Splanchnic, Thoracoabdominal, and Cerebral Blood Flow Volumes in Healthy Children and Young Adults in Fasting and Postprandial States: Determining Reference Ranges by Using Phase-Contrast MR Imaging.

Details

Serval ID
serval:BIB_7B809601BFAE
Type
Article: article from journal or magazin.
Collection
Publications
Title
Splanchnic, Thoracoabdominal, and Cerebral Blood Flow Volumes in Healthy Children and Young Adults in Fasting and Postprandial States: Determining Reference Ranges by Using Phase-Contrast MR Imaging.
Journal
Radiology
Author(s)
Muthusami P., Yoo S.J., Chaturvedi R., Gill N., Windram J., Schantz D., Prsa M., Caro-Dominguez P., Seed M., Grosse-Wortmann L., Ling S.C., Chavhan G.B.
ISSN
1527-1315 (Electronic)
ISSN-L
0033-8419
Publication state
Published
Issued date
10/2017
Peer-reviewed
Oui
Volume
285
Number
1
Pages
231-241
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Purpose To estimate reference ranges for blood flow volume (BFV) in major splanchnic, thoracoabdominal, and neck vessels by using phase-contrast magnetic resonance (MR) imaging in children and young adults in fasting and postprandial states. Materials and Methods In this institutional research ethics board-approved prospective study, healthy volunteers underwent phase-contrast MR imaging in a fasting state and again after a standardized meal. BFV values were reported as medians and ranges, and postmeal to premeal BFV ratios were calculated. BFVs in volunteers divided into two groups according to age (≤18 years old and >18 years old) were compared by using the Mann-Whitney test adjusted for multiple comparisons. Linear regression for internal validation of BFV and Pearson correlation and Bland-Altman analysis for interobserver agreement were used. Results Reference ranges for BFVs were estimated in 39 volunteers (23 male and 16 female; mean age, 21.2 years ± 8.5; range, 9-40 years) and were indexed according to body surface area, with internal validation (R <sup>2</sup> = 0.84-0.92) and excellent interobserver agreement (R <sup>2</sup> = 0.9928). There was an almost 30% increase in total abdominal BFV (P < .0001) in response to a meal, which was the result of a threefold increase in superior mesenteric artery BFV (P < .0001). BFV after the meal remained unaffected in the celiac artery and cerebral circulation. Significantly higher normalized BFVs in the cerebral circulation were measured in children with both preprandial (P = .039) and postprandial (P = .008) status than those in adults. Conclusion Reference ranges for BFVs and changes in BFVs in response to a meal in major splanchnic, thoracoabdominal, and neck vessels were estimated by using phase-contrast MR imaging in healthy volunteers to allow hemodynamic assessment of children and young adults with various diseases. <sup>©</sup> RSNA, 2017 Online supplemental material is available for this article.
Keywords
Adolescent, Adult, Blood Flow Velocity/physiology, Cerebrovascular Circulation/physiology, Child, Contrast Media/therapeutic use, Fasting/physiology, Female, Humans, Magnetic Resonance Imaging/methods, Male, Postprandial Period/physiology, Prospective Studies, Reference Values, Splanchnic Circulation/physiology, Thorax/blood supply, Thorax/diagnostic imaging, Young Adult
Pubmed
Web of science
Create date
10/11/2021 8:56
Last modification date
13/04/2024 6:06
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