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Presently, the potential role of ASL for evaluating postoperative pediatric moyamoya patients is relatively unexplored. This study investigated the role for ASL in evaluating cerebral hemodynamic changes in children who underwent revascularization surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>This retrospective study examined 15 consecutive pediatric patients with moyamoya disease (n = 7) or moyamoya syndrome (n = 8) presenting between 2010 and 2014 who underwent revascularization and in whom 3T ASL was performed pre- and postoperatively. Postoperative MRI at least 3 months after revascularization procedure was used for analysis. Quantitative CBF in various vascular territories was interrogated: anterior, middle, and posterior cerebral arteries, and basal ganglia supplied by the lenticulostriate collaterals, resulting in evaluation of 20 brain regions.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>After revascularization, CBF in the high middle cerebral artery territory significantly increased (p = 0.0059), accompanied by a decrease in CBF to the ipsilateral lenticulostriate-supplied basal ganglia (p = 0.0053). No perfusion changes occurred in the remaining cerebral vascular territories after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>ASL-based quantitative CBF showed improved cerebral perfusion to the middle cerebral artery territory after revascularization in children with both moyamoya syndrome and disease. Reduced perfusion to the basal ganglia might reflect pruning of the lenticulostriate collaterals, potentially from effects of revascularization. ASL can quantitatively evaluate hemodynamic changes in children with moyamoya after revascularization, and it may be a useful adjunct to routine clinical MRI surveillance.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.11.peds18498","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:52:05Z","timestamp":1551228725000},"page":"486-492","source":"Crossref","is-referenced-by-count":25,"title":["Arterial spin-labeling cerebral perfusion changes after revascularization surgery in pediatric moyamoya disease and syndrome"],"prefix":"10.3171","volume":"23","author":[{"given":"Jennifer L.","family":"Quon","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily H.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Lober","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boonshoft School of Medicine, Wright State University, Dayton, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Maleki","sequence":"additional","affiliation":[{"name":"John Wayne Cancer Institute, Santa Monica, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary K.","family":"Steinberg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen W.","family":"Yeom","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neuroradiology, Department of Radiology, Lucile Packard Children\u2019s Hospital, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1161\/STROKEAHA.113.004526","article-title":"Transient ischemic attack requiring hospitalization of children in the United States: kids\u2019 inpatient database 2003 to 2009","volume":"45","author":"Adil MM","year":"2014","unstructured":"Adil MM, Qureshi AI, Beslow LA, Jordan LC: Transient ischemic attack requiring hospitalization of children in the United States: kids\u2019 inpatient database 2003 to 2009. 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