Test-retest reproducibility of a rapid method to measure brain oxygen metabolism.

Test-retest reproducibility of a rapid method to measure brain oxygen metabolism.
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DOI:
10.1002/mrm.24295
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发表时间:
2013-03-01
影响因子:
3.3
通讯作者:
Lu, Hanzhang
Lu, Hanzhang
中科院分区:
医学3区
文献类型:
--
作者:
Liu, Peiying;Xu, Feng;Lu, Hanzhang

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脑氧代谢率(CMRO2)是组织活力和脑功能的重要指标,但临床扫描仪还不能常规测量这一参数。最近,有人提出了一种无创技术,通过使用T2松弛自旋标记(TRUST)MRI和脉搏血氧仪同时测量氧提取分数(OEF)和相位对比MRI测量脑血流量(CBF)来估计全球CMRO2。本研究试图为这项技术建立一个标准的获取程序,并评估其在健康受试者中的重测重复性。每个受试者在五次会议中接受检查,每一次会议包括两项测量。CMRO2的批内变异系数(CoV)为3.84±1.44%(N=7),批间变异系数为6.59±1.56%,批间变异系数为8.80%。这些重复性值与文献中报道的150度正电子发射计算机断层扫描结果相当或略好。研究还发现,OEF和CBF倾向于在不同时段(p=0.002)和不同受试者(p=0.01)之间存在协变性,并且它们的CoVS大于CMRO2。简单和可靠的特点可能为这种全球性的CMRO2技术提供立即临床应用的巨大潜力。
Cerebral metabolic rate of oxygen (CMRO2) is an important index of tissue viability and brain function, but this parameter cannot yet be measured routinely on clinical scanners. Recently, a non-invasive technique was proposed which estimates global CMRO2 by concomitantly measuring Oxygen-Extraction-Fraction (OEF) using T2-Relaxation-Under-Spin-Tagging (TRUST) MRI and pulse oximetry, and Cerebral-Blood-Flow (CBF) using phase-contrast MRI. The present study sought to establish a standard acquisition procedure for this technique and to evaluate its test-retest reproducibility in healthy subjects. Each subject was examined in five sessions and each session included two measurements. Intra-session, inter-session, and inter-subject coefficients of variation (CoV) for CMRO2 were found to be 3.84±1.44% (N=7, mean ± standard deviation), 6.59 ± 1.56%, and 8.80% respectively. These reproducibility values were comparable or slightly superior to 15O PET results reported in the literature. It was also found that OEF and CBF tended to co-vary across sessions (p=0.002) and subjects (p=0.01), and their CoVs were greater than that of CMRO2. The simplicity and reliability features may afford this global CMRO2 technique great potential for immediate clinical applications.
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