Brain perfusion in children: evolution with age assessed by quantitative perfusion computed tomography.

Details

Serval ID
serval:BIB_26471AFFCA66
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Brain perfusion in children: evolution with age assessed by quantitative perfusion computed tomography.
Journal
Pediatrics
Author(s)
Wintermark M., Lepori D., Cotting J., Roulet E., van Melle G., Meuli R., Maeder P., Regli L., Verdun F.R., Deonna T., Schnyder P., Gudinchet F.
ISSN
1098-4275[electronic]
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
113
Number
6
Pages
1642-1652
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
OBJECTIVE: The objective of this study was to assess the age-related variations of brain perfusion through quantitative cerebral perfusion computed tomography (CT) results in children without brain abnormality. METHODS: Brain perfusion CT examinations were performed in 77 children, aged 7 days to 18 years. These patients were admitted at our institution for both noncontrast and contrast-enhanced cerebral CT. Only children whose conventional cerebral CT and clinical/radiologic follow-up, including additional investigations, were normal were taken into account for this study (53 of 77). RESULTS: The average regional rCBF amounts to 40 (mL/100 g per minute) for the first 6 months of life, peaks at approximately 130 (mL/100 g per minute) at approximately 2 to 4 years of age, and finally stabilizes at approximately 50 (mL/100 g per minute) at approximately 7 to 8 years of age, with a small increase of rCBF values at approximately 12 years of age. The rCBF in the gray matter averages 3 times that in the white matter, except for the first 6 months of life. The global CBF represents 10% to 20% of the global cardiac output for the first 6 months of life, peaks at approximately 55% by 2 to 4 years of age, and finally stabilizes at approximately 15% by 7 to 8 years of age. Specific age-related evolution patterns were identified in the different anatomic areas of the cerebral parenchyma, which could be related to the development of neuroanatomic structures and to the emergence of corresponding cognitive functions. CONCLUSIONS: Quantitative perfusion CT characterization of brain perfusion shows specific age variations. Brain perfusion of each cortical area evolves according to a specific time course, in close correlation with the psychomotor development.
Keywords
Adolescent, Aging/physiology, Analysis of Variance, Brain/blood supply, Brain/radiography, Cerebrovascular Circulation, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Models, Theoretical, Tomography, X-Ray Computed/methods
Pubmed
Web of science
Create date
29/02/2008 17:45
Last modification date
20/08/2019 13:04
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