Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis

Objective: We investigated the usefulness of 2D-perfusion analysis for the evaluation of cerebral blood flow in unilateral cervical internal carotid artery stenosis. Methods: We conducted a 2D-perfusion analysis during cerebral angiography and 123I-iodoamphetamine (IMP) single photon emission comput...

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Main Authors: Akifumi Yoshikawa, Takehiro Uno, Iku Nambu, Tomoya Kamide, Kouichi Misaki, Mitsutoshi Nakada
Format: Article
Language:English
Published: The Japanese Society for Neuroendovascular Therapy 2021-01-01
Series:JNET
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jnet/15/9/15_oa.2020-0132/_pdf/-char/en
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author Akifumi Yoshikawa
Takehiro Uno
Iku Nambu
Tomoya Kamide
Kouichi Misaki
Mitsutoshi Nakada
author_facet Akifumi Yoshikawa
Takehiro Uno
Iku Nambu
Tomoya Kamide
Kouichi Misaki
Mitsutoshi Nakada
author_sort Akifumi Yoshikawa
collection DOAJ
description Objective: We investigated the usefulness of 2D-perfusion analysis for the evaluation of cerebral blood flow in unilateral cervical internal carotid artery stenosis. Methods: We conducted a 2D-perfusion analysis during cerebral angiography and 123I-iodoamphetamine (IMP) single photon emission computed tomography (SPECT) for unilateral cervical internal carotid artery stenosis without contralateral stenosis. The relationship between the ratio of the lesion side to the normal side in the parameters obtained by 2D-perfusion and the value calculated by stereotactic extraction estimation (SEE) analysis of SPECT was statistically examined.Results: The ratios of the lesion side to the normal side regarding the peak arrival time (AT; time to peak [TTP]) of the contrast agent and the mean filling time (mean transit time [MTT]) of the contrast agent in 2D-perfusion significantly correlated with the area of Stage II and increase ratio (I.R) ≤30% in the SEE analysis (p = 0.002, 0.003). Conclusion: 2D-perfusion analysis can be used to estimate the extent of impaired cerebrovascular reserve (CVR) area in unilateral internal carotid artery stenosis.
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spelling doaj.art-10b45b4310ec450aa5024721c79bb62b2022-12-21T21:24:40ZengThe Japanese Society for Neuroendovascular TherapyJNET1882-40722186-24942021-01-0115958358810.5797/jnet.oa.2020-0132jnetUsefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery StenosisAkifumi Yoshikawa0Takehiro Uno1Iku Nambu2Tomoya Kamide3Kouichi Misaki4Mitsutoshi Nakada5Department of Neurosurgery, University of Kanazawa, Kanazawa, Ishikawa, JapanDepartment of Neurosurgery, University of Kanazawa, Kanazawa, Ishikawa, JapanDepartment of Neurosurgery, University of Kanazawa, Kanazawa, Ishikawa, JapanDepartment of Neurosurgery, University of Kanazawa, Kanazawa, Ishikawa, JapanDepartment of Neurosurgery, University of Kanazawa, Kanazawa, Ishikawa, JapanDepartment of Neurosurgery, University of Kanazawa, Kanazawa, Ishikawa, JapanObjective: We investigated the usefulness of 2D-perfusion analysis for the evaluation of cerebral blood flow in unilateral cervical internal carotid artery stenosis. Methods: We conducted a 2D-perfusion analysis during cerebral angiography and 123I-iodoamphetamine (IMP) single photon emission computed tomography (SPECT) for unilateral cervical internal carotid artery stenosis without contralateral stenosis. The relationship between the ratio of the lesion side to the normal side in the parameters obtained by 2D-perfusion and the value calculated by stereotactic extraction estimation (SEE) analysis of SPECT was statistically examined.Results: The ratios of the lesion side to the normal side regarding the peak arrival time (AT; time to peak [TTP]) of the contrast agent and the mean filling time (mean transit time [MTT]) of the contrast agent in 2D-perfusion significantly correlated with the area of Stage II and increase ratio (I.R) ≤30% in the SEE analysis (p = 0.002, 0.003). Conclusion: 2D-perfusion analysis can be used to estimate the extent of impaired cerebrovascular reserve (CVR) area in unilateral internal carotid artery stenosis.https://www.jstage.jst.go.jp/article/jnet/15/9/15_oa.2020-0132/_pdf/-char/eninternal carotid artery stenosis2d-perfusiondigital subtraction angiographysingle photon emission computed tomographycerebrovascular reserve
spellingShingle Akifumi Yoshikawa
Takehiro Uno
Iku Nambu
Tomoya Kamide
Kouichi Misaki
Mitsutoshi Nakada
Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis
JNET
internal carotid artery stenosis
2d-perfusion
digital subtraction angiography
single photon emission computed tomography
cerebrovascular reserve
title Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis
title_full Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis
title_fullStr Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis
title_full_unstemmed Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis
title_short Usefulness of 2D-Perfusion Analysis for the Assessment of Unilateral Cervical Internal Carotid Artery Stenosis
title_sort usefulness of 2d perfusion analysis for the assessment of unilateral cervical internal carotid artery stenosis
topic internal carotid artery stenosis
2d-perfusion
digital subtraction angiography
single photon emission computed tomography
cerebrovascular reserve
url https://www.jstage.jst.go.jp/article/jnet/15/9/15_oa.2020-0132/_pdf/-char/en
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