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보조 산소에 의해 발생한 FLAIR영상에서 거미막하공간의 고신호강도

Hyperintensity of Subarachnoid Space on FLAIR Images Caused by Supplemental Oxygen

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주제분류신경과학

초록

A hyperintensity in the subarachnoid space on fluid-attenuated inversion-recovery (FLAIR) images is often caused by diseases such as subarachnoid hemorrhage or meningitis. Oxygen has a known paramagnetic effect and also causes signal changes in the subarachnoid space on FLAIR images. These changes usually develop when the inspired air contains a high oxygen fraction. Here we present a patient with a hyperintensity in the subarachnoid space on FLAIR images whose inspired air contained only a low oxygen fraction.

Abstract

A hyperintensity in the subarachnoid space on fluid-attenuated inversion-recovery (FLAIR) images is often caused by diseases such as subarachnoid hemorrhage or meningitis. Oxygen has a known paramagnetic effect and also causes signal changes in the subarachnoid space on FLAIR images. These changes usually develop when the inspired air contains a high oxygen fraction. Here we present a patient with a hyperintensity in the subarachnoid space on FLAIR images whose inspired air contained only a low oxygen fraction.

참고문헌 (10)

  1. Anzai Y, "Paramagnetic effect of supplemental oxygen on CSF hyperintensity on fluid-attenuated inversion recovery MR images", AJNR Am J Neuroradiol, 25, pp.274~279 (2004)
  2. Stuckey SL, "Hyperintensity in the subarachoid space on FLAIR MRI", AJR Am J Roentgenol, 189, pp.913~921 (2007)
  3. Braga FT, "Relationship between the concentration of supplemental oxygen and signal intensity of CSF depicted by fluid-attenuated inversion recovery imaging", AJNR Am J Neuroradiol, 24, pp.1863~1868 (2003)
  4. 이영배, "급성 지주막하 출혈의 FLAIR 자기공명영상:비 조영증강 전산화단층촬영 영상과의 비교", 대한신경외과학회지, 33(3), pp.281~284 (2003), 대한신경외과학회
  5. Frigon C, "Supplemental oxygen causes increased signal intensity in subarachnoid cerebrospinal fluid on brain FLAIR MR images obtained in children during general anesthesia", Radiology, 233, pp.51~55 (2004)
  6. Goetz GF, "Hyperintense cerebrospinal fluid on FLAIR images induced by ventilation with 100% oxygen", Clin Neuroradiol, 17, pp.108~115 (2007)
  7. Frigon C, "Fraction of inspired oxygen in relation to cerebrospinal fluid hyperintensity on FLAIR MR imaging of the brain in children and young adults undergoing anesthesia", AJR Am J Roentgenol, 179, pp.791~796 (2002)
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  9. Deliganis AV, "Cerebrospinal fluid signal intensity increase on FLAIR MR images in patients under general anesthesia: the role of supplemental O2", Radiology, 218, pp.152~156 (2001)
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