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Published on: June 11, 2019
Brain perfusion: computed tomography and magnetic resonance techniques.
William A Copen1, Michael H Lev1, Otto Rapalino1
1Division of Neuroradiology, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Cerebral perfusion imaging assesses brain microvascular hemodynamics using CT or MRI. This review covers techniques, processing, and applications for stroke and brain tumors.
Area of Science:
- Neuroimaging
- Medical Physics
- Cerebrovascular Physiology
Background:
- Cerebral perfusion imaging evaluates regional microvascular hemodynamics in vivo.
- Clinical techniques commonly utilize X-ray computed tomography (CT) and magnetic resonance imaging (MRI).
Purpose of the Study:
- To review CT- and MRI-based cerebral perfusion imaging techniques.
- To discuss image acquisition, postprocessing, and fundamental differences between CT and MRI methods.
- To explore correlations with cerebrovascular physiology and clinical applications.
Main Methods:
- Review of established CT- and MRI-based perfusion imaging protocols.
- Analysis of image acquisition parameters and postprocessing workflows.
- Comparison of CT and MRI techniques for hemodynamic assessment.
Main Results:
- Detailed examination of perfusion imaging acquisition and processing for CT and MRI.
- Discussion of key hemodynamic parameters measurable with these techniques.
- Highlighting differences and similarities between CT and MRI perfusion imaging.
Conclusions:
- Cerebral perfusion imaging offers vital insights into brain hemodynamics.
- CT and MRI techniques are crucial for diagnosing and managing cerebrovascular disorders like stroke and brain tumors.
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