Evidence map›Paper›PMID 35979093›Full record

ArticleWorld journal of clinical cases2022

Three-dimensional arterial spin labeling and diffusion kurtosis imaging in evaluating perfusion and infarct area size in acute cerebral ischemia.

Yan-Yan Jiang, Zhi-Lin Zhong, Min Zuo

Open access · diamondAbstract read
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Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 54% of its field
1 · What the graph read from it

What it found

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3 · Its place in the literature

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1 citing paper in PubMed, 1 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Yan-Yan JiangDepartment of Magnetic Resonance, Wuhan Asia General Hospital, Wuhan 430056, Hubei Province, China.
Zhi-Lin ZhongDepartment of Radiology, Wuhan Yaxin General Hospital, Wuhan 430056, Hubei Province, China.
Min ZuoDepartment of Radiology, Wuhan Hanyang Hospital, Wuhan University of Science and Technology, Wuhan 430050, Hubei Province, China. ypzm0518@163.com.
Wuhan General Hospital of Guangzhou · CNWuhan University · CNWuhan University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly thrombolytic therapy is crucial to treat acute cerebral infarction, especially since the onset of thrombolytic therapy takes 1-6 h. Therefore, early diagnosis and evaluation of cerebral infarction is important.

aimTo investigate the diagnostic value of magnetic resonance multi-delay three-dimensional arterial spin labeling (3DASL) and diffusion kurtosis imaging (DKI) in evaluating the perfusion and infarct area size in patients with acute cerebral ischemia.

methodsEighty-four patients who experienced acute cerebral ischemia from March 2019 to February 2021 were included. All patients in the acute stage underwent magnetic resonance-based examination, and the data were processed by the system's own software. The apparent diffusion coefficient (ADC), average diffusion coefficient (MD), axial diffusion (AD), radial diffusion (RD), average kurtosis (MK), radial kurtosis (fairly RK), axial kurtosis (AK), and perfusion parameters post-labeling delays (PLD) in the focal area and its corresponding area were compared. The correlation between the lesion area of cerebral infarction under MK and MD and T2-weighted imaging (T2WI) was analyzed.

resultsThe DKI parameters of focal and control areas in the study subjects were compared. The ADC, MD, AD, and RD values in the lesion area were significantly lower than those in the control area. The MK, RK, and AK values in the lesion area were significantly higher than those in the control area. The MK/MD value in the infarct lesions was used to determine the matching situation. MK/MD < 5 mm was considered matching and MK/MD ≥ 5 mm was considered mismatching. PLD1.5s and PLD2.5s perfusion parameters in the central, peripheral, and control areas of the infarct lesions in MK/MD-matched and -unmatched patients were not significantly different. PLD1.5s and PLD2.5s perfusion parameter values in the central area of the infarct lesions in MK/MD-matched and -unmatched patients were significantly lower than those in peripheral and control areas. The MK and MD maps showed a lesion area of 20.08 ± 5.74 cm

conclusionDKI parameters showed significant difference between the focal and control areas in patients with acute ischemic cerebral infarction. 3DASL can effectively determine the changes in perfusion levels in the lesion area. There was a high correlation between the area of the infarct lesions diagnosed by DKI and T2WI.

Indexed as

Acute ischemic cerebral infarctionDiffusion kurtosis imagingMagnetic resonanceMulti-delay 3D arterial spin labelingNerve functionPerfusion

Identifiers

PMID35979093
PMCPMC9258361
OpenAlexW4282031977

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