지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,686 - 1,693 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: We evaluated hemodynamic significance of stenosis on magnetic resonance angiography (MRA) using acetazolamideperfusion single photon emission computed tomography (SPECT).
Materials and Methods: Of 171 patients, stenosis in internal carotid artery (ICA) and middle cerebral artery (MCA) (ICA-MCA)on MRA and cerebrovascular reserve (CVR) of MCA territory on SPECT was measured using quantification and a 3-grade system.
Stenosis and CVR grades were compared with each other, and their prognostic value for subsequent stroke was evaluated.
Results: Of 342 ICA-MCA, 151 (44%) presented stenosis on MRA; grade 1 in 69 (20%) and grade 2 in 82 (24%) cases. DecreasedCVR was observed in 9% of grade 0 stenosis, 25% of grade 1, and 35% of grade 2. The average CVR of grade 0 was significantly differentfrom grade 1 (p<0.001) and grade 2 stenosis (p=0.007). In quantitative analysis, average CVR index was -0.56±7.91 in grade 0,-1.81±6.66 in grade 1 and -1.18±5.88 in grade 2 stenosis. Agreement between stenosis and CVR grades was fair in patients withlateralizing and non-lateralizing symptoms (κ=0.230 and 0.346). Of the factors tested, both MRA and CVR were not significantprognostic factors (p=0.104 and 0.988, respectively), whereas hypertension and renal disease were significant factors (p<0.05, respectively).
Conclusion: A considerable proportion of ICA-MCA stenosis detected on MRA does not cause CVR impairment despite a faircorrelation between them. Thus, hemodynamic state needs to be assessed for evaluating significance of stenosis, particularly inasymptomatic patients.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Deus-Silva L / 2013 / Brain Perfusion Impairment in Neurologically Asymptomatic Adult Patients with Sickle-Cell Disease Shown by Voxel-Based Analysis of SPECT Images / Front Neurol 4:207
Oikawa K / 2013 / Combined measurement of cerebral and cerebellar blood flow on preoperative brain perfusion SPECT imaging predicts development of new cerebral ischemic events after endarterectomy for symptomatic unilateral cervical carotid stenosis / Clin Nucl Med 38:957~961
Volkan-Salanci B / 2012 / The role of brain perfusion SPECT in Moyamoya disease / Rev Esp Med Nucl Imagen Mol 31:216~218
Saura H / 2012 / Effect of combination therapy with the angiotensin receptor blocker losartan plus hydrochlorothiazide on brain perfusion in patients with both hypertension and cerebral hemodynamic impairment due to symptomatic chronic major cerebral artery steno-occlusive disease: a SPECT study / Cerebrovasc Dis 33:354~361
Gupta A / 2012 / Cerebrovascular reserve and stroke risk in patients with carotid stenosis or occlusion: a systematic review and meta-analysis / Stroke 43:2884~2891
Oikawa K / 2013 / Combined measurement of cerebral and cerebellar blood flow on preoperative brain perfusion SPECT imaging predicts development of new cerebral ischemic events after endarterectomy for symptomatic unilateral cervical carotid stenosis / Clin Nucl Med 38:957~961
Volkan-Salanci B / 2012 / The role of brain perfusion SPECT in Moyamoya disease / Rev Esp Med Nucl Imagen Mol 31:216~218
Saura H / 2012 / Effect of combination therapy with the angiotensin receptor blocker losartan plus hydrochlorothiazide on brain perfusion in patients with both hypertension and cerebral hemodynamic impairment due to symptomatic chronic major cerebral artery steno-occlusive disease: a SPECT study / Cerebrovasc Dis 33:354~361
Gupta A / 2012 / Cerebrovascular reserve and stroke risk in patients with carotid stenosis or occlusion: a systematic review and meta-analysis / Stroke 43:2884~2891
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Mismatch between TOF MR Angiography and CT Angiography of the Middle Cerebral Artery may be a Critical Sign in Cerebrovascular Dynamics
Yonsei Medical Journal
2018 .01
-
Changes in the Flow-Volume Curve According to the Degree of Stenosis in Patients With Unilateral Main Bronchial Stenosis
Clinical and Experimental Otorhinolaryngology
2015 .01
-
Evaluation of plasma N-terminal pro-brain natriuretic peptide and troponin I concentrations in dogs with congenital ventricular outflow tract stenosis
Korean Journal of Veterinary Research(대한수의학회지)
2017 .02
-
Dynamic Cervical Spinal Canal Stenosis: Identifying Imaging Risk Factors in Extended Positions
Asian Spine Journal
2024 .04
-
Usefulness of Plaque Magnetic Resonance Imaging in Identifying High-Risk Carotid Plaques Irrespective of the Degree of Stenosis
Journal of Cerebrovascular and Endovascular Neurosurgery
2017 .01
-
Multimodality Imaging for the Assessment of Severe Aortic Stenosis
Journal of Cardiovascular Imaging
2019 .01
-
Cortical Thinning in High-Grade Asymptomatic Carotid Stenosis
대한뇌졸중학회지
2023 .01
-
Carotid Artery Stenting for Asymptomatic Carotid Stenosis: What We Need to Know for Treatment Decision
Neurointervention
2023 .03
-
Qualitative Grading as a Tool in the Management of Multilevel Lumbar Spine Stenosis
Asian Spine Journal
2017 .01
-
Association between the Gensini Score and Carotid Artery Stenosis
Korean Circulation Journal
2016 .01
-
한국에서 경동맥 협착증 관련 건강상태별 삶의 질 조사
보건의료기술평가
2016 .06
-
Revascularization of Concurrent Renal and Cerebral Artery Stenosis in a 14-Year-Old Girl with Takayasu Arteritis and Moyamoya Syndrome
Journal of Korean Medical Science
2018 .01
-
Reassembling Evidence for Treatment in Asymptomatic Carotid Artery Stenosis
Korean Circulation Journal
2020 .01
-
Assessment Regarding the Safety of Stress Cardiovascular Magnetic Resonance in Patients With Moderate to Severe Aortic Stenosis
Journal of Cardiovascular Imaging
2023 .01
-
Unplanned Second-Stage Decompression for Neurological Deterioration Caused by Central Canal Stenosis after Indirect Lumbar Decompression Surgery
Asian Spine Journal
2019 .01
-
Lumbar Stenosis: A Recent Update by Review of Literature
Asian Spine Journal
2015 .01
-
Carotid artery stenting
Korean Circulation Journal
2018 .01
-
Significance of Coronal Proset Magnetic Resonance Imaging to Detect Hidden Zone of the Mid-Zone Stenosis in the Lumbar Spine and Morphometric Analysis of the Mid-Zone Stenosis
Asian Spine Journal
2016 .01
-
Carotid Intraplaque Hemorrhage is Associated with Acute Cerebral Ischemic Events and Progression of Stenosis on Magnetic Resonance Imaging
Investigative Magnetic Resonance Imaging
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0