Addition of arterial spin-labelled MR perfusion to conventional brain MRI: clinical experience in a retrospective cohort study
Autor: | Puneet Pawha, Shingo Kihira, Felipe T. Pacheco, Puneet Belani, Kambiz Nael, Giuseppe Cruciata |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Clinical Sciences Spin labelling lcsh:Medicine Computer-Assisted Rare Diseases Clinical Research Image Interpretation Computer-Assisted otorhinolaryngologic diseases Brain mri Medicine Humans neuroradiology In patient Image Interpretation Neuroradiology Retrospective Studies Other Medical and Health Sciences medicine.diagnostic_test business.industry Mr perfusion Radiology and Imaging lcsh:R Neurosciences Magnetic resonance imaging Retrospective cohort study General Medicine Cerebral Infarction Middle Aged Magnetic Resonance Imaging Public Health and Health Services Spin Labels Female Radiology business Perfusion |
Zdroj: | BMJ open, vol 10, iss 6 BMJ Open, Vol 10, Iss 6 (2020) BMJ Open |
Popis: | ObjectiveThe usage of arterial spin labelling (ASL) perfusion has exponentially increased due to improved and faster acquisition time and ease of postprocessing. We aimed to report potential additional findings obtained by adding ASL to routine unenhanced brain MRI for patients being scanned in a hospital setting for various neurological indications.DesignRetrospective.SettingLarge tertiary hospital.Participants676 patients.Primary outcomeAdditional findings from ASL sequence compared with conventional MRI.ResultsOur patient cohorts consisted of 676 patients with 257 with acute infarcts and 419 without an infarct. Additional findings from ASL were observed in 13.9% (94/676) of patients. In the non-infarct group, additional findings from ASL were observed in 7.4% (31/419) of patients, whereas in patients with an acute infarct, supplemental information was obtained in 24.5% (63/257) of patients.ConclusionThe addition of an ASL sequence to routine brain MRI in a hospital setting provides additional findings compared with conventional brain MRI in about 7.4% of patients with additional supplementary information in 24.5% of patients with acute infarct. |
Databáze: | OpenAIRE |
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