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BOLD-based cerebrovascular reactivity vascular transfer function isolates amplitude and timing responses to better characterize cerebral small vessel disease
摘要： Cerebrovascular reactivity (CVR) is a dynamic measure of the cerebral blood vessel response to vasoactive stimulus. Conventional CVR measures amplitude changes in the blood‐oxygenation‐level‐dependent (BOLD) signal per unit change in end‐tidal CO2 (PETCO2), effectively discarding potential timing information. This study proposes a deconvolution procedure to characterize CVR responses based on a vascular transfer function (VTF) that separates amplitude and timing CVR effects. We implemented the CVR‐VTF to primarily evaluate normal‐appearing white matter (WM) responses in those with a range of small vessel disease. Comparisons between simulations of PETCO2 input models revealed that boxcar and ramp hypercapnia paradigms had the lowest relative deconvolution error. We used a T2* BOLD‐MRI sequence on a 3 T MRI scanner, with a boxcar delivery model of CO2, to test the CVR‐VTF approach in 18 healthy adults and three white matter hyperintensity (WMH) groups: 20 adults with moderate WMH, 12 adults with severe WMH, and 10 adults with genetic WMH (CADASIL). A subset of participants performed a second CVR session at a one‐year follow‐up. Conventional CVR, area under the curve of VTF (VTF‐AUC), and VTF time‐to‐peak (VTF‐TTP) were assessed in WM and grey matter (GM) at baseline and one‐year follow‐up. WMH groups had lower WM VTF‐AUC compared with the healthy group (p < 0.0001), whereas GM CVR did not differ between groups (p > 0.1). WM VTF‐TTP of the healthy group was less than that in the moderate WMH group (p = 0.016). Baseline VTF‐AUC was lower than follow‐up VTF‐AUC in WM (p = 0.013) and GM (p = 0.026). The intraclass correlation for VTF‐AUC in WM was 0.39 and coefficient of repeatability was 0.08 [%BOLD/mm Hg]. This study assessed CVR timing and amplitude information without applying model assumptions to the CVR response; this approach may be useful in the development of robust clinical biomarkers of CSVD.
关键词： cerebral small vessel disease,BOLD,cerebrovascular reactivity,white matter hyperintensities,fMRI
更新于2025-09-19 17:15:36
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[IEEE 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) - Honolulu, HI, USA (2018.7.18-2018.7.21)] 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) - Near-Infrared Spectroscopy studies on TBI patients with Modified Multiscale Entropy analysis
摘要： Functional near-infrared spectroscopy (fNIRS) is an emerging non-invasive functional brain imaging technique, through detecting the changes of hemoglobin concentrations to investigate brain activities in various tasks. The aim of this study is to investigate the complexity of near-infrared spectroscopy signals during resting state and upper limb movements. Experimental study was designed by applying NIRS to collect the data especially for both healthy subjects and traumatic brain injury (TBI) patients. The modified multiscale entropy (MMSE) algorithm was employed to assess the complexity of fNIRS signals which may reflect the changes of brain activity when people underwent brain injury. The results that the mean MMSE of oxyhemoglobin values was lower in TBI patients compared to healthy subjects, indicated that MMSE was feasible to measure complexity of cerebral near-infrared spectroscopy signals in TBI patients, and that brain injury was associated with the decreased complexity of cerebrovascular reactivity. Moreover, measurement of complexity of brain signals has potential to provide significant guidance for rehabilitation.
关键词： cerebrovascular reactivity,modified multiscale entropy (MMSE),traumatic brain injury (TBI),brain activity,Functional near-infrared spectroscopy (fNIRS)
更新于2025-09-10 09:29:36
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Comprehensive Characterization of Cerebrovascular Dysfunction in Blast Traumatic Brain Injury Using Photoacoustic Microscopy
摘要： Blast traumatic brain injury (bTBI) is a leading contributor to combat-related injuries and death. Although substantial emphasis has been placed on blast-induced neuronal and axonal injuries, co-existing dysfunctions in the cerebral vasculature, particularly the microvasculature, remain poorly understood. Here, we studied blast-induced cerebrovascular dysfunctions in a rat model of bTBI (blast overpressure: 187.8±18.3 kPa). Using photoacoustic microscopy, we quantified changes in cerebral hemodynamics and metabolism—including blood perfusion, oxygenation, flow, oxygen extraction fraction, and the metabolic rate of oxygen—4 hours post-injury. Moreover, we assessed the effect of blast exposure on cerebrovascular reactivity to vasodilatory stimulation. With vessel segmentation, we extracted these changes at the single-vessel level, revealing their dependence on vessel type (i.e., artery vs. vein) and diameter. We found that bTBI at this pressure level did not induce pronounced baseline changes in cerebrovascular diameter, blood perfusion, oxygenation, flow, oxygen extraction and metabolism, except for a slight sO2 increase in small veins (<45 μm) and blood flow increase in large veins (≥45 μm). In contrast, this blast exposure almost abolished cerebrovascular reactivity, including arterial dilation, flow upregulation, and venous sO2 increase. This study is the most comprehensive assessment of cerebrovascular structure and physiology in response to blast exposure to date. The observed impairment in cerebrovascular reactivity can potentially cause cognitive decline due to the mismatch between cognitive metabolic demands and vessel’s ability to dynamically respond to meet the demands. Also, the impaired cerebrovascular reactivity can lead to increased vulnerability of the brain to metabolic insults, including hypoxia and ischemia.
关键词： blast traumatic brain injury,cerebrovascular reactivity,photoacoustic microscopy,oxygen metabolism,hemodynamics
更新于2025-09-09 09:28:46