Monitoring Cerebral Perfusion Changes after Revascularization in Patients with Moyamoya Disease by Using Arterial Spin-labeling MR Imaging
Purpose To determine whether arterial spin-labeling (ASL) magnetic resonance (MR) imaging could be used to identify changes in cerebral blood flow (CBF), collateral blood flow, and anastomosis site patency after revascularization in patients with moyamoya disease. Materials and Methods This retrospe...
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| Veröffentlicht in: | Radiology 2018-08, Vol.288 (2), p.170509-572 |
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| creator | Lee, Seunghyun Yun, Tae Jin Yoo, Roh-Eul Yoon, Byung-Woo Kang, Koung Mi Choi, Seung Hong Kim, Ji-Hoon Kim, Jeong Eun Sohn, Chul-Ho Han, Moon Hee |
| description | Purpose To determine whether arterial spin-labeling (ASL) magnetic resonance (MR) imaging could be used to identify changes in cerebral blood flow (CBF), collateral blood flow, and anastomosis site patency after revascularization in patients with moyamoya disease. Materials and Methods This retrospective study was conducted in 145 patients with moyamoya disease who underwent middle cerebral artery (MCA)-superficial temporal artery anastomosis. Preoperative, early postoperative, and late postoperative ASL and digital subtraction angiography images were analyzed. In the MCA territory, absolute CBF (hereafter, CBF
) and normalized CBF values adjusted to nonanastomosis side (hereafter, nCBF
) and to cerebellum (hereafter, nCBF
) were calculated. Collateral grading in the MCA territory was assessed according to Alberta Stroke Program Early CT Score methodology, and anastomosis site patency were also assessed. Changes in CBF were compared by using one-way analysis of variance with Bonferroni correction for multiple comparisons. Intermodality agreement was determined by κ statistics. Results Significant increases in CBF
, nCBF
, and nCBF
were found after revascularization (preoperative and postoperative values of CBF
, 35.2 mL/100 g per minute ± 7.8 [mean ± standard deviation] and 51.5 mL/100 g per minute ± 12.0; nCBF
, 0.73 mL/100 g per minute ± 0.14 and 1.01 mL/100 g per minute ± 0.18; nCBF
, 0.74 mL/100 g per minute ± 0.12 and 1.12 mL/100 g per minute ± 0.16; all P < .001). Agreements for collateral grading and anastomosis patency between ASL MR imaging and digital subtraction angiography were moderate to good, with weighted κ values of 0.77 (95% confidence interval: 0.73, 0.81) and 0.57 (95% confidence interval: 0.37, 0.76), respectively. Conclusion ASL MR imaging can be used to identify perfusion changes in patients with moyamoya disease after revascularization as a noninvasive monitoring tool. |
| doi_str_mv | 10.1148/radiol.2018170509 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2033379509</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2033379509</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-9519614c58697c033b7914fca42bdc5cea364a0cdd124e2c1ff951a65945e3143</originalsourceid><addsrcrecordid>eNpFkU1PHDEMhqOqqGxpf0AvVY69DI0nyWRyRFugSKxAfJxHnoxnSTUf22QGtPwEfnWzWgoHy5bt95Hsl7FvII4BVPkzYOPH7jgXUIIRWtgPbAE6NxlI0B_ZQggps1KBPWSfY_wjBChdmk_sMLcGVGHMgr2sxsFPY_DDmi8pUB2w49cU2jn6ceDLBxzWFDm2EwV-Q48Y3dxh8M847eZ-4NepomGK_MlPD3w1brFPwX_5SBiJ11t-H3f0k5AQPtFvN37IOqyp27VXN_yix3Uqv7CDFrtIX1_zEbs_O71b_s4ur84vlieXmZNKTZnVYAtQTpeFNS5dWBsLqnWo8rpx2hHKQqFwTQO5otxB2yYJFtoqTRKUPGI_9txNGP_OFKeq99FR1-FA4xyrPDGlsemdaRX2qy6MMQZqq03wPYZtBaLaWVDtLajeLUia76_4ue6peVP8_7n8BwadhSU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2033379509</pqid></control><display><type>article</type><title>Monitoring Cerebral Perfusion Changes after Revascularization in Patients with Moyamoya Disease by Using Arterial Spin-labeling MR Imaging</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Lee, Seunghyun ; Yun, Tae Jin ; Yoo, Roh-Eul ; Yoon, Byung-Woo ; Kang, Koung Mi ; Choi, Seung Hong ; Kim, Ji-Hoon ; Kim, Jeong Eun ; Sohn, Chul-Ho ; Han, Moon Hee</creator><creatorcontrib>Lee, Seunghyun ; Yun, Tae Jin ; Yoo, Roh-Eul ; Yoon, Byung-Woo ; Kang, Koung Mi ; Choi, Seung Hong ; Kim, Ji-Hoon ; Kim, Jeong Eun ; Sohn, Chul-Ho ; Han, Moon Hee</creatorcontrib><description>Purpose To determine whether arterial spin-labeling (ASL) magnetic resonance (MR) imaging could be used to identify changes in cerebral blood flow (CBF), collateral blood flow, and anastomosis site patency after revascularization in patients with moyamoya disease. Materials and Methods This retrospective study was conducted in 145 patients with moyamoya disease who underwent middle cerebral artery (MCA)-superficial temporal artery anastomosis. Preoperative, early postoperative, and late postoperative ASL and digital subtraction angiography images were analyzed. In the MCA territory, absolute CBF (hereafter, CBF
) and normalized CBF values adjusted to nonanastomosis side (hereafter, nCBF
) and to cerebellum (hereafter, nCBF
) were calculated. Collateral grading in the MCA territory was assessed according to Alberta Stroke Program Early CT Score methodology, and anastomosis site patency were also assessed. Changes in CBF were compared by using one-way analysis of variance with Bonferroni correction for multiple comparisons. Intermodality agreement was determined by κ statistics. Results Significant increases in CBF
, nCBF
, and nCBF
were found after revascularization (preoperative and postoperative values of CBF
, 35.2 mL/100 g per minute ± 7.8 [mean ± standard deviation] and 51.5 mL/100 g per minute ± 12.0; nCBF
, 0.73 mL/100 g per minute ± 0.14 and 1.01 mL/100 g per minute ± 0.18; nCBF
, 0.74 mL/100 g per minute ± 0.12 and 1.12 mL/100 g per minute ± 0.16; all P < .001). Agreements for collateral grading and anastomosis patency between ASL MR imaging and digital subtraction angiography were moderate to good, with weighted κ values of 0.77 (95% confidence interval: 0.73, 0.81) and 0.57 (95% confidence interval: 0.37, 0.76), respectively. Conclusion ASL MR imaging can be used to identify perfusion changes in patients with moyamoya disease after revascularization as a noninvasive monitoring tool.</description><identifier>ISSN: 0033-8419</identifier><identifier>EISSN: 1527-1315</identifier><identifier>DOI: 10.1148/radiol.2018170509</identifier><identifier>PMID: 29714677</identifier><language>eng</language><publisher>United States</publisher><ispartof>Radiology, 2018-08, Vol.288 (2), p.170509-572</ispartof><rights>RSNA, 2018 Online supplemental material is available for this article.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-9519614c58697c033b7914fca42bdc5cea364a0cdd124e2c1ff951a65945e3143</citedby><cites>FETCH-LOGICAL-c344t-9519614c58697c033b7914fca42bdc5cea364a0cdd124e2c1ff951a65945e3143</cites><orcidid>0000-0003-1858-0640</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29714677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Seunghyun</creatorcontrib><creatorcontrib>Yun, Tae Jin</creatorcontrib><creatorcontrib>Yoo, Roh-Eul</creatorcontrib><creatorcontrib>Yoon, Byung-Woo</creatorcontrib><creatorcontrib>Kang, Koung Mi</creatorcontrib><creatorcontrib>Choi, Seung Hong</creatorcontrib><creatorcontrib>Kim, Ji-Hoon</creatorcontrib><creatorcontrib>Kim, Jeong Eun</creatorcontrib><creatorcontrib>Sohn, Chul-Ho</creatorcontrib><creatorcontrib>Han, Moon Hee</creatorcontrib><title>Monitoring Cerebral Perfusion Changes after Revascularization in Patients with Moyamoya Disease by Using Arterial Spin-labeling MR Imaging</title><title>Radiology</title><addtitle>Radiology</addtitle><description>Purpose To determine whether arterial spin-labeling (ASL) magnetic resonance (MR) imaging could be used to identify changes in cerebral blood flow (CBF), collateral blood flow, and anastomosis site patency after revascularization in patients with moyamoya disease. Materials and Methods This retrospective study was conducted in 145 patients with moyamoya disease who underwent middle cerebral artery (MCA)-superficial temporal artery anastomosis. Preoperative, early postoperative, and late postoperative ASL and digital subtraction angiography images were analyzed. In the MCA territory, absolute CBF (hereafter, CBF
) and normalized CBF values adjusted to nonanastomosis side (hereafter, nCBF
) and to cerebellum (hereafter, nCBF
) were calculated. Collateral grading in the MCA territory was assessed according to Alberta Stroke Program Early CT Score methodology, and anastomosis site patency were also assessed. Changes in CBF were compared by using one-way analysis of variance with Bonferroni correction for multiple comparisons. Intermodality agreement was determined by κ statistics. Results Significant increases in CBF
, nCBF
, and nCBF
were found after revascularization (preoperative and postoperative values of CBF
, 35.2 mL/100 g per minute ± 7.8 [mean ± standard deviation] and 51.5 mL/100 g per minute ± 12.0; nCBF
, 0.73 mL/100 g per minute ± 0.14 and 1.01 mL/100 g per minute ± 0.18; nCBF
, 0.74 mL/100 g per minute ± 0.12 and 1.12 mL/100 g per minute ± 0.16; all P < .001). Agreements for collateral grading and anastomosis patency between ASL MR imaging and digital subtraction angiography were moderate to good, with weighted κ values of 0.77 (95% confidence interval: 0.73, 0.81) and 0.57 (95% confidence interval: 0.37, 0.76), respectively. Conclusion ASL MR imaging can be used to identify perfusion changes in patients with moyamoya disease after revascularization as a noninvasive monitoring tool.</description><issn>0033-8419</issn><issn>1527-1315</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpFkU1PHDEMhqOqqGxpf0AvVY69DI0nyWRyRFugSKxAfJxHnoxnSTUf22QGtPwEfnWzWgoHy5bt95Hsl7FvII4BVPkzYOPH7jgXUIIRWtgPbAE6NxlI0B_ZQggps1KBPWSfY_wjBChdmk_sMLcGVGHMgr2sxsFPY_DDmi8pUB2w49cU2jn6ceDLBxzWFDm2EwV-Q48Y3dxh8M847eZ-4NepomGK_MlPD3w1brFPwX_5SBiJ11t-H3f0k5AQPtFvN37IOqyp27VXN_yix3Uqv7CDFrtIX1_zEbs_O71b_s4ur84vlieXmZNKTZnVYAtQTpeFNS5dWBsLqnWo8rpx2hHKQqFwTQO5otxB2yYJFtoqTRKUPGI_9txNGP_OFKeq99FR1-FA4xyrPDGlsemdaRX2qy6MMQZqq03wPYZtBaLaWVDtLajeLUia76_4ue6peVP8_7n8BwadhSU</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Lee, Seunghyun</creator><creator>Yun, Tae Jin</creator><creator>Yoo, Roh-Eul</creator><creator>Yoon, Byung-Woo</creator><creator>Kang, Koung Mi</creator><creator>Choi, Seung Hong</creator><creator>Kim, Ji-Hoon</creator><creator>Kim, Jeong Eun</creator><creator>Sohn, Chul-Ho</creator><creator>Han, Moon Hee</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1858-0640</orcidid></search><sort><creationdate>20180801</creationdate><title>Monitoring Cerebral Perfusion Changes after Revascularization in Patients with Moyamoya Disease by Using Arterial Spin-labeling MR Imaging</title><author>Lee, Seunghyun ; Yun, Tae Jin ; Yoo, Roh-Eul ; Yoon, Byung-Woo ; Kang, Koung Mi ; Choi, Seung Hong ; Kim, Ji-Hoon ; Kim, Jeong Eun ; Sohn, Chul-Ho ; Han, Moon Hee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-9519614c58697c033b7914fca42bdc5cea364a0cdd124e2c1ff951a65945e3143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Seunghyun</creatorcontrib><creatorcontrib>Yun, Tae Jin</creatorcontrib><creatorcontrib>Yoo, Roh-Eul</creatorcontrib><creatorcontrib>Yoon, Byung-Woo</creatorcontrib><creatorcontrib>Kang, Koung Mi</creatorcontrib><creatorcontrib>Choi, Seung Hong</creatorcontrib><creatorcontrib>Kim, Ji-Hoon</creatorcontrib><creatorcontrib>Kim, Jeong Eun</creatorcontrib><creatorcontrib>Sohn, Chul-Ho</creatorcontrib><creatorcontrib>Han, Moon Hee</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Seunghyun</au><au>Yun, Tae Jin</au><au>Yoo, Roh-Eul</au><au>Yoon, Byung-Woo</au><au>Kang, Koung Mi</au><au>Choi, Seung Hong</au><au>Kim, Ji-Hoon</au><au>Kim, Jeong Eun</au><au>Sohn, Chul-Ho</au><au>Han, Moon Hee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Monitoring Cerebral Perfusion Changes after Revascularization in Patients with Moyamoya Disease by Using Arterial Spin-labeling MR Imaging</atitle><jtitle>Radiology</jtitle><addtitle>Radiology</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>288</volume><issue>2</issue><spage>170509</spage><epage>572</epage><pages>170509-572</pages><issn>0033-8419</issn><eissn>1527-1315</eissn><abstract>Purpose To determine whether arterial spin-labeling (ASL) magnetic resonance (MR) imaging could be used to identify changes in cerebral blood flow (CBF), collateral blood flow, and anastomosis site patency after revascularization in patients with moyamoya disease. Materials and Methods This retrospective study was conducted in 145 patients with moyamoya disease who underwent middle cerebral artery (MCA)-superficial temporal artery anastomosis. Preoperative, early postoperative, and late postoperative ASL and digital subtraction angiography images were analyzed. In the MCA territory, absolute CBF (hereafter, CBF
) and normalized CBF values adjusted to nonanastomosis side (hereafter, nCBF
) and to cerebellum (hereafter, nCBF
) were calculated. Collateral grading in the MCA territory was assessed according to Alberta Stroke Program Early CT Score methodology, and anastomosis site patency were also assessed. Changes in CBF were compared by using one-way analysis of variance with Bonferroni correction for multiple comparisons. Intermodality agreement was determined by κ statistics. Results Significant increases in CBF
, nCBF
, and nCBF
were found after revascularization (preoperative and postoperative values of CBF
, 35.2 mL/100 g per minute ± 7.8 [mean ± standard deviation] and 51.5 mL/100 g per minute ± 12.0; nCBF
, 0.73 mL/100 g per minute ± 0.14 and 1.01 mL/100 g per minute ± 0.18; nCBF
, 0.74 mL/100 g per minute ± 0.12 and 1.12 mL/100 g per minute ± 0.16; all P < .001). Agreements for collateral grading and anastomosis patency between ASL MR imaging and digital subtraction angiography were moderate to good, with weighted κ values of 0.77 (95% confidence interval: 0.73, 0.81) and 0.57 (95% confidence interval: 0.37, 0.76), respectively. Conclusion ASL MR imaging can be used to identify perfusion changes in patients with moyamoya disease after revascularization as a noninvasive monitoring tool.</abstract><cop>United States</cop><pmid>29714677</pmid><doi>10.1148/radiol.2018170509</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1858-0640</orcidid><oa>free_for_read</oa></addata></record> |
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| title | Monitoring Cerebral Perfusion Changes after Revascularization in Patients with Moyamoya Disease by Using Arterial Spin-labeling MR Imaging |
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