonic imaging: An ultrasound technique related to brain perfusion. Stroke 29:1901–1907

    PubMed  CAS  Google Scholar 

  2. Seidel G, Algermissen C, Christoph A, et al (2000) Harmonic imaging of the human brain. Visualization of brain perfusion with ultrasound. Stroke 31:151–154

    PubMed  CAS  Google Scholar 

  3. Shiogai T, Tsunezuka C, Ohara T, et al (2001) Clinical significance of transcranial contrast-enhanced harmonic perfusion imaging (HPI) as a quantitative method of measuring cerebral blood flow. Neurotraumatology 24:77–82 (in Japanese)

    Google Scholar 

  4. Eyding J, Krogias C, Wilkening W, et al (2003) Parameters of cerebral perfusion in phase-inversion harmonic imaging (PIHI) ultrasound examinations. Ultrasound Med Biol 29:1379–1385

    Article  PubMed  Google Scholar 

  5. Shiogai T, Koshimura M, Murata Y, et al (2003) Acetazolamide vasoreactivity evaluated by transcranial harmonic perfusion imaging: Relationship with transcranial Doppler sonography and dynamic CT. Acta Neurochir Suppl 86:57–62

    PubMed  CAS  Google Scholar 

  6. Meves SH, Wilkening W, Thies T, et al (2002) Comparison between echo contrast agentspecific imaging modes and perfusion-weighted magnetic resonance imaging for the assessment of brain perfusion. Stroke 33:2433–2437

    Article  PubMed  Google Scholar 

  7. Meier P, Zierler LK (1954) On the theory of the indicator-dilution method for meas-urement of blood flow and volume. J Appl Physiol 6:731–744

    PubMed  CAS  Google Scholar 

  8. Claassen L, Seidel G, Algermissen C (2001) Quantification of flow rates using harmonic grey-scale imaging and an ultrasound contrast agent: An in vitro and in vivo study. Ultrasound Med Biol 27:83–88

    Article  PubMed  CAS  Google Scholar 

  9. Seidel G, Meyer K, Algermissen C, et al (2001) Harmonic imaging of the brain parenchyma using a perfluorobutane-containing ultrasound contrast agent. Ultrasound Med Biol 27:915–918

    Article  PubMed  CAS  Google Scholar 

  10. Rim SJ, Leong-Poi H, Lindner JR, et al (2001) Quantification of cerebral perfusion with “Real-Time” contrast-enhanced ultrasound. Circulation 104:2582–2587

    PubMed  CAS  Google Scholar 

  11. Meyer-Wiethe K, Cangur H, Seidel GU (2005) Comparison of different mathematical models to analyze diminution kinetics of ultrasound contrast enhancement in a flow phantom. Ultrasound Med Biol 31:93–98

    Article  PubMed  Google Scholar 

  12. Eyding J, Wilkening W, Krogias C, et al (2004) Validation of the depletion kinetic in semiquantitative ultrasonographic cerebral perfusion imaging using 2 different techniques of data acquisition. J Ultrasound Med 23:1035–1040

    PubMed  Google Scholar 

  13. Shiogai T, Takayasu N, Mizuno T, et al (2004) Comparison of transcranial brain tissue perfusion images between ultraharmonic, second harmonic, and power harmonic imaging. Stroke 35:687–693

    Article  PubMed  Google Scholar 

  14. Henderson AR (1993) Assessing test accuracy and its clinical consequences: A primer for receiver operating characteristic curve analysis. Ann Clin Biochem 30 (Pt6):521–539

    PubMed  Google Scholar 

  15. Dahl A, Russell D, Rootwelt K, et al (1995) Cerebral vasoreactivity assessed with transcranial Doppler and regional cerebral blood flow measurements. Dose, serum concentration, and time course of the response to acetazolamide. Stroke 26:2302–2306

    PubMed  CAS  Google Scholar 

  16. Hamann GF, Stoll M, Jost V, et al (1996) Time course of acetazolamide effect in normal persons. J Neuroimaging 6:29–31

    PubMed  CAS  Google Scholar 

  17. Cangur H, Meyer-Wiethe K, Seidel G (2004) Comparison of flow parameters to analyse bolus kinetics of ultrasound contrast enhancement in a capillary flow model. Ultraschall Med 25:418–421

    Article  PubMed  CAS  Google Scholar 

  18. Ugolini P, Delouche A, Herment A, et al (2000) In vitro flow quantification with contrast power Doppler imaging. Ultrasound Med Biol 26:113–120

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag Tokyo

About this paper

Cite this paper

Shiogai, T. et al. (2006). Acetazolamide Vasoreactivity Evaluated by Transcranial Ultrasonic Power Harmonic Imaging and Doppler Sonography. In: Kanno, T., Kato, Y. (eds) Minimally Invasive Neurosurgery and Multidisciplinary Neurotraumatology. Springer, Tokyo. https://doi.org/10.1007/4-431-28576-8_55

Download citation

  • DOI: https://doi.org/10.1007/4-431-28576-8_55

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-28551-9

  • Online ISBN: 978-4-431-28576-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics