The excitotoxicity of glutamate metabolism as well as hemodynamic disorders of the brain are both risk factors for neonatal hypoxic–ischemic brain damage (HIBD). To investigate the combined application of intravoxel incoherent motion (IVIM) and 1H-magnetic resonance spectroscopy (MRS) in exploring the possible mechanisms. This study was undertaken to examine basal ganglia metabolites (by means of 1H MRS) and microcirculation (by means of IVIM) in a piglet model of hypoxic-ischemia (HI). It is concluded that elevation of glutamate occurs in parallel to perfusion disruption reflected by changes in perfusion fraction f after HI.
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