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4D Flow MRI evaluation and intraoperative MCA pressure measurements before and after STA-MCA bypass surgery
Tetsuro Sekine1, Erika Orita1, Takahiro Ando1, Yasuo Murai1, and Shinichiro Kumita1
1Nippon Medical School, Tokyo, Japan
The visual and quantitative assessment of 4D flow MRI revealed that intracranial blood flow changes complementarily after STA-MCA bypass surgery. The sum of intracranial BFV can be used for the evaluation of treatment outcome after the surgery.
Figure 2. Correlation between MCA pressure increase ratio and BFVtotal increase ratio in three groups according to pre-MCA pressure levels. Dotted line represents the linear regression line of the patients with severe decrease of pre-MCA pressure (≦ 32mmHg). BFV: Blood flow volume, MCA: middle cerebral artery
FIgure 1. BFV of each artery (A, ipsilateral ICA; B, contralateral ICA; C, BA; D, ipsilateral STA; E, contralateral STA) and total BFV (F) before and after bypass surgery. *p < 0.05. BA: Basilar artery, BFV: Blood flow volume, ICA: Internal carotid artery, STA: Superficial temporal artery