CO2 BOLD assessment of moyamoya syndrome:Validation with single photon emission computed tomography and positron emission tomography imaging

• 作者: Alain Pellaton Isabelle Barnaure Karl-Olof L?vblad Laurie Bouchez Philippe Bijlenga Sven Haller Valentina Garibotto Victor Cuvinciuc
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: MOYAMOYA 脉管的保守 公司 ₂> 大胆 脑血管的保守
• 年，卷（期）: 2016,（11）
• 页码范围: 887-894
• 页数: 8页
• 分类号: R743

摘要

AIM To compare the assessment of cerebrovascular reserve（CVR） using CO2 BOLD magnetic resonance imaging（MRI） vs positron emission tomography（PET） and single photon emission computed tomography（SPECT） as reference standard.METHODS Ten consecutive patients（8 women, mean age of 41 ± 26 years） with moyamoya syndrome underwent 14 presurgical evaluations for external-internal carotid artery bypass surgery. CVR was assessed using CO2 BOLD and PET（4）/SPECT（11） with a maximum interval of 36 d, andevaluated by two experienced neuroradiologists.RESULTS The inter-rater agreement was 0.81 for SPECT（excellent）, 0.43 for PET（fair） and 0.7 for CO2 BOLD（good）. In 9/14 cases, there was a correspondence between CO2 BOLD and PET/SPECT. In 4/14 cases, CVR was over-estimated in CO2 BOLD, while in 1/14 case, CVR was underestimated in CO2 BOLD. The sensitivity of CO2 BOLD was 86% and a specificity of 43%. CONCLUSION CO2 BOLD can be used for pre-surgical assessment of CVR in patients with moyamoya syndrome and combines the advantages of absent irradiation, high availability of MRI and assessment of brain parenchyma, cerebral vessels and surrogate CVR in one stop.