- 급성 뇌경색의 혈역학적 평가에 있어서 역동적 조영증강 T2*-강조 자기공명영상의 유용성
- ㆍ 저자명
- 이경훈
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1996년|35권 2호|pp.167-172 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose : To evaluate the usefulness of dynamic contrast-enhanced T2*-weighted MR imaging for assessingcerebral hemodynamics in acute cerebral infarction. Materials and Methods : We performed dynamic T2*-weightedimaging(TRTEflip angle : 402610$^{circ}$, 64 $ imes$ 128 matrix, 5 sec scan time) in conjunction with conventional T1- andT2-weighted imaging and MR angiography in 20 patients with acute cerebral infarction. The regions of ischemia seenon T2-weighted image(high signal intensity), MR angiogram(vascular stenosis or occlusion) and dynamiccontrast-enhanced T2*-weighted image(perfusion defect) were topographically compared with each other. Relativecerebral blood volumes(rCBVs) of the ischemic regions and of contralateral normal regions were calculated fromsignal intensity data measured on dynamic contrast-enhanced T2*-weighted images, and were compared. Results :Regions of ischemia were topographically well correlated on T2-weighted image, MR angiogram and dynamiccontrast-enhanced T2*-weighted image in all but two patients, of whom one had recanalization of the occludedartery and the other had a small infarction. rCBVs were asymmetrically reduced in the ischemic regions in all butone patient who had recanalization of the occluded artery. Conclusion : Dynamic contrast-enhanced T2*-weightedimaging is a useful method in the qualitative and quantitative assessment of cerebral hemodynamics in acutecerebral infarction. The use of this imaging technique along with conventional MR imaging and MR angiographyprovides better hemodynamic information in acute cerebral infarction.