This study investigated the effect of velocity encoding on measurement of brain blood flow and blood volume of inflow and outflow using phase-contrast magnetic resonance angiography. A single two-dimensional phase-con...This study investigated the effect of velocity encoding on measurement of brain blood flow and blood volume of inflow and outflow using phase-contrast magnetic resonance angiography. A single two-dimensional phase-contrast magnetic resonance angiography slice was applied perpendicular to the internal carotid artery and the vertebral artery at C2 level. For each subject, the velocity encoding was set from 30 to 90 cm/s with an interval of 10 cm/s for a total of seven settings. Various velocity encodings greatly affected blood flow volume, maximal blood flow velocity and mean blood flow velocity in the internal carotid artery, but did not significantly affect vertebral arteries and jugular veins. When velocity encoding was 60-80 cm/s, the inflow blood volume was 655 _＋ 118 mL/min, and the outflow volume was 506 _＋ 186 mL/min. The ratio of outflow/inflow was steady at 0.78-0.83, and there was no aliasing in any of the images. These findings suggest that velocity encodings of 60 80 cm/s should be selected during measurement of cerebral blood flow volume using phase-contrast magnetic resonance angiography.展开更多
Blood velocity in the vertebral artery and the basilar artery was observed before and after acupuncture at Fengchi point (GB 20) in 97 patients by transcranial Doppler ultrasonic detecting. The results showed that the...Blood velocity in the vertebral artery and the basilar artery was observed before and after acupuncture at Fengchi point (GB 20) in 97 patients by transcranial Doppler ultrasonic detecting. The results showed that the blood velocity in patients with either high or low blood flow had significant changes after acupuncture (P展开更多
Objective Cerebral autoregulation （CA） is the mechanism by which constant cerebral blood flow is maintained despite changes in cerebral perfusion pressure. CA can be evaluated by dynamic monitoring of cerebral blood...Objective Cerebral autoregulation （CA） is the mechanism by which constant cerebral blood flow is maintained despite changes in cerebral perfusion pressure. CA can be evaluated by dynamic monitoring of cerebral blood flow velocity （CBFV） with transcranial Doppler sonography （TCD）. The present study aimed to explore CA in chronic anxiety. Methods Subjects with Hamilton anxiety scale scores 〉14 were enrolled and the dynamic changes of CBFV in response to an orthostatic challenge were investigated using TCD. Results In both the anxious and the healthy subjects, the mean CBFV was significantly lower in the upright position than when supine. However, the CBFV changes from supine to upright differed between the anxious and the healthy groups. Anxious subjects showed more pronounced decreases in CBFV with abrupt standing. Conclusion Our results indicate that cerebrovascular modulation is compromised in chronic anxiety; anxious subjects have some insufficiency in maintaining cerebral perfusion after postural change. Given the fact that anxiety and impaired CA are associated with cardiovascular disease, early ascertainment of compromised cerebrovascular modulation using TCD might suggest interventional therapies in the anxious population, and improve the primary prevention of cardiovascular disease.展开更多
Objective:To explore the effects of acupuncture combined with Brunnstrom staging on upper-limb motor function,cerebral arterial blood flow velocity,and brain function remodeling after stroke.Methods:A total of 77 pati...Objective:To explore the effects of acupuncture combined with Brunnstrom staging on upper-limb motor function,cerebral arterial blood flow velocity,and brain function remodeling after stroke.Methods:A total of 77 patients after stroke were selected between January 2017 and December 2019 to perform a prospective study.All cases were divided into an observation group and a control group by the random number table method.Both groups were treated with conventional symptomatic treatment for stroke and functional exercise according to the Brunnstrom staging.The observation group was treated with additional acupuncture treatment based on the Brunnstrom staging therapy.The therapeutic efficacy was evaluated after six-week treatment.The traditional Chinese medicine(TCM)symptom scores of dizziness,headache,limb numbness,and language disorders before and after the treatment in the two groups were compared.According to the Fugl-Meyer motor function assessment(FMA),the upper-limb motor function before and after the treatment was compared.And the average systolic blood flow velocity of the anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)in the two groups before and after the treatment were compared.According to the modified Edinburgh-Scandinavia stroke scale(MESSS),the nerve function before and after the treatment was compared.Results:The total effective rate of the observation group was 94.9%,significantly higher than 79.0%of the control group(P<0.05).After the treatment,the TCM symptom scores of dizziness,headache,limb numbness,and language disorders in both groups decreased,and the scores in the observation group were all significantly lower than those in the control group(P<0.05).The FMA score of upper limbs in both groups increased,and the score in the observation group was significantly higher than that in the control group(P<0.05).The average systolic blood flow velocities of the ACA,MCA and PCA in both groups increased,and were significantly higher in the observation group than in the control group(P<0.05).The MESSS score in both groups decreased,and the score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Acupuncture combined with Brunnstrom staging is effective for patients after stroke.It can effectively improve the upper-limb motor function and cerebral artery blood flow velocity,promote brain function remodeling,and restore nerve function.展开更多
Color Doppler was used to examine the blood flow velocity wave forms of fetal middle cerebral artery (MCA) and umbilical artery (UA) in normal pregnancy (58 cases) pregnancy induced hypertension (PIH) with fetal growt...Color Doppler was used to examine the blood flow velocity wave forms of fetal middle cerebral artery (MCA) and umbilical artery (UA) in normal pregnancy (58 cases) pregnancy induced hypertension (PIH) with fetal growth retardation (IUGR) (54 cases) and without IUGR (34 cases). The peak-systolic / diastole ratio (S/D), pulse index (PI) and resistance index (RI) values of MCA and UA were calcu-展开更多
Objectives: During visual stimulation, the elevated metabolism rate will coupl e with increase of blood flow velocity(BFV) in posterior cerebral artery(PCA). T his study with TCD was aimed to investigate whether the c...Objectives: During visual stimulation, the elevated metabolism rate will coupl e with increase of blood flow velocity(BFV) in posterior cerebral artery(PCA). T his study with TCD was aimed to investigate whether the coupling might change ac cording to the different vasoneuronal conditions. Methods: Ninety-nine voluntee r s including 24 hypertension(HT) patients and 2 patients suffering from both HT a nd diabetes mellitus(DM) were enrolled in this trial. BFV and pulse indexes(PI) in P2 segments of PCA on both sides were monitored during visual stimulation. Re sults: In all subjects, Mean BFV increased and PI went down in response to visua l stimulation. The percentages of changes (ΔV and ΔP) of both mean BFV and PI we re larger in young group(<55 years old) than in old one(≥55 years old). There w a s significant positive correlation between ΔV and ΔP. Multivariated re gression a nalysis did not show HT and DM, but age related to ΔV(ΔP). We did not find signi ficant difference of ΔV(ΔP) between left and right sides. Conclusions: Blood flo w velocity in PCA P2 segment increased due to decreased cerebrovascular resistan ce during visual stimulation and the response weakened with aging of the patient .展开更多
基金the Medical Program of the Scientific & Technical Foundation in Xiamen(MRI study of chronic cerebrovascular insufficiency) in 2008,No.3502Z20084028
文摘This study investigated the effect of velocity encoding on measurement of brain blood flow and blood volume of inflow and outflow using phase-contrast magnetic resonance angiography. A single two-dimensional phase-contrast magnetic resonance angiography slice was applied perpendicular to the internal carotid artery and the vertebral artery at C2 level. For each subject, the velocity encoding was set from 30 to 90 cm/s with an interval of 10 cm/s for a total of seven settings. Various velocity encodings greatly affected blood flow volume, maximal blood flow velocity and mean blood flow velocity in the internal carotid artery, but did not significantly affect vertebral arteries and jugular veins. When velocity encoding was 60-80 cm/s, the inflow blood volume was 655 _＋ 118 mL/min, and the outflow volume was 506 _＋ 186 mL/min. The ratio of outflow/inflow was steady at 0.78-0.83, and there was no aliasing in any of the images. These findings suggest that velocity encodings of 60 80 cm/s should be selected during measurement of cerebral blood flow volume using phase-contrast magnetic resonance angiography.
文摘Blood velocity in the vertebral artery and the basilar artery was observed before and after acupuncture at Fengchi point (GB 20) in 97 patients by transcranial Doppler ultrasonic detecting. The results showed that the blood velocity in patients with either high or low blood flow had significant changes after acupuncture (P
基金supported by grants from China Scholarship Council
文摘Objective Cerebral autoregulation （CA） is the mechanism by which constant cerebral blood flow is maintained despite changes in cerebral perfusion pressure. CA can be evaluated by dynamic monitoring of cerebral blood flow velocity （CBFV） with transcranial Doppler sonography （TCD）. The present study aimed to explore CA in chronic anxiety. Methods Subjects with Hamilton anxiety scale scores 〉14 were enrolled and the dynamic changes of CBFV in response to an orthostatic challenge were investigated using TCD. Results In both the anxious and the healthy subjects, the mean CBFV was significantly lower in the upright position than when supine. However, the CBFV changes from supine to upright differed between the anxious and the healthy groups. Anxious subjects showed more pronounced decreases in CBFV with abrupt standing. Conclusion Our results indicate that cerebrovascular modulation is compromised in chronic anxiety; anxious subjects have some insufficiency in maintaining cerebral perfusion after postural change. Given the fact that anxiety and impaired CA are associated with cardiovascular disease, early ascertainment of compromised cerebrovascular modulation using TCD might suggest interventional therapies in the anxious population, and improve the primary prevention of cardiovascular disease.
文摘Objective:To explore the effects of acupuncture combined with Brunnstrom staging on upper-limb motor function,cerebral arterial blood flow velocity,and brain function remodeling after stroke.Methods:A total of 77 patients after stroke were selected between January 2017 and December 2019 to perform a prospective study.All cases were divided into an observation group and a control group by the random number table method.Both groups were treated with conventional symptomatic treatment for stroke and functional exercise according to the Brunnstrom staging.The observation group was treated with additional acupuncture treatment based on the Brunnstrom staging therapy.The therapeutic efficacy was evaluated after six-week treatment.The traditional Chinese medicine(TCM)symptom scores of dizziness,headache,limb numbness,and language disorders before and after the treatment in the two groups were compared.According to the Fugl-Meyer motor function assessment(FMA),the upper-limb motor function before and after the treatment was compared.And the average systolic blood flow velocity of the anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)in the two groups before and after the treatment were compared.According to the modified Edinburgh-Scandinavia stroke scale(MESSS),the nerve function before and after the treatment was compared.Results:The total effective rate of the observation group was 94.9%,significantly higher than 79.0%of the control group(P<0.05).After the treatment,the TCM symptom scores of dizziness,headache,limb numbness,and language disorders in both groups decreased,and the scores in the observation group were all significantly lower than those in the control group(P<0.05).The FMA score of upper limbs in both groups increased,and the score in the observation group was significantly higher than that in the control group(P<0.05).The average systolic blood flow velocities of the ACA,MCA and PCA in both groups increased,and were significantly higher in the observation group than in the control group(P<0.05).The MESSS score in both groups decreased,and the score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Acupuncture combined with Brunnstrom staging is effective for patients after stroke.It can effectively improve the upper-limb motor function and cerebral artery blood flow velocity,promote brain function remodeling,and restore nerve function.
文摘Color Doppler was used to examine the blood flow velocity wave forms of fetal middle cerebral artery (MCA) and umbilical artery (UA) in normal pregnancy (58 cases) pregnancy induced hypertension (PIH) with fetal growth retardation (IUGR) (54 cases) and without IUGR (34 cases). The peak-systolic / diastole ratio (S/D), pulse index (PI) and resistance index (RI) values of MCA and UA were calcu-
文摘Objectives: During visual stimulation, the elevated metabolism rate will coupl e with increase of blood flow velocity(BFV) in posterior cerebral artery(PCA). T his study with TCD was aimed to investigate whether the coupling might change ac cording to the different vasoneuronal conditions. Methods: Ninety-nine voluntee r s including 24 hypertension(HT) patients and 2 patients suffering from both HT a nd diabetes mellitus(DM) were enrolled in this trial. BFV and pulse indexes(PI) in P2 segments of PCA on both sides were monitored during visual stimulation. Re sults: In all subjects, Mean BFV increased and PI went down in response to visua l stimulation. The percentages of changes (ΔV and ΔP) of both mean BFV and PI we re larger in young group(<55 years old) than in old one(≥55 years old). There w a s significant positive correlation between ΔV and ΔP. Multivariated re gression a nalysis did not show HT and DM, but age related to ΔV(ΔP). We did not find signi ficant difference of ΔV(ΔP) between left and right sides. Conclusions: Blood flo w velocity in PCA P2 segment increased due to decreased cerebrovascular resistan ce during visual stimulation and the response weakened with aging of the patient .
