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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medvis</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская визуализация</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Visualization</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-0763</issn><issn pub-type="epub">2408-9516</issn><publisher><publisher-name>RDS-Media Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24835/1607-0763-1376</article-id><article-id custom-type="elpub" pub-id-type="custom">medvis-1376</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ТЕХНОЛОГИИ ЛУЧЕВОЙ ДИАГНОСТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>RADIOLOGICAL TECHNOLOGIES</subject></subj-group></article-categories><title-group><article-title>Неинвазивное измерение метаболизма кислорода, часть 2: новые методики в ПЭТ и МРТ</article-title><trans-title-group xml:lang="en"><trans-title>Non-Invasive Measurement of Oxygen Metabolism. Part 2: New Techniques in PET and MRI</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2504-2090</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Постнов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Postnov</surname><given-names>Andrey A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Постнов Андрей Александрович – канд. физ.-мат. наук, научный сотрудник отделения рентгеновских и радиоизотопных методов диагностики ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России; доцент Национального исследовательского ядерного университета “МИФИ”; научный сотрудник Физического института им. П.Н. Лебедева РАН, Москва.</p></bio><bio xml:lang="en"><p>Andrey A. Postnov – Cand. of Sci. (Phys.-Math.), researcher of Department of X-ray and Radioisotope Diagnostic Methods, N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of Russia; Assistant Professor of National Research Nuclear University MEPhI (Moscow Engineering Physics Institute); researcher of P.N. Lebedev Physical Institute of the Russian Academy of Sciences, Moscow</p></bio><email xlink:type="simple">postnov.email@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8719-2225</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калаева</surname><given-names>Д. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalaeva</surname><given-names>Diana B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калаева Диана Борисовна – медицинский физик отделения рентгеновских и радиоизотопных методов диагностики ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России; аспирант Национального исследовательского ядерного университета “МИФИ”, Москва</p></bio><bio xml:lang="en"><p>Diana B. Kalaeva – Medical physicist of the Department of X-ray and Radioisotope Diagnostic Methods, N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of Russia; graduate student of National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow</p></bio><email xlink:type="simple">dkalaeva@nsi.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3666-0911</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балахонов</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Balakhonov</surname><given-names>Anton B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Балахонов Антон Борисович – ведущий инженер отделения рентгеновских и радиоизотопных методов диагностики ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России, Москва</p></bio><bio xml:lang="en"><p>Anton B. Balakhonov – Lead Engineer of the Department of X-ray and Radioisotope Diagnostic Methods, N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of Russia, Moscow</p></bio><email xlink:type="simple">ABalakhonov@nsi.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4480-0275</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пронин</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Pronin</surname><given-names>Igor’ N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пронин Игорь Николаевич – академик РАН, доктор мед. наук, профессор, заведующий отделением рентгеновских и радиоизотопных методов диагностики ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России, Москва</p></bio><bio xml:lang="en"><p>Igor’ N. Pronin – Academician of the Russian Academy of Sciences, Doct. of Sci. (Med.), Professor, Head of the Department of X-ray and Radioisotope Diagnostic Methods, N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of Russia, Moscow</p></bio><email xlink:type="simple">pronin@nsi.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России; 125047 Москва, 4-я Тверская-Ямская ул., д.16, Российская Федерация&#13;
Национальный исследовательский ядерный университет “МИФИ”; 115409 Москва, Каширское ш., 31, Российская Федерация&#13;
115230 Москва, Варшавское шоссе, д. 46, Российская Федерация&#13;
Физический институт им. П.Н. Лебедева РАН; 119991 Москва, Ленинский пр-т, д. 53, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of the Russian Federation; 16, 4rd Tverskaya-Yamskaya str., Moscow 125047, Russian Federation&#13;
National Research Nuclear University MEPhI (Moscow Engineering Physics Institute); 115230,  Moscow, Kashirskoe shosse, 31, Russian Federation&#13;
P.N. Lebedev Physical Institute of the Russian Academy of Sciences; 53, Leninsky prospect, Moscow 119991, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России; 125047 Москва, 4-я Тверская-Ямская ул., д.16, Российская Федерация&#13;
Национальный исследовательский ядерный университет “МИФИ”; 115409 Москва, Каширское ш., 31, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of the Russian Federation; 16, 4rd Tverskaya-Yamskaya str., Moscow 125047, Russian Federation&#13;
National Research Nuclear University MEPhI (Moscow Engineering Physics Institute); 115230,  Moscow, Kashirskoe shosse, 31, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАУ “НМИЦ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава России; 125047 Москва, 4-я Тверская-Ямская ул., д.16, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Healthcare of the Russian Federation; 16, 4rd Tverskaya-Yamskaya str., Moscow 125047, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>17</day><month>12</month><year>2023</year></pub-date><volume>28</volume><issue>2</issue><fpage>145</fpage><lpage>152</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Постнов А.А., Калаева Д.Б., Балахонов А.Б., Пронин И.Н., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Постнов А.А., Калаева Д.Б., Балахонов А.Б., Пронин И.Н.</copyright-holder><copyright-holder xml:lang="en">Postnov A.A., Kalaeva D.B., Balakhonov A.B., Pronin I.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medvis.rdsmedia.ru/jour/article/view/1376">https://medvis.rdsmedia.ru/jour/article/view/1376</self-uri><abstract><p>Метаболизм кислорода является ключевым фактором жизни живого организма. Статья является второй частью обзора методов измерения метаболизма кислорода.</p><sec><title>Цель исследования</title><p>Цель исследования: Дать представление о новых методиках измерения перфузии, основанных на МРТ и КТ, сравнить их точность с «золотым стандартом» - измерениями на основе ПЭТ с H215O, а также описать их роль в клинической практике.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проанализировано более 200 работ из базы научных публикаций Pubmed по ключевым словам «perfusion, MRI, CT, ASL, oxygen metabolism», также изучались релевантные ссылки в данных публикациях, не содержащие указанных ключевых слов, либо содержащие их в иной формулировке.</p></sec><sec><title>Результаты</title><p>Результаты. В рамках данного обзора была отобраны 42 публикации, описывающие КТ- и МР- перфузию с использованием контрастирующих препаратов и МР ASL перфузию. Приведены примеры использования описанных методик в фундаментальных исследованиях и прикладной медицине.</p></sec><sec><title>Заключение</title><p>Заключение. Результаты, полученные с помощью новых неинвазивных методик молекулярной визуализации в большинстве случаев сопоставимы с данными ПЭТ с H215O, что позволяет шире применять МРТ и КТ исследования метаболизма кислорода в клинической практике.</p></sec></abstract><trans-abstract xml:lang="en"><p>Oxygen metabolism is a key factor in the life of a living organism. The article is the second part of a review of methods for measuring oxygen metabolism.</p><sec><title>Purpose</title><p>Purpose. The aim of this review is to provide an insight into newly developed perfusion measurement techniques based on MRI and CT comparing their accuracy with the “gold standard” H215O PET measurements and describing their role in today’s clinical practice.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. More than 200 Pubmed publications were analyzed for the keywords “perfusion, MRI, CT, ASL, oxygen metabolism”. Relevant publications that do not contain these keywords or contain them in a different wording were also studied.</p></sec><sec><title>Results</title><p>Results. This review selected 49 publications describing CT and MR perfusion using contrast agents and MR ASL perfusion. Examples of the use of the described methods in fundamental research and applied medicine are given.</p></sec><sec><title>Conclusion</title><p>Conclusion. The quantitative results obtained using novel non-invasive molecular imaging techniques are in most cases comparable to H215O PET data, which opens the way for broad use of MRI and CT perfusion and oxygen metabolism measurements in clinical practice.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>метаболизм кислорода</kwd><kwd>ПЭТ с 15-O</kwd><kwd>КТ-перфузия</kwd><kwd>МР-перфузия</kwd><kwd>МР ASL-перфузия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>oxygen metabolism</kwd><kwd>15-O PET</kwd><kwd>CT perfusion</kwd><kwd>MR perfusion</kwd><kwd>MR ASL perfusion</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено за счет гранта Российского научного фонда (проект № 22-25-00201)</funding-statement><funding-statement xml:lang="en">The research was supported by a grant from the Russian Science Foundation (project No. 22-25-00201)</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Van Der Veldt A.A.M., Hendrikse N.H., Harms H.J. et al. 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