Arterial spin-labeling perfusion MR imaging demonstrates regional cbf decrease in idiopathic normal pressure hydrocephalus
(2017) In American Journal of Neuroradiology 38(11). p.2081-2088- Abstract
BACKGROUND AND PURPOSE: Regional cerebral blood flow has previously been studied in patients with idiopathic normal pressure hydrocephalus with imaging methods that require an intravenous contrast agent or expose the patient to ionizing radiation. The purpose of this study was to assess regional CBF in patients with idiopathic normal pressure hydrocephalus compared with healthy controls using the noninvasive quantitative arterial spin-labeling MR imaging technique. A secondary aim was to compare the correlation between symptom severity and CBF. MATERIALS AND METHODS: Differences in regional cerebral perfusion between patients with idiopathic normal pressure hydrocephalus and healthy controls were investigated with pseudocontinuous... (More)
BACKGROUND AND PURPOSE: Regional cerebral blood flow has previously been studied in patients with idiopathic normal pressure hydrocephalus with imaging methods that require an intravenous contrast agent or expose the patient to ionizing radiation. The purpose of this study was to assess regional CBF in patients with idiopathic normal pressure hydrocephalus compared with healthy controls using the noninvasive quantitative arterial spin-labeling MR imaging technique. A secondary aim was to compare the correlation between symptom severity and CBF. MATERIALS AND METHODS: Differences in regional cerebral perfusion between patients with idiopathic normal pressure hydrocephalus and healthy controls were investigated with pseudocontinuous arterial spin-labeling perfusion MR imaging. Twenty-one consecutive patients with idiopathic normal pressure hydrocephalus and 21 age- and sex-matched randomly selected healthy controls from the population registry were prospectively included. The controls did not differ from patients with respect to selected vascular risk factors. Twelve different anatomic ROIs were manually drawn on coregistered FLAIR images. The Holm-Bonferroni correction was applied to statistical analyses. RESULTS: In patients with idiopathic normal pressure hydrocephalus, perfusion was reduced in the periventricular white matter (P < .001), lentiform nucleus (P < .001), and thalamus (P < .001) compared with controls. Cognitive function in patients correlated with CBF in the periventricular white matter (r = 0.60, P < .01), cerebellum (r = 0.63, P < .01), and pons (r = 0.71, P < .001). CONCLUSIONS: Using pseudocontinuous arterial spin-labeling, we could confirm findings of a reduced perfusion in the periventricular white matter, basal ganglia, and thalamus in patients with idiopathic normal pressure hydrocephalus previously observed with other imaging techniques.
(Less)
- author
- Virhammar, J. ; Laurell, K. ; Ahlgren, A. LU and Larsson, E. M.
- organization
- publishing date
- 2017-11-15
- type
- Contribution to journal
- publication status
- published
- subject
- in
- American Journal of Neuroradiology
- volume
- 38
- issue
- 11
- pages
- 8 pages
- publisher
- American Society of Neuroradiology
- external identifiers
-
- scopus:85034610340
- pmid:28860216
- wos:000415996600018
- ISSN
- 0195-6108
- DOI
- 10.3174/ajnr.A5347
- language
- English
- LU publication?
- yes
- id
- 4e7a7a8b-6387-46fd-96db-e347836b6beb
- date added to LUP
- 2017-12-18 15:12:04
- date last changed
- 2025-01-08 03:54:20
@article{4e7a7a8b-6387-46fd-96db-e347836b6beb,
abstract = {{<p>BACKGROUND AND PURPOSE: Regional cerebral blood flow has previously been studied in patients with idiopathic normal pressure hydrocephalus with imaging methods that require an intravenous contrast agent or expose the patient to ionizing radiation. The purpose of this study was to assess regional CBF in patients with idiopathic normal pressure hydrocephalus compared with healthy controls using the noninvasive quantitative arterial spin-labeling MR imaging technique. A secondary aim was to compare the correlation between symptom severity and CBF. MATERIALS AND METHODS: Differences in regional cerebral perfusion between patients with idiopathic normal pressure hydrocephalus and healthy controls were investigated with pseudocontinuous arterial spin-labeling perfusion MR imaging. Twenty-one consecutive patients with idiopathic normal pressure hydrocephalus and 21 age- and sex-matched randomly selected healthy controls from the population registry were prospectively included. The controls did not differ from patients with respect to selected vascular risk factors. Twelve different anatomic ROIs were manually drawn on coregistered FLAIR images. The Holm-Bonferroni correction was applied to statistical analyses. RESULTS: In patients with idiopathic normal pressure hydrocephalus, perfusion was reduced in the periventricular white matter (P < .001), lentiform nucleus (P < .001), and thalamus (P < .001) compared with controls. Cognitive function in patients correlated with CBF in the periventricular white matter (r = 0.60, P < .01), cerebellum (r = 0.63, P < .01), and pons (r = 0.71, P < .001). CONCLUSIONS: Using pseudocontinuous arterial spin-labeling, we could confirm findings of a reduced perfusion in the periventricular white matter, basal ganglia, and thalamus in patients with idiopathic normal pressure hydrocephalus previously observed with other imaging techniques.</p>}},
author = {{Virhammar, J. and Laurell, K. and Ahlgren, A. and Larsson, E. M.}},
issn = {{0195-6108}},
language = {{eng}},
month = {{11}},
number = {{11}},
pages = {{2081--2088}},
publisher = {{American Society of Neuroradiology}},
series = {{American Journal of Neuroradiology}},
title = {{Arterial spin-labeling perfusion MR imaging demonstrates regional cbf decrease in idiopathic normal pressure hydrocephalus}},
url = {{http://dx.doi.org/10.3174/ajnr.A5347}},
doi = {{10.3174/ajnr.A5347}},
volume = {{38}},
year = {{2017}},
}