用磁共振成像测量的大脑水. 与直接估计的相关性以及在曼尼托和德克萨米他后的变化
Lancet (London, England)
|January 10, 1987
概括
磁共振成像使用纵向放松时间 (T1) 准确估计大脑水含量. 甲没有改变大脑水分,但曼尼托尔在脑瘤患者中有效降低了它.
科学领域:
- 神经成像是一种神经成像.
- 生物物理学的生物物理.
- 在瘤学瘤学.
背景情况:
- 大脑和水分在神经外科手术中至关重要.
- 准确,非侵入性地测量大脑水含量对于治疗监测至关重要.
- 大脑瘤通常会导致显著的周围胀.
研究的目的:
- 为了将磁共振成像T1放松时间与脑瘤患者的脑水含量相关联.
- 为了评估德克萨米他和曼尼托尔对大脑水含量的影响.
主要方法:
- 在19名患有内在脑瘤的患者进行了MRI成像.
- 对脑组织样本进行了水含量分析.
- 测量了纵向放松时间 (T1),并与水含量相关联.
- 在服用德甲和曼尼托尔后,评估了T1的变化和估计的水含量.
主要成果:
- 在白质水含量和T1值之间发现了强烈的相关性 (r=0.94),允许在4%的准确度内进行估计.
- 在11名患者的甲治疗6天后没有显著改变T1或脑水含量.
- 在11名患者的静脉注射曼尼托尔在15分钟内显著降低了胀白质和瘤中的T1.
- 曼尼托尔在30分钟内将 edematous 白质中的水含量降低了 1.4%.
结论:
- 在患有脑瘤的患者中,MR T1测量提供了一种可靠的方法来估计脑水含量.
- 在这种情况下,甲在减少大脑胀方面无效.
- 曼尼托尔在减少与脑瘤相关的脑水含量方面表现出迅速的有效性.
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