Перфузия: Прохождение жидкости через ткани и органы

Passage of fluid through the circulatory or lymphatic system to an organ or tissue
the journal

Perfusion is the passage of fluid through the circulatory system or lymphatic system to an organ or a tissue, usually referring to the delivery of blood to a capillary bed in tissue. Perfusion may also refer to fixation via perfusion, used in histological studies. Perfusion is measured as the rate at which blood is delivered to tissue, or volume of blood per unit time (blood flow) per unit tissue mass. The SI unit is m3/(s·kg), although for human organs perfusion is typically reported in ml/min/g. The word is derived from the French verb perfuser, meaning to "pour over or through". All animal tissues require an adequate blood supply for health and life. Poor perfusion (malperfusion), that is, ischemia, causes health problems, as seen in cardiovascular disease, including coronary artery disease, cerebrovascular disease, peripheral artery disease, and many other conditions. Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition (dry/soft/firm/swollen/sunken/etc), and capillary refill. During major surgery, especially cardiothoracic surgery, perfusion must be maintained and managed by the health professionals involved, rather than left to the body's homeostasis alone. As the lead surgeons are often too busy to handle all hemodynamic control by themselves, specialists called perfusionists manage this aspect. There are more than one hundred thousand perfusion procedures annually.

In 1920, August Krogh was awarded the Nobel Prize in Physiology or Medicine for his discovering the mechanism of regulation of capillaries in skeletal muscle. Krogh was the first to describe the adaptation of blood perfusion in muscle and other organs according to demands through the opening and closing of arterioles and capillaries.

In equations, the symbol Q is sometimes used to represent perfusion when referring to cardiac output. However, this terminology can be a source of confusion since both cardiac output and the symbol Q refer to flow (volume per unit time, for example, L/min), whereas perfusion is measured as flow per unit tissue mass (mL/(min·g)).

Microspheres that are labeled with radioactive isotopes have been widely used to measure perfusion since the 1960s. Radioactively labeled particles are injected into the test subject and a radiation detector measures radioactivity in tissues of interest. Microspheres are used in radionuclide angiography, a method of diagnosing heart problems. In the 1990s, methods for using fluorescent microspheres became a common substitute for radioactive particles.

Two main categories of magnetic resonance imaging (MRI) techniques can be used to measure tissue perfusion in vivo. The first is based on the use of an injected contrast agent that changes the magnetic susceptibility of blood and thereby the MR signal which is repeatedly measured during bolus passage. The other category is based on arterial spin labelling (ASL), where arterial blood is magnetically tagged before it enters into the tissue being examined and the amount of labelling that is measured and compared to a control recording obtained without spin labelling.

Brain perfusion (more correctly transit times) can be estimated with contrast enhanced computed tomography.

Perfusion can be determined by measuring the total thermal diffusion and then separating it into thermal conductivity and perfusion components. rCBF is usually measured continuously in time. It is necessary to stop the measurement periodically to cool down and reassess the thermal conductivity.