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Intracranial pulse wave velocity using 4D flow MRI: method comparison and covariate analysis.

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Intracranial pulse wave velocity (PWV) measurement using 4D flow MRI shows that cross-correlation and waveform optimization methods agree well. This study found higher PWV in internal carotids than basilar arteries and no age dependency in healthy individuals.

Keywords:
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Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Cardiovascular Research

Background:

  • Intracranial pulse wave velocity (PWV) is a promising biomarker for cerebrovascular disease assessment.
  • Current methods for intracranial PWV measurement lack standardized comparison and consensus.
  • 4D flow MRI offers a non-invasive approach to evaluate intracranial hemodynamics.

Purpose of the Study:

  • To compare three common intracranial PWV measurement techniques: cross-correlation, waveform optimization, and time-to-upstroke.
  • To analyze PWV in intracranial vasculature (internal carotids and basilar arteries) in healthy individuals.
  • To investigate the relationship between intracranial PWV and age.

Main Methods:

  • Utilized 4D flow MRI to measure PWV in the intracranial arteries of 21 healthy adults (age 48 ± 18 years).
  • Compared cross-correlation, waveform optimization, and time-to-upstroke methods for PWV calculation.
  • Employed an ensemble approach to analyze cohort PWV data, considering methodological variations.

Main Results:

  • Cross-correlation and waveform optimization methods demonstrated near-perfect agreement for intracranial PWV.
  • The time-to-upstroke method yielded significantly higher PWV values and more non-physiological results.
  • Internal carotid arteries exhibited higher PWV (3.64 ± 1.47 m/s) compared to basilar arteries (2.53 ± 1.39 m/s).
  • Intracranial PWV was found to be age-independent in the studied cohort.

Conclusions:

  • Cross-correlation and waveform optimization are reliable methods for intracranial PWV assessment via 4D flow MRI.
  • Higher PWV in internal carotids suggests regional hemodynamic differences within the intracranial circulation.
  • The observed age independence of intracranial PWV may represent a protective physiological mechanism against microvascular strain.
  • Future research should address potential biases in previous intracranial PWV studies, possibly related to extracranial measurements.