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Predictive value of perfusion reduction on ASL for the occurrence of cerebrovascular events in patients with bilateral moyamoya angiography
Maoxue Wang1, Yongbo Yang1, Fei Zhou1, Ming Li1, Jilei Zhang2, and Bing Zhang1,3
1The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, 2Philips Healthcare, Shanghai, China, 3Institute of Brain Science, Nanjing University Nanjing, Nanjing, China
The mean value of CBF in cerebral hemispheres with lesions was lower than that on the contralateral side in ASL with PLDs of 1.5 s and 2.5 s, and it was correlated with the occurrence of cerebrovascular events.
Figure 1. A 61-year-old patient with bilateral MMA. (A) Occlusion of bilateral ICA, ACA, and MCA was observed on 3D time of flight MRA images. (B) He had a punctate acute cerebral infarction in the left frontal lobe. The perfusion of the left frontal lobe decreased, and the arterial transit artifact was grade 2 on CBF images when PLD were 1.5 s and 2.5 s (C and D). (E and F) Three-dimensional images of bilateral cerebral hemispheres. The gray value of the left cerebral hemisphere was less than that of the contralateral on the gray distribution histogram of bilateral cerebral hemispheres.
Table 2. Correlation between the degree of intracranial artery, cerebral perfusion, and occurrence of cerebrovascular events in patients with MMA.