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Image Search Results
Journal: Chinese Medical Journal
Article Title: Effect of arteriosclerotic intracranial arterial vessel wall enhancement on downstream collateral flow
doi: 10.1097/CM9.0000000000002307
Figure Lengend Snippet: MRI and RAPID perfusion analysis of patients with MCA M1 segment vessel wall enhancement. A 63-year-old female patient in Group 2 (IAVWE and severe stenosis) with hypertension for many years was admitted to the hospital for sudden unilateral limb weakness and unclear speech for 2 days with an NIHSS score of 6. Multiple focal hyperintensities distributed in the left frontoparietal watershed area and within the left parietal cortex and subcortical white matter were observed on DWI (A–B). Comparison of sagittal 2DBB images perpendicular to the M1 segment of the right MCA before (C) and after (D) contrast injection showed local vessel wall eccentric thickening and enhancement (arrow). Figures E and J show the patient′s 3D-pCASL perfusion color map (E: PLD1.5 s, J: PLD2.5 s), figures F and K show the CBF diagram (F: PLD1.5 s, K: PLD2.5 s), perfusion mapping shows a relatively significant hypoperfusion state in the MCA territory of the left frontal and parietal lobes. CEMRA (G) shows significant stenosis (arrow, stenotic ratio = 70%) in the left MCA M1 segment. Coronal Gd-2DBB shows the enhancement of the local vessel wall more clearly (H). Figure I shows the subtracted CBF map between PLD2.5 s and PLD1.5 s. Figure L shows the cerebral hemispheric blood flow map, it was measured and generated by the RAPID perfusion analysis software, and the HIR value was automatically calculated.3D-pCASL: Three-dimensional pseudo-continuous arterial spin-labeling; 2DBB: Two dimensional black blood; CBF: Cerebral blood flow; CEMRA: Contrast enhanced magnetic resonance angiography; DWI: Diffusion-weighted imaging; HIR: Hypoperfusion intensity ratio; MRI: Magnetic resonance imaging; MCA: Middle cerebral artery; NIHSS: National Institutes of Health Stroke Scale; PLD: Postlabel delay.
Article Snippet: [ ] The
Techniques: Comparison, Injection, Generated, Software, Labeling, Diffusion-based Assay, Imaging, Magnetic Resonance Imaging