ArticleAcademic radiology2026
Using NIRS-Based Spectroscopy for the Comparison of Cerebral Net-Water Uptake and Microcirculation in Posttraumatic Penumbra in Severe Traumatic Brain Injury Patients.
Article in Academic radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe aim of our study was to compare net-water uptake (NWU), which serves as a quantitative imaging marker of cerebral edema, with brain oxygen status and cerebral microcirculation changes in posttraumatic peri-ischemic foci (PIF) in severe traumatic brain injury (sTBI) patients. MATERIALS AND
methods89 sTBI patients (women 35; men 54, age 37 years [25;47]) with unilateral frontal/frontotemporal lesions were included in this retrospective, non-randomized, single-center study. Cerebral blood flow (CBF), cerebral blood volume (CBV), delay time (DT), time to maximum contrast concentration (Tmax), and mean transit time (MTT) were measured in PIF and determined using dynamic perfusion computed tomography (PCT) in the first 2 days after trauma and admission. NWU in PIF was calculated using non-contrast CT. Cerebral oxygenation (SctO
resultsPenumbra/core ratio median (mismatch ratio) was 2.12 (1.78; 2.87). In PIF, SctO
conclusionBrain edema in PIF was significantly associated with cerebral microcirculation and cerebral O
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