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Dependence of brain intravoxel incoherent motion perfusion parameters on the cardiac cycle
Christian Federau1, Patric Hagmann, Philippe Maeder
1Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.
Abstract:
Measurement of microvascular perfusion with Intravoxel Incoherent Motion (IVIM) MRI is gaining interest. Yet, the physiological influences on the IVIM perfusion parameters ("pseudo-diffusion" coefficient D*, perfusion fraction f, and flow related parameter fD*) remain insufficiently characterized. In this article, we hypothesize that D* and fD*, which depend on blood speed, should vary during the cardiac cycle. We extended the IVIM model to include time dependence of D* = D*(t), and demonstrate in the healthy human brain that both parameters D* and fD* are significantly larger during systole than diastole, while the diffusion coefficient D and f do not vary significantly. The results non-invasively demonstrate the pulsatility of the brain's microvasculature.
Insights
Intravoxel Incoherent Motion (IVIM) MRI reveals brain microvasculature pulsatility. Key parameters D* and fD* are higher during systole than diastole, demonstrating non-invasive measurement of blood flow variations.
Area of Science:
- Medical Imaging
- Physiology
- Neuroscience
Background:
- Intravoxel Incoherent Motion (IVIM) MRI is an emerging technique for measuring microvascular perfusion.
- Physiological influences on IVIM parameters like D*, f, and fD* are not fully understood.
- Blood flow speed, a key determinant of D* and fD*, is known to vary with the cardiac cycle.
Purpose of the Study:
- To investigate the impact of the cardiac cycle on IVIM perfusion parameters in the healthy human brain.
- To test the hypothesis that D* and fD* vary between systole and diastole due to blood speed changes.
Main Methods:
- An extended IVIM model incorporating time-dependent D* (D*(t)) was developed.
- The modified IVIM model was applied to MRI data from the healthy human brain.
- Comparison of IVIM parameters between systolic and diastolic phases of the cardiac cycle.
Main Results:
- The pseudo-diffusion coefficient (D*) and flow-related parameter (fD*) were significantly higher during systole compared to diastole.
- The diffusion coefficient (D) and perfusion fraction (f) showed no significant variation between systole and diastole.
- These findings provide non-invasive evidence of microvascular pulsatility in the brain.
Conclusions:
- The cardiac cycle significantly influences IVIM parameters D* and fD* in the healthy brain.
- The time-dependent IVIM model successfully captures the pulsatility of the brain's microvasculature.
- This study enhances the physiological understanding of IVIM MRI and its application in neuroimaging.
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