Quantitative arterial spin labeling magnetic resonance imaging analysis of reversible cerebral vasoconstriction syndrome: A case series.

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Title: Quantitative arterial spin labeling magnetic resonance imaging analysis of reversible cerebral vasoconstriction syndrome: A case series.
Authors: Kano, Yuya, Inui, Shohei, Uchida, Yuto, Sakurai, Keita, Muto, Masahiro, Sugiyama, Hanako, Takeshima, Takao, Yuasa, Hiroyuki, Yamada, Kentaro, Matsukawa, Noriyuki
Source: Headache: The Journal of Head & Face Pain. Apr2021, Vol. 61 Issue 4, p687-693. 7p.
Subjects: Computer software, Brain, Cerebral circulation, Magnetic resonance imaging, Cerebral vasospasm, Severity of illness index, Subarachnoid hemorrhage, Vasoconstriction, Posterior leukoencephalopathy syndrome, Disease complications
Abstract: Objective: This study aimed to quantify chronological cerebral blood flow (CBF) changes using arterial spin labeling (ASL) magnetic resonance imaging in patients with reversible cerebral vasoconstriction syndrome (RCVS). Background: Quantitative ASL analyses in RCVS have not been well described in the literature. Methods: Quantification of ASL using an automated region‐of‐interest placement software and a 5‐point visual scale of vasoconstriction severity was performed in five RCVS patients. The association between CBF changes and RCVS‐related complications was evaluated. Results: Quantitative ASL revealed variable patterns of decreasing CBF in the first week, followed by subsequent increases. Notably, arterial vasoconstriction paradoxically progressed despite an increase in CBF from the first to the second week; this increase was relatively higher in patients with both cortical subarachnoid hemorrhage and posterior reversible encephalopathy syndrome. Conclusions: Quantitative ASL revealed that CBF initially decreased and subsequently increased, especially in the second week. These changes may serve as surrogate imaging markers for RCVS‐related complications, and could further contribute to understanding the pathology of RCVS. [ABSTRACT FROM AUTHOR]
Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Quantitative arterial spin labeling magnetic resonance imaging analysis of reversible cerebral vasoconstriction syndrome: A case series.
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  Data: <searchLink fieldCode="AR" term="%22Kano%2C+Yuya%22">Kano, Yuya</searchLink><br /><searchLink fieldCode="AR" term="%22Inui%2C+Shohei%22">Inui, Shohei</searchLink><br /><searchLink fieldCode="AR" term="%22Uchida%2C+Yuto%22">Uchida, Yuto</searchLink><br /><searchLink fieldCode="AR" term="%22Sakurai%2C+Keita%22">Sakurai, Keita</searchLink><br /><searchLink fieldCode="AR" term="%22Muto%2C+Masahiro%22">Muto, Masahiro</searchLink><br /><searchLink fieldCode="AR" term="%22Sugiyama%2C+Hanako%22">Sugiyama, Hanako</searchLink><br /><searchLink fieldCode="AR" term="%22Takeshima%2C+Takao%22">Takeshima, Takao</searchLink><br /><searchLink fieldCode="AR" term="%22Yuasa%2C+Hiroyuki%22">Yuasa, Hiroyuki</searchLink><br /><searchLink fieldCode="AR" term="%22Yamada%2C+Kentaro%22">Yamada, Kentaro</searchLink><br /><searchLink fieldCode="AR" term="%22Matsukawa%2C+Noriyuki%22">Matsukawa, Noriyuki</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Headache%3A+The+Journal+of+Head+%26+Face+Pain%22">Headache: The Journal of Head & Face Pain</searchLink>. Apr2021, Vol. 61 Issue 4, p687-693. 7p.
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  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Computer+software%22">Computer software</searchLink><br /><searchLink fieldCode="DE" term="%22Brain%22">Brain</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+circulation%22">Cerebral circulation</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+vasospasm%22">Cerebral vasospasm</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Subarachnoid+hemorrhage%22">Subarachnoid hemorrhage</searchLink><br /><searchLink fieldCode="DE" term="%22Vasoconstriction%22">Vasoconstriction</searchLink><br /><searchLink fieldCode="DE" term="%22Posterior+leukoencephalopathy+syndrome%22">Posterior leukoencephalopathy syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This study aimed to quantify chronological cerebral blood flow (CBF) changes using arterial spin labeling (ASL) magnetic resonance imaging in patients with reversible cerebral vasoconstriction syndrome (RCVS). Background: Quantitative ASL analyses in RCVS have not been well described in the literature. Methods: Quantification of ASL using an automated region‐of‐interest placement software and a 5‐point visual scale of vasoconstriction severity was performed in five RCVS patients. The association between CBF changes and RCVS‐related complications was evaluated. Results: Quantitative ASL revealed variable patterns of decreasing CBF in the first week, followed by subsequent increases. Notably, arterial vasoconstriction paradoxically progressed despite an increase in CBF from the first to the second week; this increase was relatively higher in patients with both cortical subarachnoid hemorrhage and posterior reversible encephalopathy syndrome. Conclusions: Quantitative ASL revealed that CBF initially decreased and subsequently increased, especially in the second week. These changes may serve as surrogate imaging markers for RCVS‐related complications, and could further contribute to understanding the pathology of RCVS. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/head.14094
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 7
        StartPage: 687
    Subjects:
      – SubjectFull: Computer software
        Type: general
      – SubjectFull: Brain
        Type: general
      – SubjectFull: Cerebral circulation
        Type: general
      – SubjectFull: Magnetic resonance imaging
        Type: general
      – SubjectFull: Cerebral vasospasm
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Subarachnoid hemorrhage
        Type: general
      – SubjectFull: Vasoconstriction
        Type: general
      – SubjectFull: Posterior leukoencephalopathy syndrome
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Quantitative arterial spin labeling magnetic resonance imaging analysis of reversible cerebral vasoconstriction syndrome: A case series.
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            NameFull: Kano, Yuya
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              M: 04
              Text: Apr2021
              Type: published
              Y: 2021
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