Brain Temperature Measured by Magnetic Resonance Spectroscopy to Predict Clinical Outcome in Patients with Infarction
Acute ischemic stroke is characterized by dynamic changes in metabolism and hemodynamics, which can affect brain temperature. We used proton magnetic resonance (MR) spectroscopy under everyday clinical settings to measure brain temperature in seven patients with internal carotid artery occlusion to...
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| Veröffentlicht in: | Sensors (Basel, Switzerland) Switzerland), 2021-01, Vol.21 (2), p.490, Article 490 |
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| creator | Ishida, Tomohisa Inoue, Takashi Inoue, Tomoo Endo, Toshiki Fujimura, Miki Niizuma, Kuniyasu Endo, Hidenori Tominaga, Teiji |
| description | Acute ischemic stroke is characterized by dynamic changes in metabolism and hemodynamics, which can affect brain temperature. We used proton magnetic resonance (MR) spectroscopy under everyday clinical settings to measure brain temperature in seven patients with internal carotid artery occlusion to explore the relationship between lesion temperature and clinical course. Regions of interest were selected in the infarct area and the corresponding contralateral region. Single-voxel MR spectroscopy was performed using the following parameters: 2000-ms repetition time, 144-ms echo time, and 128 excitations. Brain temperature was calculated from the chemical shift between water and N-acetyl aspartate, choline-containing compounds, or creatine phosphate. Within 48 h of onset, compared with the contralateral region temperature, brain temperature in the ischemic lesion was lower in five patients and higher in two patients. Severe brain swelling occurred subsequently in three of the five patients with lower lesion temperatures, but in neither of the two patients with higher lesion temperatures. The use of proton MR spectroscopy to measure brain temperature in patients with internal carotid artery occlusion may predict brain swelling and subsequent motor deficits, allowing for more effective early surgical intervention. Moreover, our methodology allows for MR spectroscopy to be used in everyday clinical settings. |
| doi_str_mv | 10.3390/s21020490 |
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We used proton magnetic resonance (MR) spectroscopy under everyday clinical settings to measure brain temperature in seven patients with internal carotid artery occlusion to explore the relationship between lesion temperature and clinical course. Regions of interest were selected in the infarct area and the corresponding contralateral region. Single-voxel MR spectroscopy was performed using the following parameters: 2000-ms repetition time, 144-ms echo time, and 128 excitations. Brain temperature was calculated from the chemical shift between water and N-acetyl aspartate, choline-containing compounds, or creatine phosphate. Within 48 h of onset, compared with the contralateral region temperature, brain temperature in the ischemic lesion was lower in five patients and higher in two patients. Severe brain swelling occurred subsequently in three of the five patients with lower lesion temperatures, but in neither of the two patients with higher lesion temperatures. The use of proton MR spectroscopy to measure brain temperature in patients with internal carotid artery occlusion may predict brain swelling and subsequent motor deficits, allowing for more effective early surgical intervention. Moreover, our methodology allows for MR spectroscopy to be used in everyday clinical settings.</description><identifier>ISSN: 1424-8220</identifier><identifier>EISSN: 1424-8220</identifier><identifier>DOI: 10.3390/s21020490</identifier><identifier>PMID: 33445603</identifier><language>eng</language><publisher>BASEL: Mdpi</publisher><subject>acute ischemic stroke ; Aged ; Aged, 80 and over ; Body Temperature ; Brain Edema - diagnostic imaging ; Brain Ischemia - diagnostic imaging ; Brain Ischemia - physiopathology ; brain temperature ; Brief Report ; Carotid arteries ; Carotid Artery Diseases - physiopathology ; Carotid Artery, Internal - physiopathology ; cerebral blood flow change ; Chemical equilibrium ; Chemistry ; Chemistry, Analytical ; Choline ; Clinical outcomes ; Creatine ; Edema ; Engineering ; Engineering, Electrical & Electronic ; Female ; Heat ; Hemodynamics ; Humans ; Infarction ; Instruments & Instrumentation ; Ischemia ; less invasive ; Magnetic resonance spectroscopy ; Male ; Middle Aged ; Occlusion ; Patients ; Physical Sciences ; Proton magnetic resonance ; Proton Magnetic Resonance Spectroscopy - methods ; Science & Technology ; Spectroscopic analysis ; Spectrum analysis ; Stroke ; Swelling ; Technology ; Veins & arteries</subject><ispartof>Sensors (Basel, Switzerland), 2021-01, Vol.21 (2), p.490, Article 490</ispartof><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000611706900001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c469t-b483299a8845d760e3c0f1da4785daf14e2eb975db2c5e05fcd266ab970a7bf23</citedby><cites>FETCH-LOGICAL-c469t-b483299a8845d760e3c0f1da4785daf14e2eb975db2c5e05fcd266ab970a7bf23</cites><orcidid>0000-0001-9282-6499 ; 0000-0003-0582-0908 ; 0000-0003-1472-6032</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827727/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827727/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2115,27929,27930,39263,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33445603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishida, Tomohisa</creatorcontrib><creatorcontrib>Inoue, Takashi</creatorcontrib><creatorcontrib>Inoue, Tomoo</creatorcontrib><creatorcontrib>Endo, Toshiki</creatorcontrib><creatorcontrib>Fujimura, Miki</creatorcontrib><creatorcontrib>Niizuma, Kuniyasu</creatorcontrib><creatorcontrib>Endo, Hidenori</creatorcontrib><creatorcontrib>Tominaga, Teiji</creatorcontrib><title>Brain Temperature Measured by Magnetic Resonance Spectroscopy to Predict Clinical Outcome in Patients with Infarction</title><title>Sensors (Basel, Switzerland)</title><addtitle>SENSORS-BASEL</addtitle><addtitle>Sensors (Basel)</addtitle><description>Acute ischemic stroke is characterized by dynamic changes in metabolism and hemodynamics, which can affect brain temperature. We used proton magnetic resonance (MR) spectroscopy under everyday clinical settings to measure brain temperature in seven patients with internal carotid artery occlusion to explore the relationship between lesion temperature and clinical course. Regions of interest were selected in the infarct area and the corresponding contralateral region. Single-voxel MR spectroscopy was performed using the following parameters: 2000-ms repetition time, 144-ms echo time, and 128 excitations. Brain temperature was calculated from the chemical shift between water and N-acetyl aspartate, choline-containing compounds, or creatine phosphate. Within 48 h of onset, compared with the contralateral region temperature, brain temperature in the ischemic lesion was lower in five patients and higher in two patients. Severe brain swelling occurred subsequently in three of the five patients with lower lesion temperatures, but in neither of the two patients with higher lesion temperatures. The use of proton MR spectroscopy to measure brain temperature in patients with internal carotid artery occlusion may predict brain swelling and subsequent motor deficits, allowing for more effective early surgical intervention. Moreover, our methodology allows for MR spectroscopy to be used in everyday clinical settings.</description><subject>acute ischemic stroke</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Temperature</subject><subject>Brain Edema - diagnostic imaging</subject><subject>Brain Ischemia - diagnostic imaging</subject><subject>Brain Ischemia - physiopathology</subject><subject>brain temperature</subject><subject>Brief Report</subject><subject>Carotid arteries</subject><subject>Carotid Artery Diseases - physiopathology</subject><subject>Carotid Artery, Internal - physiopathology</subject><subject>cerebral blood flow change</subject><subject>Chemical equilibrium</subject><subject>Chemistry</subject><subject>Chemistry, Analytical</subject><subject>Choline</subject><subject>Clinical outcomes</subject><subject>Creatine</subject><subject>Edema</subject><subject>Engineering</subject><subject>Engineering, Electrical & Electronic</subject><subject>Female</subject><subject>Heat</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Infarction</subject><subject>Instruments & Instrumentation</subject><subject>Ischemia</subject><subject>less invasive</subject><subject>Magnetic resonance spectroscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occlusion</subject><subject>Patients</subject><subject>Physical Sciences</subject><subject>Proton magnetic resonance</subject><subject>Proton Magnetic Resonance Spectroscopy - methods</subject><subject>Science & Technology</subject><subject>Spectroscopic analysis</subject><subject>Spectrum analysis</subject><subject>Stroke</subject><subject>Swelling</subject><subject>Technology</subject><subject>Veins & arteries</subject><issn>1424-8220</issn><issn>1424-8220</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk1vEzEQhlcIREvhwB9AlriAUMBfu7YvSBDxEalVKyjn1ax3NnW0sVPbS5V_j9OUqOXEaUbjZ17N65mqesnoeyEM_ZA4o5xKQx9Vx0xyOdOc08f38qPqWUorSrkQQj-tjoSQsm6oOK6mzxGcJ5e43mCEPEUkZwipxJ50W3IGS4_ZWfIDU_DgLZKfG7Q5hmTDZktyIBcFdTaT-ei8szCS8ynbsEZSZC8gO_Q5kRuXr8jCDxBtdsE_r54MMCZ8cRdPql9fv1zOv89Oz78t5p9OZ1Y2Js86qQU3BrSWda8aisLSgfUgla57GJhEjp1Rdd9xWyOtB9vzpoFSoqC6gYuTarHX7QOs2k10a4jbNoBrbwshLluIxd6IrZHGdsaKutdM0qbWykCtLfYdcGUHKFof91qbqVtjb4uvCOMD0Ycv3l21y_C7VZorxVUReHMnEMP1hCm3a5csjiN4DFNq-c6WYVqKgr7-B12FKfryVbeUoLWUtFBv95Qt60gRh8MwjLa7w2gPh1HYV_enP5B_L6EAeg_cYBeGZMveLB4wSmnDmKKNKRllc5dht8d5mHwure_-v1X8AQ5s1T8</recordid><startdate>20210112</startdate><enddate>20210112</enddate><creator>Ishida, Tomohisa</creator><creator>Inoue, Takashi</creator><creator>Inoue, Tomoo</creator><creator>Endo, Toshiki</creator><creator>Fujimura, Miki</creator><creator>Niizuma, Kuniyasu</creator><creator>Endo, Hidenori</creator><creator>Tominaga, Teiji</creator><general>Mdpi</general><general>MDPI AG</general><general>MDPI</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9282-6499</orcidid><orcidid>https://orcid.org/0000-0003-0582-0908</orcidid><orcidid>https://orcid.org/0000-0003-1472-6032</orcidid></search><sort><creationdate>20210112</creationdate><title>Brain Temperature Measured by Magnetic Resonance Spectroscopy to Predict Clinical Outcome in Patients with Infarction</title><author>Ishida, Tomohisa ; Inoue, Takashi ; Inoue, Tomoo ; Endo, Toshiki ; Fujimura, Miki ; Niizuma, Kuniyasu ; Endo, Hidenori ; Tominaga, Teiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-b483299a8845d760e3c0f1da4785daf14e2eb975db2c5e05fcd266ab970a7bf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute ischemic stroke</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Temperature</topic><topic>Brain Edema - diagnostic imaging</topic><topic>Brain Ischemia - diagnostic imaging</topic><topic>Brain Ischemia - physiopathology</topic><topic>brain temperature</topic><topic>Brief Report</topic><topic>Carotid arteries</topic><topic>Carotid Artery Diseases - physiopathology</topic><topic>Carotid Artery, Internal - physiopathology</topic><topic>cerebral blood flow change</topic><topic>Chemical equilibrium</topic><topic>Chemistry</topic><topic>Chemistry, Analytical</topic><topic>Choline</topic><topic>Clinical outcomes</topic><topic>Creatine</topic><topic>Edema</topic><topic>Engineering</topic><topic>Engineering, Electrical & Electronic</topic><topic>Female</topic><topic>Heat</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Infarction</topic><topic>Instruments & Instrumentation</topic><topic>Ischemia</topic><topic>less invasive</topic><topic>Magnetic resonance spectroscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occlusion</topic><topic>Patients</topic><topic>Physical Sciences</topic><topic>Proton magnetic resonance</topic><topic>Proton Magnetic Resonance Spectroscopy - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Sensors (Basel, Switzerland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishida, Tomohisa</au><au>Inoue, Takashi</au><au>Inoue, Tomoo</au><au>Endo, Toshiki</au><au>Fujimura, Miki</au><au>Niizuma, Kuniyasu</au><au>Endo, Hidenori</au><au>Tominaga, Teiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brain Temperature Measured by Magnetic Resonance Spectroscopy to Predict Clinical Outcome in Patients with Infarction</atitle><jtitle>Sensors (Basel, Switzerland)</jtitle><stitle>SENSORS-BASEL</stitle><addtitle>Sensors (Basel)</addtitle><date>2021-01-12</date><risdate>2021</risdate><volume>21</volume><issue>2</issue><spage>490</spage><pages>490-</pages><artnum>490</artnum><issn>1424-8220</issn><eissn>1424-8220</eissn><abstract>Acute ischemic stroke is characterized by dynamic changes in metabolism and hemodynamics, which can affect brain temperature. We used proton magnetic resonance (MR) spectroscopy under everyday clinical settings to measure brain temperature in seven patients with internal carotid artery occlusion to explore the relationship between lesion temperature and clinical course. Regions of interest were selected in the infarct area and the corresponding contralateral region. Single-voxel MR spectroscopy was performed using the following parameters: 2000-ms repetition time, 144-ms echo time, and 128 excitations. Brain temperature was calculated from the chemical shift between water and N-acetyl aspartate, choline-containing compounds, or creatine phosphate. Within 48 h of onset, compared with the contralateral region temperature, brain temperature in the ischemic lesion was lower in five patients and higher in two patients. Severe brain swelling occurred subsequently in three of the five patients with lower lesion temperatures, but in neither of the two patients with higher lesion temperatures. The use of proton MR spectroscopy to measure brain temperature in patients with internal carotid artery occlusion may predict brain swelling and subsequent motor deficits, allowing for more effective early surgical intervention. Moreover, our methodology allows for MR spectroscopy to be used in everyday clinical settings.</abstract><cop>BASEL</cop><pub>Mdpi</pub><pmid>33445603</pmid><doi>10.3390/s21020490</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9282-6499</orcidid><orcidid>https://orcid.org/0000-0003-0582-0908</orcidid><orcidid>https://orcid.org/0000-0003-1472-6032</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | acute ischemic stroke Aged Aged, 80 and over Body Temperature Brain Edema - diagnostic imaging Brain Ischemia - diagnostic imaging Brain Ischemia - physiopathology brain temperature Brief Report Carotid arteries Carotid Artery Diseases - physiopathology Carotid Artery, Internal - physiopathology cerebral blood flow change Chemical equilibrium Chemistry Chemistry, Analytical Choline Clinical outcomes Creatine Edema Engineering Engineering, Electrical & Electronic Female Heat Hemodynamics Humans Infarction Instruments & Instrumentation Ischemia less invasive Magnetic resonance spectroscopy Male Middle Aged Occlusion Patients Physical Sciences Proton magnetic resonance Proton Magnetic Resonance Spectroscopy - methods Science & Technology Spectroscopic analysis Spectrum analysis Stroke Swelling Technology Veins & arteries |
| title | Brain Temperature Measured by Magnetic Resonance Spectroscopy to Predict Clinical Outcome in Patients with Infarction |
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