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期刊论文

pulmonary ventilation oxygen functional imaging for regional pulmonary ventilation information: an experimental study of dogs**

郭佑民Xiao-Ming Wu You-Min Guo Jian Yang Gang NJu Jian-Guo Wang Xiac-Yan Lei Li Zhu Jun-Feng Wang

Chinese Janmal of Clinical Rehabilitation, January 25, 2004, Vol. 8 No.3,-0001,():

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摘要/描述

AIM: To cxplore the diagnostic effect of pulmonary ventilation-perfnsionfMRI for pulmonary embolism(PE).METMODS: Gelatin sponge was intraduced into the left fewer lobar pal-monary arteries of 4 dogs through catheter under distal subtraction an#ag-raphy(DSA) so as to establish PE model. Before PE, the dogs inhaled roomair(21%O2) and 99.5%02 respectively and inhaled 99.5% 02 again afterPE. Then MRI scanning was performed for pulmonatT ventilation. The signalintersitites (SI) of left lower lobe wore meesured and its variation was oh-sexved. The dogs were undergone MRI scanning before and efiex PE to ob-serve the perfusion of ]eft lower lobe.RESULTS: Both before and ofter PE the SI of left lower lobe after inhalationof 99.5% O2 increased significantly much more than after inhalation of indoorair. However, there was no significant difference in the increase of SI valuehctween the emhollc left lower lobe and non-mhdiio region of the right lowerlobe (t=3.685, P>0.05), indicating that pulmonary ventilation was notinfluenced in the emholic region of left lower loho. During perfusion MRscanning and after injection of contrast media, the SI of non-embelic re#on inthe fight lower lobe rapidly inched and reached the peak 6.8 aconds atinrinjection of contrast media. Bm the time-signal intensity curve of die embeficregion of left fower lube rpmained at lower level and had no apparont peakvalue all the time. CONCLUSION: Oxygen-enhanced ventilation fMRI combining pexlnsionfMRI provide a new diagnostic means for PE. The method is feasible andbeneficial for PE diagnosis.

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