Cerebral arterial pulsatility is linked to hippocampal microvascular function and episodic memory in healthy older

Tomas Vikner1, Anders Eklund1,2, Nina Karalija1,2

  • 1Department of Radiation Sciences, Umeå University, Umeå, Sweden.

Insights

Abnormal blood flow patterns in aging brains are linked to memory loss and cognitive decline. Specific arterial waveform features correlate with poorer episodic memory and reduced brain perfusion, indicating potential neurovascular damage.

Area of Science:

  • Neuroscience
  • Cardiovascular Research
  • Medical Imaging

Background:

  • Microvascular damage in the hippocampus is a key factor in age-related cognitive decline and dementia.
  • Age-related vascular elasticity changes can lead to increased pulsatile flow, damaging the blood-brain barrier and neurovascular unit.
  • Previous research indicates altered intracranial hemodynamics in cognitive impairment, but direct links to cerebral arterial flow waveforms and hippocampal function are missing.

Purpose of the Study:

  • To investigate the relationship between cerebral arterial flow waveform characteristics and hippocampal function in healthy older adults.
  • To explore how hemodynamic forces influence neurovascular integrity and cognitive performance.

Main Methods:

  • Utilized high-resolution 4D flow Magnetic Resonance Imaging (MRI) to analyze time-resolved flow waveforms in cerebral arteries.
  • Employed waveform-based clustering to identify distinct hemodynamic profiles in participants.
  • Assessed episodic memory, whole-brain perfusion, and hippocampal microvascular oscillations.

Main Results:

  • A specific group with steep systolic onset and high amplitude arterial waveforms exhibited poorer episodic memory.
  • This group also showed significantly lower whole-brain perfusion and weaker microvascular low-frequency oscillations in the hippocampus and parahippocampal gyrus.
  • These findings suggest compromised neurovascular unit integrity associated with aberrant hemodynamic forces.

Conclusions:

  • Aberrant hemodynamic forces, characterized by specific arterial flow waveform features, contribute to cerebral microvascular and hippocampal dysfunction in aging.
  • The study highlights the potential of 4D flow MRI in identifying individuals at risk for cognitive decline due to vascular factors.
  • Understanding these hemodynamic contributions is crucial for developing targeted interventions for age-related cognitive impairment.