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Arterial Spin Labelling-Based Blood-Brain Barrier Assessment and Its Applications.
Yiran Li1, Alishba Sadiq1, Ze Wang1
1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Investigative Magnetic Resonance Imaging
|January 23, 2023
Summary
Assessing blood-brain barrier (BBB) integrity is crucial for brain health. This review explores Arterial Spin Labelling (ASL) techniques using endogenous tracers to measure BBB water permeability, avoiding harmful exogenous agents.
Area of Science:
- Neuroscience
- Medical Imaging
- Physiology
Background:
- The blood-brain barrier (BBB) regulates brain homeostasis by controlling substance passage.
- BBB dysfunction is linked to various neurological disorders.
- Current BBB assessment methods often rely on exogenous tracers with potential side effects.
Purpose of the Study:
- To review Arterial Spin Labelling (ASL) based techniques for assessing BBB water permeability.
- To highlight ASL as an endogenous tracer method for evaluating BBB integrity.
- To discuss the clinical applications of ASL in brain diseases.
Main Methods:
- Review of three major Arterial Spin Labelling (ASL) techniques.
- Focus on using magnetically labeled arterial blood as an endogenous tracer.
- Assessment of water permeability across the BBB.
Main Results:
- ASL offers a non-invasive method to assess BBB water permeability.
- Endogenous tracers in ASL circumvent risks associated with exogenous agents.
- These techniques show promise for diagnosing and monitoring brain diseases.
Conclusions:
- ASL-based BBB water permeability assessment is a valuable clinical tool.
- This approach provides a safer alternative to traditional BBB evaluation methods.
- Further applications in neurodegenerative diseases like Alzheimer's Disease are anticipated.

