Abstract:
:The aim of this work was comparison of two algorithms of perfusion computed tomography (PCT) data analysis for evaluation of cerebral microcirculation in the perifocal zone of chronic subdural hematoma (CSDH). Twenty patients with CSDH after polytrauma were included in the study. The same PCT data were assessed quantitatively in cortical brain region beneath the CSDH (zone 1), and in the corresponding contralateral brain hemisphere (zone 2) without and with the use of perfusion calculation mode excluding vascular pixel 'Remote Vessels' (RV); 1st and 2nd analysis method, respectively. Comparison with normal values for perfusion indices in the zone 1 in the 1st analysis method showed a significant (p < 0.01) increase in CBV and CBF, and no significant increase in MTT and TTP. Use of the RV mode (2nd analysis method) showed no statistically reliable change of perfusion parameters in the microcirculatory blood flow of the 2nd zone. Maintenance of microcirculatory blood flow perfusion reflects the preservation of cerebral blood flow autoregulation in patients with CSDH.
journal_name
Adv Exp Med Bioljournal_title
Advances in experimental medicine and biologyauthors
Trofimov AO,Kalentiev G,Voennov O,Yuriev M,Agarkova D,Trofimova S,Bragin DEdoi
10.1007/978-3-319-38810-6_53subject
Has Abstractpub_date
2016-01-01 00:00:00pages
407-412eissn
0065-2598issn
2214-8019journal_volume
923pub_type
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