Abstract
The aim of the present study was a detailed analysis of the regional cerebral blood flow and blood volume in patients with subcortical arteriosclerotic encephalopathy (SAE) by means of functional magnetic resonance imaging (MRI). A group of 26 patients with SAE and a group of 16 age-matched healthy volunteers were examined. Using a well-established dynamic susceptibility contrast-enhanced MRI method, the regional cerebral blood flow (rCBF) and blood volume (rCBV) were quantified for each subject in 12 different regions in the brain parenchyma. As compared to healthy volunteers, patients with SAE showed significantly reduced rCBF and rCBV values in white matter regions and in the occipital cortex. Regions containing predominantly grey matter show almost normal rCBF and rCBV values. In conclusion, quantitative analysis of rCBF and rCBV values demonstrates clearly that SAE is a disease that is associated with a reduced microcirculation predominantly in white matter.
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Bronge L (2002) Magnetic resonance imaging in dementia. A study of brain white matter changes. Acta Radiol 43(Suppl 428):7–32
Schreiber WG, Gückel F, Stritzke P, Schmiedek P, Schwartz A, Brix G (1998) Cerebral blood flow and cerebrovascular reserve capacity: estimation by dynamic magnetic resonance imaging. J Cereb Blood Flow Metab 18:1143–1156
Rempp K, Brix G, Gückel F, Becker C, Wenz F, Lorenz WJ (1994) Quantification of regional cerebral blood flow and volume by dynamic susceptibility contrast enhanced MR imaging. Radiology 193:637–641
Ostergaard L, Johannsen P, Host Poulsen P, Vestergaard-Poulsen P, Gee AD, Hansen SB (1998) Cerebral blood flow measurement by magnetic resonance imaging bolus tracking: comparison with 15O-H2O PET in humans. J Cereb Blood Flow Metab 18:935–940
Ostergaard L, Sorensen AG, Kwong KK, Weisskoff RM, Gyldensted C, Rosen BR (1996) High resolution measurement of cerebral blood flow using intravascular tracer bolus passages, part 2: experimental comparison and preliminary results. Magn Reson Med 36:726–736
Ostergaard L, Weisskoff RM, Chesler DA, Gyldensted C, Rosen BR (1996) High resolution measurement of cerebral blood flow using intravascular tracer bolus passages, part 1: mathematical approach and statistical analysis. Magn Reson Med 36:715–725
Wirestam R, Borg M, Brockstedt S, Lindgren A, Geijer B, Holtas S (2001) Perfusion related parameters in intravoxel incoherent motion imaging compared with CBV and CBF measured by dynamic susceptibility-contrast MR technique. Acta Radiol 42:123–128
Wirestam R, Ryding E, Lindgren A, Geijer B, Holtas S, Stahlberg F (2000) Absolute cerebral blood flow measured by dynamic susceptibility contrast MRI: a direct comparison with Xe-133SPECT. Magma 11:96–103
Wirestam R, Ryding E, Lindgren A, Geijer B, Ostergaard L, Andersson L (2000) Regional cerebral blood flow distributions in normal volunteers: dynamic susceptibility contrast enhanced MRI compared with 99m-Tc-HMPAO SPECT. J Comput Assist Tomogr 24:526–530
Gückel F, Brix G, Rempp K, Deimling M, Röther J, Georgi M (1994) Assessment of cerebral blood volume with dynamic susceptibility contrast enhanced gradient-echo imaging. J Comput Assist Tomogr 18:344–351
Gückel F, Brix G, Schmiedek P, Piepgras A, Becker G, Köpke J (1996) Assessment of cerebrovascular reserve capacity in patients with occlusive cerebrovascular disease using dynamic susceptibility contrast enhanced MR-Imaging and the acetazolamide stimulation test. Radiology 201:405–412
Roman GC, Tatemichi TK, Erkinjuntti T (1993) Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop. Neurology 43:250–260
Mäntylä R, Aronen HJ, Salonen O, Korpelainen M, Peltonen T, Standertskjöld-Nordenstam CG (1999) The prevalence and distribution of white-matter changes on different MRI pulse sequences in a post-stroke cohort. Neuroradiology 41:657–665
Perman WH, Gado M, Larson KB, Perlmutter JS (1993) The in vivo relationship between Gd-DTPA concentration and ΔR2 for brain parenchyma and arterial blood 13. Annual Meeting Society of Magnetic Resonance in Medicine 1993. Abstr Pap-Am Chem Soc 3:88
Perman WH, Gado M, Larson KB, Perlmutter JS (1992) Simultaneous MR acquisition of arterial and brain signal-time curvesMagn. Res Med 28:74–83
Fisel CR, Ackerman JL, Buxton RB (1991) MR contrast due to microscopically heterogeneous magnetic susceptibility: numerical simulations and applications to cerebral physiology. Magn Reson Med 17:336–347
Rosen BR, Belliveau JW, Buchbinder BR, McKinstry RC, Porkka LM, Kennedy DN (1991) Contrast agents and cerebral hemodynamicsMagn. Reson Med 19:285–292
Rosen BR, Belliveau JW, Chien D (1989) Perfusion imaging by nuclear magnetic resonance. Magn Reson Q 5:263–281
Rosen BR, Belliveau JW, Vevea JM, Brady TJ (1990) Perfusion imaging with NMR contrast agents. Magn Reson Med 14:249–265
Sabatini U, Celsis P, Viallard G, Rascol A, Marc-Vergnes JP (1991) Quantitative assessment of cerebral blood volume by single-photon emission computed tomography. Stroke 22:324–330
Pocock SJ, Geller NL, Tsiatis AA (1987) The analysis of multiple endpoints in clinical trials. Biometrics 43:487–498
Belliveau JW, Rosen BR, Kantor HL, Rzedzian RR, Kennedy R, McKinstry RC (1990) Functional cerebral imaging by susceptibility-contrast NMR Magn. Reson Med 14:538–546
Edelman RR, Mattle HP, Atkinson DJ, Hill T, Finn JP, Mayman C (1990) Cerebral blood flow: assessment with dynamic contrast-enhanced T2* weighted MR imaging at 1.5 Tesla. Radiology 176:211–220
Frackowiak RSJ, Lenzi GL, Jones T, Heather JD (1980) Quantitative measurement of regional cerebral blood flow and oxygen metabolism in man using 15O and positron emission tomography: theory, procedure and normal values. J Comput Assist Tomogr 4:727–736
Kreisig T, Schmiedek P, Leinsinger G, Einhäupl K, Moser E (1987) 133-Xe-DSpect: Normalwerte von zerebraler Ruhedurchblutung und Reservekapazität. Nucl Med 26:192–197
Lenzi GL, Frakowiak RSJ, Jones T (1981) CMRO2 and CBF by the oxygen-15 inhalation techniques: Results in normal volunteers and cerebrovascular patients. Eur Neurol 20:285–290
Powers WJ, Raichle ME (1985) Positron emission tomography and its application to the study of cerebrovascular disease in man. Stroke 16:361–376
Redzai K, Kirchner PT, Armstrong C, Erhardt JC (1988) Validation studies for brain blood flow assessment by radioxenon tomography. J Nucl Med 29:348–355
Ryding E (1989) Estimation of error limits for cerebral blood flow values obtained from Xenon-133 clearance curves. Stroke 20:205–210
Sperling B, Lassen NA (1993) Hyperfixation of HMPAO in subacute ischemic stroke leading to spuriously high estimates of cerebral blood flow by SPECT. Stroke 24:193–194
Berthezene Y, Nighoghossian N, Meyer R, Damien J, Cinotti L, Adeleine P (1998) Can cerebrovascular reactivity be assessed by dynamic susceptibility contrast-enhanced MRI. Neuroradiology 40:1–5
Renshaw PF, Levin JM, Kaufman MJ, Ross MH, Lewis RF, Harris GJ (1997) Dynamic susceptibility contrast magnetic resonance imaging in neuropsychiatry: present utility and future promise. Eur Radiol 7(Suppl 5):216–221
Henry ME, Kaufman MJ, Lange N, Schmidt ME, Purcell S, Cote J (2001) Test-retest reliability of DSC MRI CBV mapping in healthy volunteers. Neuroreport 13(12):1576–1579
Leenders KL, Perani D, Lammertsma AA, Heather JD, Healy MJ, Gibbs JM et al (1990) Cerebral blood flow, blood volume and oxygen utilization. Normal values and effect of age. Brain 113:27–47
Pantano P, Baron JC, Lebrum-Grandie P (1985) Regional cerebral blood flow and oxygen consumption in human aging. Stroke 15:635–641
Stoll M, Hagen T, Bartylla K, Weber M, Jost V, Treib J (1998) Changes of cerebral perfusion after osmotherapy in acute cerebral edema assessed with perfusion weighted MRI. Neurol Res 20:474–478
Tsuchida C, Yamada H, Maeda M, Sadato N, Matsuda T, Kawamura Y et al (1997) Evaluation of peri-infarcted hypoperfusion with T2*-weighted dynamic MRIMagn. Reson Imaging 7:518–522
Helenius J, Perkio J, Soinne L, Ostergaard L, Carano RA, Salonen C (2003) Cerebral hemodynamics in a healthy population measured by dynamic susceptibility contrast MR imaging. Acta Radiol 44:538–546
Chabriat H, Pappata S, Ostergaard L, Clark CA, Pachot-Clouard M, Vahedi K et al (2000) Cerebral hemodynamics in CADASIL before and after acetazolamide challenge assessed with MRI bolus tracking. Stroke 31:1904–1912
Bruening R, Dichgans M, Berchtenbreiter C, Yousry T, Seelos KC, Mayer M, Brix G et al (2001) Cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy: decrease in regional cerebral blood volume in hyperintense subcortical lesions inversely correlates with disability and cognitive performance. AJNR 22:1268–1274
Yao H, Sadoshima S, Kuwabara Y, Ichiya Y, Fujishima M (1990) Cerebral blood flow and oxygen metabolism in patients with vascular dementia of the Binswangers type. Stroke 21:1694–1699
Markus HS, Lythgoe DJ, Ostergaard L, O‘ Sullivan M, Williams SCR (2000) Reduced cerebral blood flow in white matter in ischemic leukoaraiosis demonstrated using quantitative exogenous contrast based perfusion MRI. J Neurol Neurosurg Psychiatry 69:48–53
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Gückel, F.J., Brix, G., Hennerici, M. et al. Regional cerebral blood flow and blood volume in patients with subcortical arteriosclerotic encephalopathy (SAE). Eur Radiol 17, 2483–2490 (2007). https://doi.org/10.1007/s00330-007-0617-y
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DOI: https://doi.org/10.1007/s00330-007-0617-y