Phase-contrast MRI analysis of cerebral blood and CSF flow dynamic interactions

Autor: Kimi Piedad Owashi, Pan Liu, Serge Metanbou, Cyrille Capel, Olivier Balédent
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Fluids and Barriers of the CNS, Vol 21, Iss 1, Pp 1-13 (2024)
Druh dokumentu: article
ISSN: 2045-8118
DOI: 10.1186/s12987-024-00578-w
Popis: Abstract Background Following the Monro-Kellie doctrine, the Cerebral Blood Volume Changes (CB_VC) should be mirrored by the Cerebrospinal Fluid Volume Changes (CSF_VC) at the spinal canal. Cervical level is often chosen to estimate CB_VC during the cardiac cycle. However, due to the heterogeneity in the anatomy of extracranial internal jugular veins and their high compliance, we hypothesize that the intracranial level could be a better choice to investigate blood and cerebrospinal fluid (CSF) interactions. This study aims to determine which level, intracranial or extracranial, is more suitable for measuring arterial and venous flows to study cerebral blood and CSF dynamics interactions. Methods The spinal CSF and cerebral blood flow measured at intracranial and extracranial levels were quantified using cine phase-contrast magnetic resonance imaging (PC-MRI) in 38 healthy young adults. Subsequently, CSF_VC and CB_VC were calculated, and by linear regression analysis (R2 and slope), the relationship between CB_VC at both levels and the spinal CSF_VC was compared. The differences between extracranial and intracranial measurements were assessed using either a paired Student’s t-test or Wilcoxon’s test, depending on the normality of the data distribution. Results The CB_VC amplitude was significantly higher at the extracranial level (0.89 ± 0.28 ml/CC) compared to the intracranial level (0.73 ± 0.19 ml/CC; p
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