应用相位对比磁共振成像技术评估颅内顺应性的可行性探索

Evaluation of intracranial compliance using phase contrast magnetic resonance imaging:An exploratory study

  • 摘要: 目的 探索相位对比磁共振成像(phase contrast magnetic resonance imaging,PC-MRI)技术在无创评估颅内顺应性方面的价值。方法 2019年10-12月解放军总医院第一医学中心招募30例健康年轻志愿者(28.93±4.24)岁;男女比例17∶13,采用自身前后对照研究比较Valsalva动作前、后两种状态的颈内动脉(internal carotid artery,ICA)和颈内静脉(internal jugular vein,IJV)血管面积、相对波峰时间(rTimepeak)和收缩期ICA至IJV波峰传导时间(TTICA-IJV)。结果 Valsalva动作状态相较于平静呼吸状态,IJV面积显著增大40.29(25.70,58.09) mm2 vs 52.64(33.37,69.71) mm2;P<0.001,ICA面积减小19.99(15.82,22.74) mm2 vs 18.79(15.08,22.25) mm2;P=0.016,ICA的rTimepeak延后213.66(190.50,237.00) ms vs 230.50 (206.00,271.00) ms;P<0.001,IJV的rTimepeak提前320.00(271.00,382.25) ms vs 270.25(3.10,5.28) ms;P=0.003,TTICA-IJV显著缩短103.50(67.25,160.25) ms vs 28.00(5.50,49.00) ms;P<0.001,TTICA-IJV缩短的程度与平静呼吸时IJV的rTimepeak呈显著正相关(r=0.75,P<0.001)。结论 采用基于PC-MRI测量的TTICA-IJV和平静呼吸时IJV的rTimepeak是具有潜在应用价值的无创评估颅内顺应性指标。

     

    Abstract: Objective To explore the feasibility and value of phase contrast magnetic resonance imaging (PC-MRI) technique in noninvasive evaluation of intracranial compliance. Methods From October to December in 2019,thirty young healthy volunteers (28±5 years old;17 males and 13 females) were recruited and underwent PC-MRI in the First Medical Center of Chinese PLA General Hospital with same scanning parameters under different breathing conditions:normal breathing (NB) and Valsalva maneuver (VM).The vascular areas,the relative systolic peak waveform time (rTimepeak) and the systolic transient time of the peak waveform from internal carotid artery to internal jugular vein (TTICA-IJV) were compared between different conditions. Results Compared to NB,during VM,the area of IJV significantly increased (40.2925.70,58.09mm2 vs 52.6433.37,69.71mm2;P<0.001),while the area of ICA decreased (19.9915.82,22.74mm2 vs 18.7915.08,22.25mm2;P=0.016).The rTimepeak of ICA delayed (213.66190.50,237.00ms vs 230.50206.00,271.00ms;P<0.001),and the rTimepeak of IJV advanced (320.00271.00,382.25ms vs 270.253.10,5.28ms;P=0.003),TTICA-IJV shortened (103.5067.25,160.25ms vs 28.005.50,49.00ms;P<0.001),and the difference of TTICA-IJV between NB and VM was positively correlated with the rTimepeak of IJV in NB (r=0.75,P<0.001). Conclusion TTICA-IJV and rTimepeak of IJV measured by PC-MRI have potential application value in noninvasive evaluation to intracranial compliance.

     

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