{"title":"烟雾病旁路手术后磁共振/钆增强血管壁成像。","authors":"Takuya Yonemochi, Akihiro Hirayama, Hideaki Shigematsu, Kazuma Yokota, Takatoshi Sorimachi","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>After bypass surgery in patients with moyamoya disease, several changes on magnetic resonance imaging (MRI)/fluid attenuated inversion recovery (FLAIR) have been recognized, while findings on MRI/gadolinium-enhanced (Gd) vessel wall imaging (VWI) have never been reported. The purposes of this study were to investigate postoperative changes on MRI/Gd VWI and to clarify the relationship between the MRI/Gd VWI and MRI/FLAIR findings.</p><p><strong>Methods: </strong>Consecutive patients who underwent bypass surgery at our hospital from September 2020 to March 2022 were candidates.</p><p><strong>Results: </strong>In 20 patients with moyamoya disease, 25 operated hemispheres were investigated. In all hemispheres, hyperintensities in the cortical sulci on MRI/FLAIR and enhancement in the cortical sulci on MRI/Gd VWI appeared after bypass surgery. The maximum appearance of sulci enhancement on MRI/Gd VWI occurred earlier than the maximum appearance of the sulci hyperintensity on MRI/FLAIR, and this difference was significant (p = 0.001).</p><p><strong>Conclusions: </strong>MRI/Gd VWI demonstrated that the peak of the enhancement changes preceded the peak of hyperintensity changes on MRI/FLAIR. These MRI changes may reflect alterations in blood-brain barrier permeability after bypass surgery in patients with moyamoya disease.</p>","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":"47 4","pages":"182-188"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Magnetic Resonance Imaging/Gadolinium-enhanced Vessel Wall Image after Bypass Surgery in Moyamoya Disease.\",\"authors\":\"Takuya Yonemochi, Akihiro Hirayama, Hideaki Shigematsu, Kazuma Yokota, Takatoshi Sorimachi\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>After bypass surgery in patients with moyamoya disease, several changes on magnetic resonance imaging (MRI)/fluid attenuated inversion recovery (FLAIR) have been recognized, while findings on MRI/gadolinium-enhanced (Gd) vessel wall imaging (VWI) have never been reported. The purposes of this study were to investigate postoperative changes on MRI/Gd VWI and to clarify the relationship between the MRI/Gd VWI and MRI/FLAIR findings.</p><p><strong>Methods: </strong>Consecutive patients who underwent bypass surgery at our hospital from September 2020 to March 2022 were candidates.</p><p><strong>Results: </strong>In 20 patients with moyamoya disease, 25 operated hemispheres were investigated. In all hemispheres, hyperintensities in the cortical sulci on MRI/FLAIR and enhancement in the cortical sulci on MRI/Gd VWI appeared after bypass surgery. The maximum appearance of sulci enhancement on MRI/Gd VWI occurred earlier than the maximum appearance of the sulci hyperintensity on MRI/FLAIR, and this difference was significant (p = 0.001).</p><p><strong>Conclusions: </strong>MRI/Gd VWI demonstrated that the peak of the enhancement changes preceded the peak of hyperintensity changes on MRI/FLAIR. These MRI changes may reflect alterations in blood-brain barrier permeability after bypass surgery in patients with moyamoya disease.</p>\",\"PeriodicalId\":38819,\"journal\":{\"name\":\"Tokai Journal of Experimental and Clinical Medicine\",\"volume\":\"47 4\",\"pages\":\"182-188\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-12-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tokai Journal of Experimental and Clinical Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tokai Journal of Experimental and Clinical Medicine","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Magnetic Resonance Imaging/Gadolinium-enhanced Vessel Wall Image after Bypass Surgery in Moyamoya Disease.
Objective: After bypass surgery in patients with moyamoya disease, several changes on magnetic resonance imaging (MRI)/fluid attenuated inversion recovery (FLAIR) have been recognized, while findings on MRI/gadolinium-enhanced (Gd) vessel wall imaging (VWI) have never been reported. The purposes of this study were to investigate postoperative changes on MRI/Gd VWI and to clarify the relationship between the MRI/Gd VWI and MRI/FLAIR findings.
Methods: Consecutive patients who underwent bypass surgery at our hospital from September 2020 to March 2022 were candidates.
Results: In 20 patients with moyamoya disease, 25 operated hemispheres were investigated. In all hemispheres, hyperintensities in the cortical sulci on MRI/FLAIR and enhancement in the cortical sulci on MRI/Gd VWI appeared after bypass surgery. The maximum appearance of sulci enhancement on MRI/Gd VWI occurred earlier than the maximum appearance of the sulci hyperintensity on MRI/FLAIR, and this difference was significant (p = 0.001).
Conclusions: MRI/Gd VWI demonstrated that the peak of the enhancement changes preceded the peak of hyperintensity changes on MRI/FLAIR. These MRI changes may reflect alterations in blood-brain barrier permeability after bypass surgery in patients with moyamoya disease.
期刊介绍：
The Tokai Journal of Experimental and Clinical Medicine, also referred to as Tokai Journal, is an official quarterly publication of the Tokai Medical Association. Tokai Journal publishes original articles that deal with issues of clinical, experimental, socioeconomic, cultural and/or historical importance to medical science and related fields. Manuscripts may be submitted as full-length Original Articles or Brief Communications. Tokai Journal also publishes reviews and symposium proceedings. Articles accepted for publication in Tokai Journal cannot be reproduced elsewhere without written permission from the Tokai Medical Association. In addition, Tokai Journal will not be held responsible for the opinions of the authors expressed in the published articles.
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