• J. Cereb. Blood Flow Metab. · May 2011

    Randomized Controlled Trial

    Pseudocontinuous arterial spin labeling reveals dissociable effects of morphine and alcohol on regional cerebral blood flow.

    • Najmeh Khalili-Mahani, Matthias J P van Osch, Evelinda Baerends, Roelof P Soeter, Marieke de Kam, Remco W M Zoethout, Albert Dahan, Mark A van Buchem, Joop M A van Gerven, and Serge A R B Rombouts.
    • Leiden Institute for Brain and Cognition, Leiden University Medical Center, Leiden, The Netherlands. n.mahani@lumc.nl
    • J. Cereb. Blood Flow Metab. 2011 May 1;31(5):1321-33.

    AbstractWe have examined sensitivity and specificity of pseudocontinuous arterial spin labeling (PCASL) to detect global and regional changes in cerebral blood flow (CBF) in response to two different psychoactive drugs. We tested alcohol and morphine in a placebo-controlled, double-blind randomized study in 12 healthy young men. Drugs were administered intravenously. Validated pharmacokinetic protocols achieved minimal intersubject and intrasubject variance in plasma drug concentration. Permutation-based statistical testing of a mixed effect repeated measures model revealed a widespread increase in absolute CBF because of both morphine and alcohol. Conjunction analysis revealed overlapping effects of morphine and alcohol on absolute CBF in the left anterior cingulate, right hippocampus, right insula, and left primary sensorimotor areas. Effects of morphine and alcohol on relative CBF (obtained from z-normalization of absolute CBF maps) were significantly different in the left putamen, left frontoparietal network, cerebellum, and the brainstem. Corroborating previous PET results, our findings suggest that PCASL is a promising tool for central nervous system drug research.

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