T2*-weighted MRI versus oxygen extraction fraction PET in acute stroke

Cerebrovasc Dis. 2009;28(3):306-13. doi: 10.1159/000229017. Epub 2009 Jul 21.

Abstract

Background: Mapping high oxygen extraction fraction (OEF) in acute stroke is of considerable interest to depict the at-risk tissue. Being sensitive to deoxyhemoglobin, T2*-weighted MRI has been suggested as a potential marker of high OEF.

Methods: We compared T2*-weighted images from pre-contrast arrival perfusion scans against quantitative positron emission tomography in 5 patients studied 7-21 h after onset of carotid territory stroke. OEF and T2* signal were obtained in the voxels with significantly high OEF.

Results: All patients showed increased OEF. No significant relationship between OEF and T2*-weighted signal was found either within or between subjects.

Conclusion: We found no indication that T2*-weighted MRI in the way implemented in this investigation was sensitive to high OEF in acute stroke.

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / pathology
  • Carotid Artery Diseases / complications
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / pathology
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Oxygen / blood
  • Positron-Emission Tomography
  • Stroke / diagnostic imaging*
  • Stroke / pathology*
  • Ultrasonography, Doppler, Transcranial

Substances

  • Oxygen