Quantitative measurements of cerebral blood flow in patients with unilateral carotid artery occlusion: A PET and MR study

Weili Lin, Azim Celik, Colin Derdeyn, Hongyu An, Yueh Lee, Tom Videen, Leif Ostergaard, William J. Powers

Research output: Contribution to journalArticle

92 Scopus citations

Abstract

Although it has been demonstrated that quantitative measures of cerebral blood flow (CBF) can be obtained with the singular value decomposition (SVD) algorithm, the extent to which quantitative CBF measurements can be utilized under pathophysiological conditions has not been systematically studied. A total of five healthy volunteers and five patients with unilateral carotid artery occlusion were studied. Only magnetic resonance (MR) images were acquired for the volunteer group while both MR and positron emission tomography (PET) images were acquired for the patient group. Assessments of CBF from normal volunteers compared favorably with values reported in the literature. However, while a linear relationship was observed for each patient when MR measured CBF was compared to that obtained from PET, this linear relationship diminished when all patients were analyzed as a group (r = 0.41). A correction factor (CF) was proposed that was equal to the ratio of the area of the venous output function (VOF) in each patient to the mean VOF obtained from the volunteer group. After globally scaling the CBF of each patient based on the experimentally derived CF, a substantial improvement was observed (a slope of 1.02 and r = 0.8 for the linear regression line) in the relationship between MR estimated CBF and those obtained from PET.

Original languageEnglish
Pages (from-to)659-667
Number of pages9
JournalJournal of Magnetic Resonance Imaging
Volume14
Issue number6
DOIs
StatePublished - Dec 11 2001

Keywords

  • Cerebral blood flow
  • Cerebrovascular disease
  • MRI
  • PET
  • Perfusion imaging

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