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Updated: Jul 14, 2025

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Paravascular fluid dynamics reveal arterial stiffness assessed using dynamic diffusion-weighted imaging.
Qiuting Wen1, Adam Wright1,2, Yunjie Tong2
1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Paravascular cerebrospinal fluid (pCSF) dynamics reflect arterial pulse waves, with faster pulse propagation linked to aging and cognitive decline. This study highlights pCSF
Area of Science:
- Neuroscience
- Biomedical Engineering
- Radiology
Background:
- Cerebrospinal fluid (CSF) dynamics are crucial for brain health.
- Glymphatic system function is linked to arterial pulsatility.
- The relationship between paravascular CSF (pCSF) pulsation and arterial stiffness is unexplored.
Purpose of the Study:
- To investigate if pulsatile pCSF dynamics can infer pulse wave propagation and arterial stiffness.
- To evaluate the time shifts between pCSF waves and finger pulse waves.
- To assess the association of these time shifts with age and cognitive function.
Main Methods:
- Utilized dynamic diffusion-weighted imaging (dynDWI) to capture in vivo pCSF dynamics.
- Measured pCSF waves using dynDWI and finger pulse waves via a finger pulse oximeter.
- Analyzed time delays (TimeDelay) between pCSF and finger pulses in 36 participants (aged 18-82).
Main Results:
- Demonstrated a strong correlation between pCSF pulse and finger pulse (mean CorrCoeff = 0.66).
- Found a significant inverse association between TimeDelay and age, indicating faster pulse propagation with aging.
- Observed that shorter TimeDelay correlated with poorer cognitive function in older adults.
Conclusions:
- pCSF pulsation is a valid indicator of intracranial pulse wave propagation.
- The brain-finger pulse wave travel time is sensitive to aging and arterial stiffness.
- pCSF dynamics offer a novel pathway for assessing cerebrovascular health and cognitive function.
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