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Table 3 Overview of studies comparing cerebrovascular reactivity with CBF or OEF

From: Comparison of oxygen-15 PET and transcranial Doppler CO2-reactivity measurements in identifying haemodynamic compromise in patients with symptomatic occlusion of the internal carotid artery

Author

Method 1

Method 2

Sample (n)

ICA occlusion

Symptoms

Agreement between methods

Fujimoto et al. 2002 [29]

IMP-SPECT + ACZ

15O-PET

53

18

47

Haemodynamic compromise in 75% by method 1, 32% by method 2 (increased OEF, stage 2), and 64% by method 2 (stage 1).

Correlation CVR (asymmetry index) with CBF/CBV r = 0.31 (p < 0.05)

Correlation CVR with OEF r = −0.64 (p < 0.0001)

Herold et al. 1988 [25]

Xenon-SPECT + CO2

15O-PET

21

19

7

Haemodynamic compromise in 29% by method 1 and 19% by method 2 (increased OEF)

Correlation CVR with CBF/CBV r = 0.575 (p < 0.01)

Correlation CVR with oxygen extraction ratio r = −0.573 (p < 0.01)

Imaizumi et al. 2002 [28]

IMP-SPECT + ACZ

15O-PET

27

9

22

No data on the number of patients with haemodynamic compromise

Correlation CVR with CBV r = −0.31 (p < 0.01)

Correlation CVR with OEF r = −0.55 (p < 0.0001)

Nariai et al. 1995 [26]

Xenon CT + ACZ

15O-PET

11

4

10

No data on number of patients with haemodynamic compromise

Correlation CVR with CBV r = −0.50 (p = 0.02)

Correlation CVR with OEF r = −0.65 (p = 0.001)

Nemoto et al. 2004 [27]

Xenon CT + ACZ

15O-PET

12

12

12

Haemodynamic compromise in 50% by method 1 and 17% by method 2 (increased OEF)

Correlation CVR with OEF r = −0.57 (p = 0.001)

Sugimori et al. 1995 [24]

TCD + CO2

15O-PET

22

2

7

Haemodynamic compromise in 52% by method 1 and 9% by method 2 (increased OEF)

Correlation CVR with CBF r = 0.47 (p < 0.05)

Correlation CVR with OEF r = 0.20 (ns)

  1. TCD, transcranial Doppler; CO2, carbon dioxide; ACZ, acetazolamide; CT, computed tomography; PET, positron emission tomography; CVR, cerebrovascular reactivity; CBF, cerebral blood flow; OEF, oxygen extraction fraction; CBV, cerebral blood volume.