title: Impact of gas delivery systems on imaging studies of human cerebral blood flow.
abstract: Purpose. To compare a semiopen breathing circuit with a non-rebreathing (Hudson mask) for MRI experiments involving gas delivery. Methods and Materials. Cerebral blood flow (CBF) was measured by quantitative phase contrast angiography of the internal carotid and basilar arteries in 18 volunteers (20-31 years). In 8 subjects, gases were delivered via a standard non-rebreathing (Hudson mask). In 10 subjects, gases were delivered using a modified "Mapleson A" semiopen anesthetic gas circuit and mouthpiece. All subjects were given 100% O2, medical air, and carbogen gas (95% O2 and 5% CO2) delivered at 15 L/min in a random order. Results. The Hudson mask group showed significant increases in CBF in response to increased FiCO2 compared to air (+9.8%). A small nonsignificant reduction in CBF (-2.4%) was seen in response to increased inspired concentrations of oxygen (FiO2). The Mapleson A group showed significantly larger changes in CBF in response to both increased inspired concentrations of carbon dioxide (FiCO2) (+32.2%, P < 0.05) and FiO2 (-14.6%, P < 0.01). Conclusions. The use of an anaesthetic gas delivery circuit avoids entrainment of room air and rebreathing effects that may otherwise adversely affect the experimental results.
authors.affiliation: Wolfson Molecular Imaging Centre, Cancer and Enabling Sciences, University of Manchester, 23 Palatine Road, Withington, Manchester M20 3LJ, UK.
authors.forename: John R
authors.initials: JR
authors.lastname: Cain
authors.affiliation: Wolfson Molecular Imaging Centre, Cancer and Enabling Sciences, University of Manchester, 23 Palatine Road, Withington, Manchester M20 3LJ, UK ; Biomedical Imaging Institute, University of Manchester, Manchester M20 9PL, UK.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Parkes
authors.affiliation: Department of Anaesthetics, Salford Royal Hospital, Stott Lane, Salford, Greater Manchester M6 8HD, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Eadsforth
authors.affiliation: Acute Intensive Care Unit, University Hospital of South Manchester, Southmoor Road, Wythenshawe, Manchester M23 9LT, UK.
authors.forename: Susan C
authors.initials: SC
authors.lastname: Beards
authors.affiliation: Wolfson Molecular Imaging Centre, Cancer and Enabling Sciences, University of Manchester, 23 Palatine Road, Withington, Manchester M20 3LJ, UK.
authors.forename: Alan
authors.initials: A
authors.lastname: Jackson