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Global cerebral blood flow (CBF) was quantitatively measured with a two-dimensional phase contrast cine magnetic resonance (MR) imaging technique in 24 normal subjects (mean age, 38.6 years; range, 12-70 years). Cine transverse images of the upper cervical region (32 phases/cardiac cycle) were acquired with a 1.5 Tesla MR imaging unit. In five subjects, measurement of CBF was performed before and after intravenous administration of acetazolamide (DIAMOX, 15 mg/kg). Inter- and intraobserver variations in flow volume measurement were small (r = 0.970, standard error of the estimate (SEE) = 2.9 ml/min, n = 80; r = 0.963, SEE = 4.6 ml/min, n = 40, respectively). In measuring flow velocity, they were inferior to those of flow volume measurement. On a visually determined setting of region of interest (ROI), reproducibly of the measurement of flow velocity was not satisfactory in this study. Thus only the results of flow volume measurement are presented. Mean summed vertebral flow volume (171 ml/min, SD = 40.6) was significantly less than mean summed internal carotid flow volume (523 ml/min, SD = 111). Total blood flow volume showed a significant decline with age (r = 0.45, p < 0.05). The mean proportions of carotid and vertebral flow volume to total flow volume were 75.3% and 24.7%, respectively, and showed no significant change with age. The left-to-right ratio of vertebral flow volume (1.39) was significantly higher than that of internal carotid flow volume (0.99, r = 0.05). After DIAMOX i.v., the mean rate of increase in total flow volume was 157%. Mean rates of increase in carotid and vertebral flow volume were 154% and 166%, respectively, which were not significantly different. In conclusion, this method is useful for estimating carotid and vertebral flow volume.
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