Cerebral hyperperfusion on arterial spin labeling MRI after reperfusion therapy is related to hemorrhagic transformation

Early detection of hemorrhagic transformation after reperfusion therapy is crucial in acute stroke treatment. Here, we evaluated the relationship between hemorrhagic transformation and post-reperfusion hyperperfusion using pulsed arterial spin labeling (ASL) perfusion MRI and 123I-iodoamphetamine si...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of cerebral blood flow and metabolism 2017-09, Vol.37 (9), p.3087-3090
Hauptverfasser: Okazaki, Shuhei, Yamagami, Hiroshi, Yoshimoto, Takeshi, Morita, Yoshiaki, Yamamoto, Haruko, Toyoda, Kazunori, Ihara, Masafumi
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 3090
container_issue 9
container_start_page 3087
container_title Journal of cerebral blood flow and metabolism
container_volume 37
creator Okazaki, Shuhei
Yamagami, Hiroshi
Yoshimoto, Takeshi
Morita, Yoshiaki
Yamamoto, Haruko
Toyoda, Kazunori
Ihara, Masafumi
description Early detection of hemorrhagic transformation after reperfusion therapy is crucial in acute stroke treatment. Here, we evaluated the relationship between hemorrhagic transformation and post-reperfusion hyperperfusion using pulsed arterial spin labeling (ASL) perfusion MRI and 123I-iodoamphetamine single-photon emission-computed tomography. Patients who developed hemorrhagic transformation showed significantly higher cerebral blood flow in the affected lesion after thrombolysis and/or endovascular intervention. Focal hyperperfusion (ipsilateral to contralateral ratio >1.5) was associated with hemorrhagic transformation after reperfusion (odds ratio, 9.3; 95% confidence interval, 1.4–64.0). Our findings suggest that post-reperfusion hyperperfusion on ASL could represent a reliable marker of hemorrhagic transformation.
doi_str_mv 10.1177/0271678X17718099
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5584703</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0271678X17718099</sage_id><sourcerecordid>1915343946</sourcerecordid><originalsourceid>FETCH-LOGICAL-c547t-b4a6d58c490e61a71b9b9bbdc3e98190f0e056ec32d66750088ef738b0f0321a3</originalsourceid><addsrcrecordid>eNp1UUtr3DAQFqGl2Sa951R07MWNtLJel0JZ-gikBEoCuQnZHq8VbMsd2aX776Nl82gLQQMa9D000kfIGWcfOdf6nK01V9rc5p4bZu0RWXEpbaEZV6_Iag8Xe_yYvE3pjjFmhJRvyPHaKCW5MivyZwMIFfqedrsJMFe7pBBHmsvjDBgylKYw0t5X0IdxS3_8vKC-zRBFeObPHaCfdjSkfNz7GRo6R9rBEBE7vw01ndGPqY04-DkLTsnr1vcJ3j3sJ-Tm65frzffi8urbxebzZVHLUs9FVXrVSFOXloHiXvPK5lU1tQBruGUtAyYV1GLdKKVlfqGBVgtTZUSsuRcn5NPBd1qqAZoaxjxH7yYMg8ediz64f5ExdG4bfzspTamZyAYfHgww_logzW4IqYa-9yPEJTluuRSlsKXKVHag1hhTQmifruHM7QNz_weWJe__Hu9J8JhQJhQHQvJbcHdxwTF_18uG91-MofI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1915343946</pqid></control><display><type>article</type><title>Cerebral hyperperfusion on arterial spin labeling MRI after reperfusion therapy is related to hemorrhagic transformation</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>SAGE Complete A-Z List</source><source>PubMed Central</source><creator>Okazaki, Shuhei ; Yamagami, Hiroshi ; Yoshimoto, Takeshi ; Morita, Yoshiaki ; Yamamoto, Haruko ; Toyoda, Kazunori ; Ihara, Masafumi</creator><creatorcontrib>Okazaki, Shuhei ; Yamagami, Hiroshi ; Yoshimoto, Takeshi ; Morita, Yoshiaki ; Yamamoto, Haruko ; Toyoda, Kazunori ; Ihara, Masafumi</creatorcontrib><description>Early detection of hemorrhagic transformation after reperfusion therapy is crucial in acute stroke treatment. Here, we evaluated the relationship between hemorrhagic transformation and post-reperfusion hyperperfusion using pulsed arterial spin labeling (ASL) perfusion MRI and 123I-iodoamphetamine single-photon emission-computed tomography. Patients who developed hemorrhagic transformation showed significantly higher cerebral blood flow in the affected lesion after thrombolysis and/or endovascular intervention. Focal hyperperfusion (ipsilateral to contralateral ratio &gt;1.5) was associated with hemorrhagic transformation after reperfusion (odds ratio, 9.3; 95% confidence interval, 1.4–64.0). Our findings suggest that post-reperfusion hyperperfusion on ASL could represent a reliable marker of hemorrhagic transformation.</description><identifier>ISSN: 0271-678X</identifier><identifier>EISSN: 1559-7016</identifier><identifier>DOI: 10.1177/0271678X17718099</identifier><identifier>PMID: 28665168</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Brief Communications ; Cerebrovascular Circulation - physiology ; Diffusion Magnetic Resonance Imaging ; Endovascular Procedures - adverse effects ; Humans ; Image Interpretation, Computer-Assisted ; Infarction, Middle Cerebral Artery - diagnostic imaging ; Infarction, Middle Cerebral Artery - physiopathology ; Infarction, Middle Cerebral Artery - therapy ; Intracranial Hemorrhages - diagnostic imaging ; Intracranial Hemorrhages - etiology ; Intracranial Hemorrhages - physiopathology ; Linear Models ; Reperfusion - adverse effects ; Reperfusion Injury - diagnostic imaging ; Reperfusion Injury - etiology ; Reperfusion Injury - physiopathology ; Spin Labels ; Thrombolytic Therapy - adverse effects ; Tomography, Emission-Computed, Single-Photon</subject><ispartof>Journal of cerebral blood flow and metabolism, 2017-09, Vol.37 (9), p.3087-3090</ispartof><rights>The Author(s) 2017</rights><rights>The Author(s) 2017 2017 International Society for Cerebral Blood Flow and Metabolism</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-b4a6d58c490e61a71b9b9bbdc3e98190f0e056ec32d66750088ef738b0f0321a3</citedby><cites>FETCH-LOGICAL-c547t-b4a6d58c490e61a71b9b9bbdc3e98190f0e056ec32d66750088ef738b0f0321a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584703/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584703/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21799,27903,27904,43600,43601,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28665168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okazaki, Shuhei</creatorcontrib><creatorcontrib>Yamagami, Hiroshi</creatorcontrib><creatorcontrib>Yoshimoto, Takeshi</creatorcontrib><creatorcontrib>Morita, Yoshiaki</creatorcontrib><creatorcontrib>Yamamoto, Haruko</creatorcontrib><creatorcontrib>Toyoda, Kazunori</creatorcontrib><creatorcontrib>Ihara, Masafumi</creatorcontrib><title>Cerebral hyperperfusion on arterial spin labeling MRI after reperfusion therapy is related to hemorrhagic transformation</title><title>Journal of cerebral blood flow and metabolism</title><addtitle>J Cereb Blood Flow Metab</addtitle><description>Early detection of hemorrhagic transformation after reperfusion therapy is crucial in acute stroke treatment. Here, we evaluated the relationship between hemorrhagic transformation and post-reperfusion hyperperfusion using pulsed arterial spin labeling (ASL) perfusion MRI and 123I-iodoamphetamine single-photon emission-computed tomography. Patients who developed hemorrhagic transformation showed significantly higher cerebral blood flow in the affected lesion after thrombolysis and/or endovascular intervention. Focal hyperperfusion (ipsilateral to contralateral ratio &gt;1.5) was associated with hemorrhagic transformation after reperfusion (odds ratio, 9.3; 95% confidence interval, 1.4–64.0). Our findings suggest that post-reperfusion hyperperfusion on ASL could represent a reliable marker of hemorrhagic transformation.</description><subject>Brief Communications</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Diffusion Magnetic Resonance Imaging</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted</subject><subject>Infarction, Middle Cerebral Artery - diagnostic imaging</subject><subject>Infarction, Middle Cerebral Artery - physiopathology</subject><subject>Infarction, Middle Cerebral Artery - therapy</subject><subject>Intracranial Hemorrhages - diagnostic imaging</subject><subject>Intracranial Hemorrhages - etiology</subject><subject>Intracranial Hemorrhages - physiopathology</subject><subject>Linear Models</subject><subject>Reperfusion - adverse effects</subject><subject>Reperfusion Injury - diagnostic imaging</subject><subject>Reperfusion Injury - etiology</subject><subject>Reperfusion Injury - physiopathology</subject><subject>Spin Labels</subject><subject>Thrombolytic Therapy - adverse effects</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>0271-678X</issn><issn>1559-7016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UUtr3DAQFqGl2Sa951R07MWNtLJel0JZ-gikBEoCuQnZHq8VbMsd2aX776Nl82gLQQMa9D000kfIGWcfOdf6nK01V9rc5p4bZu0RWXEpbaEZV6_Iag8Xe_yYvE3pjjFmhJRvyPHaKCW5MivyZwMIFfqedrsJMFe7pBBHmsvjDBgylKYw0t5X0IdxS3_8vKC-zRBFeObPHaCfdjSkfNz7GRo6R9rBEBE7vw01ndGPqY04-DkLTsnr1vcJ3j3sJ-Tm65frzffi8urbxebzZVHLUs9FVXrVSFOXloHiXvPK5lU1tQBruGUtAyYV1GLdKKVlfqGBVgtTZUSsuRcn5NPBd1qqAZoaxjxH7yYMg8ediz64f5ExdG4bfzspTamZyAYfHgww_logzW4IqYa-9yPEJTluuRSlsKXKVHag1hhTQmifruHM7QNz_weWJe__Hu9J8JhQJhQHQvJbcHdxwTF_18uG91-MofI</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Okazaki, Shuhei</creator><creator>Yamagami, Hiroshi</creator><creator>Yoshimoto, Takeshi</creator><creator>Morita, Yoshiaki</creator><creator>Yamamoto, Haruko</creator><creator>Toyoda, Kazunori</creator><creator>Ihara, Masafumi</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170901</creationdate><title>Cerebral hyperperfusion on arterial spin labeling MRI after reperfusion therapy is related to hemorrhagic transformation</title><author>Okazaki, Shuhei ; Yamagami, Hiroshi ; Yoshimoto, Takeshi ; Morita, Yoshiaki ; Yamamoto, Haruko ; Toyoda, Kazunori ; Ihara, Masafumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-b4a6d58c490e61a71b9b9bbdc3e98190f0e056ec32d66750088ef738b0f0321a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Brief Communications</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Infarction, Middle Cerebral Artery - diagnostic imaging</topic><topic>Infarction, Middle Cerebral Artery - physiopathology</topic><topic>Infarction, Middle Cerebral Artery - therapy</topic><topic>Intracranial Hemorrhages - diagnostic imaging</topic><topic>Intracranial Hemorrhages - etiology</topic><topic>Intracranial Hemorrhages - physiopathology</topic><topic>Linear Models</topic><topic>Reperfusion - adverse effects</topic><topic>Reperfusion Injury - diagnostic imaging</topic><topic>Reperfusion Injury - etiology</topic><topic>Reperfusion Injury - physiopathology</topic><topic>Spin Labels</topic><topic>Thrombolytic Therapy - adverse effects</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okazaki, Shuhei</creatorcontrib><creatorcontrib>Yamagami, Hiroshi</creatorcontrib><creatorcontrib>Yoshimoto, Takeshi</creatorcontrib><creatorcontrib>Morita, Yoshiaki</creatorcontrib><creatorcontrib>Yamamoto, Haruko</creatorcontrib><creatorcontrib>Toyoda, Kazunori</creatorcontrib><creatorcontrib>Ihara, Masafumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cerebral blood flow and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okazaki, Shuhei</au><au>Yamagami, Hiroshi</au><au>Yoshimoto, Takeshi</au><au>Morita, Yoshiaki</au><au>Yamamoto, Haruko</au><au>Toyoda, Kazunori</au><au>Ihara, Masafumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral hyperperfusion on arterial spin labeling MRI after reperfusion therapy is related to hemorrhagic transformation</atitle><jtitle>Journal of cerebral blood flow and metabolism</jtitle><addtitle>J Cereb Blood Flow Metab</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>37</volume><issue>9</issue><spage>3087</spage><epage>3090</epage><pages>3087-3090</pages><issn>0271-678X</issn><eissn>1559-7016</eissn><abstract>Early detection of hemorrhagic transformation after reperfusion therapy is crucial in acute stroke treatment. Here, we evaluated the relationship between hemorrhagic transformation and post-reperfusion hyperperfusion using pulsed arterial spin labeling (ASL) perfusion MRI and 123I-iodoamphetamine single-photon emission-computed tomography. Patients who developed hemorrhagic transformation showed significantly higher cerebral blood flow in the affected lesion after thrombolysis and/or endovascular intervention. Focal hyperperfusion (ipsilateral to contralateral ratio &gt;1.5) was associated with hemorrhagic transformation after reperfusion (odds ratio, 9.3; 95% confidence interval, 1.4–64.0). Our findings suggest that post-reperfusion hyperperfusion on ASL could represent a reliable marker of hemorrhagic transformation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28665168</pmid><doi>10.1177/0271678X17718099</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0271-678X
ispartof Journal of cerebral blood flow and metabolism, 2017-09, Vol.37 (9), p.3087-3090
issn 0271-678X
1559-7016
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5584703
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SAGE Complete A-Z List; PubMed Central
subjects Brief Communications
Cerebrovascular Circulation - physiology
Diffusion Magnetic Resonance Imaging
Endovascular Procedures - adverse effects
Humans
Image Interpretation, Computer-Assisted
Infarction, Middle Cerebral Artery - diagnostic imaging
Infarction, Middle Cerebral Artery - physiopathology
Infarction, Middle Cerebral Artery - therapy
Intracranial Hemorrhages - diagnostic imaging
Intracranial Hemorrhages - etiology
Intracranial Hemorrhages - physiopathology
Linear Models
Reperfusion - adverse effects
Reperfusion Injury - diagnostic imaging
Reperfusion Injury - etiology
Reperfusion Injury - physiopathology
Spin Labels
Thrombolytic Therapy - adverse effects
Tomography, Emission-Computed, Single-Photon
title Cerebral hyperperfusion on arterial spin labeling MRI after reperfusion therapy is related to hemorrhagic transformation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T07%3A27%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cerebral%20hyperperfusion%20on%20arterial%20spin%20labeling%20MRI%20after%20reperfusion%20therapy%20is%20related%20to%20hemorrhagic%20transformation&rft.jtitle=Journal%20of%20cerebral%20blood%20flow%20and%20metabolism&rft.au=Okazaki,%20Shuhei&rft.date=2017-09-01&rft.volume=37&rft.issue=9&rft.spage=3087&rft.epage=3090&rft.pages=3087-3090&rft.issn=0271-678X&rft.eissn=1559-7016&rft_id=info:doi/10.1177/0271678X17718099&rft_dat=%3Cproquest_pubme%3E1915343946%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1915343946&rft_id=info:pmid/28665168&rft_sage_id=10.1177_0271678X17718099&rfr_iscdi=true