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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Measuring global cerebrovascular pulsatility transmission using 4D flow MRI.

Sergio Dempsey1, Soroush Safaei2, Samantha J Holdsworth3,4

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A new method for measuring brain pulse dynamics may help assess dementia risk. This pulsatility transmission coefficient offers a whole-organ view, improving upon existing biomarkers for pulse wave encephalopathy (PWE).

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Area of Science:

  • Neurology
  • Biomedical Engineering
  • Cardiovascular Physiology

Background:

  • Pulse wave encephalopathy (PWE) is a hypothesized driver of dementia, necessitating better risk identification tools.
  • Current pulsatility biomarkers (pulsatility index, damping) lack accuracy due to variability and spatial bias.
  • Accurate assessment of cerebrovascular pulsatility is crucial for understanding PWE and dementia risk.

Purpose of the Study:

  • To introduce a novel, locus-independent pulsatility transmission coefficient for characterizing whole-brain pulse dynamics.
  • To evaluate this new coefficient as a potential biomarker for PWE risk assessment.
  • To explore regional differences in cerebral pulsatility and their underlying causes.

Main Methods:

  • Development of a pulsatility transmission coefficient calculated by spatially tracking pulsatility along cerebral vessels.
  • Application of the method to a cohort of 20 subjects for preliminary analysis.
  • Comparison of the new coefficient with clinical factors like age, heart rate, and sex.

Main Results:

  • The pulsatility transmission coefficient showed agreement with established relationships between blood pulsatility, age, heart rate, and sex.
  • Identified distinct pulsatility transmission patterns between vascular territories supplied by the basilar and internal carotid arteries, linked to cerebral blood flow.
  • Observed inter-individual differences in internal carotid territories not explained by flow or pulsatility, suggesting intrinsic vascular mechanical variations.

Conclusions:

  • The pulsatility transmission coefficient is a promising candidate biomarker for PWE risk assessment.
  • This whole-organ approach provides a comprehensive hemodynamic description of the brain's arterial system.
  • Future large-scale studies can leverage this method for retrospective analysis, advancing our understanding of brain hemodynamics and dementia risk.