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Fick principle for CMRO2 quantif

Fick principle for CMRO2 quantif

作者: 要努力的人儿 | 来源:发表于2019-05-28 11:46 被阅读0次

Definition

CMRO2为脑氧代谢率(cerebral metabolic rate of oxygen),假定组织从血液中所摄取的所有氧气都用于ATP的产生,则CMRO2可借由Fick原理量化确定如下:

                                  CMRO_{2} = C_{a} * CBF * (Y_{a}-Y_{v})

Y_{a}: arterial oxygen saturation in %HbO2

Y_{v}: venous oxygen saturation in %HbO2

CBF:  cerebral blood flow in μmol per minute per 100g of brain tissue

C_{a}: arterial oxygen content of fully saturated arterial blood (i.e. blood with Y_{a}=100% HbO2) in μmol of O2 per mL blood,  giving CMRO2 in μmol per minute per 100g of brain tissue. C_{a} is a Hb-dependent constant:

                                                C_{a}=0.620559*Hb 

Hb is in g/dL and the scaling factor is calculated based on a hemoglobin molar mass of 64,458g/mol

Y_{a}-Y_{v}: arteriovenous oxygen difference (AVO2D),  AVO2D is very similar to OEF for Ya in the normal physiologic range and are sometimes used interchangeably

                                                 OEF = AVO_{2}D/Y_{a}

Measurement

CBF: measured by phase-contrast MRI (PC-MRI) in large cerebral vessels or mapped on a voxel-wise basis with arterial spin labeling (ASL)

Y_{a}: measured continuously with a digital pulse oximeter or assumed to be near 98% HbO2 in normal conditions

Y_{v}: MR-based quantifying through para-magnetism of dHb. These methods can be categorized based on the tissue compartment in which the effects of dHb are modeled (extravascular vs. intravascular) and the MR contrast method used to quantify these effects (T_{2}^*,T_2 ',T_2,or susceptibility).

Measurement of Y_{v}

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