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1.
Neuroimage ; 274: 120094, 2023 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-37028734

RESUMO

The association between cerebral blood supply and cognition has been widely discussed in the recent literature. One focus of this discussion has been the anatomical variability of the circle of Willis, with morphological differences being present in more than half of the general population. While previous studies have attempted to classify these differences and explore their contribution to hippocampal blood supply and cognition, results have been controversial. To disentangle these previously inconsistent findings, we introduce Vessel Distance Mapping (VDM) as a novel methodology for evaluating blood supply, which allows for obtaining vessel pattern metrics with respect to the surrounding structures, extending the previously established binary classification into a continuous spectrum. To accomplish this, we manually segmented hippocampal vessels obtained from high-resolution 7T time-of-flight MR angiographic imaging in older adults with and without cerebral small vessel disease, generating vessel distance maps by computing the distances of each voxel to its nearest vessel. Greater values of VDM-metrics, which reflected higher vessel distances, were associated with poorer cognitive outcomes in subjects affected by vascular pathology, while this relation was not observed in healthy controls. Therefore, a mixed contribution of vessel pattern and vessel density is proposed to confer cognitive resilience, consistent with previous research findings. In conclusion, VDM provides a novel platform, based on a statistically robust and quantitative method of vascular mapping, for addressing a variety of clinical research questions.


Assuntos
Doenças de Pequenos Vasos Cerebrais , Imageamento por Ressonância Magnética , Humanos , Idoso , Imageamento por Ressonância Magnética/métodos , Cognição , Doenças de Pequenos Vasos Cerebrais/patologia , Hipocampo/patologia
2.
Magn Reson Med ; 87(2): 646-657, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34463376

RESUMO

PURPOSE: Quantitative assessment of prospective motion correction (PMC) capability at 7T MRI for compliant healthy subjects to improve high-resolution images in the absence of intentional motion. METHODS: Twenty-one healthy subjects were imaged at 7 T. They were asked not to move, to consider only unintentional motion. An in-bore optical tracking system was used to monitor head motion and consequently update the imaging volume. For all subjects, high-resolution T1 (3D-MPRAGE), T2 (2D turbo spin echo), proton density (2D turbo spin echo), and T2∗ (2D gradient echo) weighted images were acquired with and without PMC. The images were evaluated through subjective and objective analysis. RESULTS: Subjective evaluation overall has shown a statistically significant improvement (5.5%) in terms of image quality with PMC ON. In a separate evaluation of every contrast, three of the four contrasts (T1 , T2 , and proton density) have shown a statistically significant improvement (9.62%, 9.85%, and 9.26%), whereas the fourth one ( T2∗ ) has shown improvement, although not statistically significant. In the evaluation with objective metrics, average edge strength has shown an overall improvement of 6% with PMC ON, which was statistically significant; and gradient entropy has shown an overall improvement of 2%, which did not reach statistical significance. CONCLUSION: Based on subjective assessment, PMC improved image quality in high-resolution images of healthy compliant subjects in the absence of intentional motion for all contrasts except T2∗ , in which no significant differences were observed. Quantitative metrics showed an overall trend for an improvement with PMC, but not all differences were significant.


Assuntos
Artefatos , Processamento de Imagem Assistida por Computador , Encéfalo/diagnóstico por imagem , Voluntários Saudáveis , Humanos , Imageamento Tridimensional , Imageamento por Ressonância Magnética , Movimento (Física) , Estudos Prospectivos
3.
Magn Reson Med ; 85(2): 962-969, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32761655

RESUMO

PURPOSE: Publicly available data provision is an essential part of open science. However, open data can conflict with data privacy and data protection regulations. Head scans are particularly vulnerable because the subject's face can be reconstructed from the acquired images. Although defacing can impede subject identification in reconstructed images, this approach is not applicable to k-space raw data. To address this challenge and allow defacing of raw data for publication, we present chemical shift-based prospective k-space anonymization (CHARISMA). METHODS: In spin-warp imaging, fat shift occurs along the frequency-encoding direction. By placing an oil-filled mask onto the subject's face, the shifted fat signal can overlap with the face to deface k-space during the acquisition. The CHARISMA approach was tested for gradient-echo sequences in a single subject wearing the oil-filled mask at 7 T. Different fat shifts were compared by varying the readout bandwidth. Furthermore, intensity-based segmentation was used to test whether the images could be unmasked retrospectively. RESULTS: To impede subject identification after retrospective unmasking, the signal of face and shifted oil should overlap. In this single-subject study, a shift of 3.3 mm to 4.9 mm resulted in the most efficient masking. Independent of CHARISMA, long TEs induce signal decay and dephasing, which impeded unmasking. CONCLUSION: To our best knowledge, CHARISMA is the first prospective k-space defacing approach. With proper fat-shift direction and amplitude, this easy-to-build, low-cost solution impaired subject identification in gradient-echo data considerably. Further sequences will be tested with CHARISMA in the future.


Assuntos
Imageamento por Ressonância Magnética , Estudos Prospectivos , Estudos Retrospectivos
4.
Magn Reson Med ; 83(1): 83-93, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31400041

RESUMO

PURPOSE: To compare motion tracking by two modern methods (fat navigators [FatNavs] and Moiré phase tracking [MPT]) as well as their performance for retrospective correction of very high resolution acquisitions. METHODS: A direct comparison of FatNavs and MPT motion parameters was performed for several deliberate motion patterns to estimate the agreement between methods. In addition, two different navigator resolution were applied. 0.5 mm isotropic MP2RAGE images with simultaneous MPT and FatNavs tracking were acquired in 9 cooperative subjects with no intentional motion. Retrospective motion corrections based on both tracking modalities were compared qualitatively and quantitatively. The FatNavs impact on quantitative T1 maps was also investigated. RESULTS: Both methods showed good agreement within a 0.3 mm/° margin in subjects that moved very little. Higher resolution FatNavs (2 mm) showed overall better agreement with MPT than 4 mm resolution ones, except for fast and large motion. The retrospective motion corrections based on MPT or FatNavs were at par in 33 cases out of 36, and visibly improved image quality compared to the uncorrected images. In separate fringe cases, both methods suffered from their respective potential shortcomings: unreliable marker attachment for MPT and poor temporal resolution for FatNavs. The magnetization transfer induced by the navigator RF pulses had a visible impact on the T1 values distribution, with a shift of the gray and white matter peaks of 12 ms at most. CONCLUSION: This work confirms both FatNavs and MPT as excellent retrospective motion correction methods for very high resolution imaging of cooperative subjects.


Assuntos
Tecido Adiposo/diagnóstico por imagem , Encéfalo/diagnóstico por imagem , Movimentos da Cabeça , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética , Algoritmos , Artefatos , Humanos , Aumento da Imagem/métodos , Imageamento Tridimensional , Modelos Estatísticos , Estudos Retrospectivos
5.
Brain ; 142(9): 2558-2571, 2019 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-31327002

RESUMO

Pathological alterations to the locus coeruleus, the major source of noradrenaline in the brain, are histologically evident in early stages of neurodegenerative diseases. Novel MRI approaches now provide an opportunity to quantify structural features of the locus coeruleus in vivo during disease progression. In combination with neuropathological biomarkers, in vivo locus coeruleus imaging could help to understand the contribution of locus coeruleus neurodegeneration to clinical and pathological manifestations in Alzheimer's disease, atypical neurodegenerative dementias and Parkinson's disease. Moreover, as the functional sensitivity of the noradrenergic system is likely to change with disease progression, in vivo measures of locus coeruleus integrity could provide new pathophysiological insights into cognitive and behavioural symptoms. Locus coeruleus imaging also holds the promise to stratify patients into clinical trials according to noradrenergic dysfunction. In this article, we present a consensus on how non-invasive in vivo assessment of locus coeruleus integrity can be used for clinical research in neurodegenerative diseases. We outline the next steps for in vivo, post-mortem and clinical studies that can lay the groundwork to evaluate the potential of locus coeruleus imaging as a biomarker for neurodegenerative diseases.


Assuntos
Locus Cerúleo/diagnóstico por imagem , Locus Cerúleo/metabolismo , Imageamento por Ressonância Magnética/métodos , Doenças Neurodegenerativas/diagnóstico por imagem , Doenças Neurodegenerativas/metabolismo , Norepinefrina/metabolismo , Biomarcadores/metabolismo , Humanos
6.
Magn Reson Med ; 81(3): 1605-1619, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30298692

RESUMO

PURPOSE: Recent literature has shown the potential of high-resolution quantitative susceptibility mapping (QSM) with ultra-high field MRI for imaging the anatomy, the vasculature, and investigating their magnetostatic properties. Higher spatial resolutions, however, translate to longer scans resulting, therefore, in higher vulnerability to, and likelihood of, subject movement. We propose a gradient-recalled echo sequence with prospective motion correction (PMC) to address such limitation. METHODS: Data from 4 subjects were acquired at 7T. The effect of small and large motion on QSM with and without PMC was assessed qualitatively and quantitatively. Full brain QSM and QSM-based venograms with up to 0.33 mm isotropic voxel size were reconstructed. RESULTS: With PMC, motion artifacts in QSM and QSM-based venograms were largely eliminated, enabling-in both large- and small-amplitude motion regimes-accurate depiction of the cortex, vasculature, and other small anatomical structures that are often blurred as a result of head movement or indiscernible at lower image resolutions. Quantitative analyses demonstrated that uncorrected motion could bias regional susceptibility distributions, a trend that was greatly reduced with PMC. CONCLUSION: Qualitatively, PMC prevented image degradation because of motion artifacts, providing highly detailed QSM images and venograms. Quantitatively, PMC increased the reproducibility of susceptibility measures.


Assuntos
Encéfalo/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética , Movimento (Física) , Adulto , Algoritmos , Artefatos , Mapeamento Encefálico/métodos , Feminino , Movimentos da Cabeça , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Magnetismo , Masculino , Reprodutibilidade dos Testes , Visão Ocular
8.
Neuroimage ; 183: 7-24, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30075277

RESUMO

Quantitative Susceptibility Mapping (QSM), best known as a surrogate for tissue iron content, is becoming a highly relevant MRI contrast for monitoring cellular and vascular status in aging, addiction, traumatic brain injury and, in general, a wide range of neurological disorders. In this study we present a new Bayesian QSM algorithm, named Multi-Scale Dipole Inversion (MSDI), which builds on the nonlinear Morphology-Enabled Dipole Inversion (nMEDI) framework, incorporating three additional features: (i) improved implementation of Laplace's equation to reduce the influence of background fields through variable harmonic filtering and subsequent deconvolution, (ii) improved error control through dynamic phase-reliability compensation across spatial scales, and (iii) scalewise use of the morphological prior. More generally, this new pre-conditioned QSM formalism aims to reduce the impact of dipole-incompatible fields and measurement errors such as flow effects, poor signal-to-noise ratio or other data inconsistencies that can lead to streaking and shadowing artefacts. In terms of performance, MSDI is the first algorithm to rank in the top-10 for all metrics evaluated in the 2016 QSM Reconstruction Challenge. It also demonstrated lower variance than nMEDI and more stable behaviour in scan-rescan reproducibility experiments for different MRI acquisitions at 3 and 7 Tesla. In the present work, we also explored new forms of susceptibility MRI contrast making explicit use of the differential information across spatial scales. Specifically, we show MSDI-derived examples of: (i) enhanced anatomical detail with susceptibility inversions from short-range dipole fields (hereby referred to as High-Pass Susceptibility Mapping or HPSM), (ii) high specificity to venous-blood susceptibilities for highly regularised HPSM (making a case for MSDI-based Venography or VenoMSDI), (iii) improved tissue specificity (and possibly statistical conditioning) for Macroscopic-Vessel Suppressed Susceptibility Mapping (MVSSM), and (iv) high spatial specificity and definition for HPSM-based Susceptibility-Weighted Imaging (HPSM-SWI) and related intensity projections.


Assuntos
Encéfalo/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Ferro , Imageamento por Ressonância Magnética/métodos , Modelos Teóricos , Neuroimagem/métodos , Flebografia/métodos , Algoritmos , Humanos , Processamento de Imagem Assistida por Computador/normas , Imageamento por Ressonância Magnética/normas , Neuroimagem/normas , Flebografia/normas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
9.
Magn Reson Med ; 80(1): 248-258, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29230871

RESUMO

PURPOSE: Higher magnetic field strengths enable time-of-flight (TOF) angiography with higher resolution to depict small-vessel pathologies. However, this potential is limited by the subject's ability to remain motionless. Even small-scale, involuntary motion can degrade vessel depiction, thus limiting the effective resolution. The aim of this study was to overcome this resolution limit by deploying prospectively motion-corrected (PMC) TOF. METHODS: An optical, marker-based, in-bore tracking system was used to update the imaging volume prospectively according to the subject's head motion. PMC TOF was evaluated in 12 healthy, cooperative subjects at isotropic resolution of up to 150 µm. Image quality was assessed qualitatively through reader rating and quantitatively with the average edge-strength metric. RESULTS: PMC significantly increased the average edge strength and qualitatively improved the vessel depiction in nine out of 11 cases. Image quality was never degraded by motion correction. PMC also enabled acquisition of the highest resolution human brain in vivo TOF angiography to date. CONCLUSION: With PMC enabled, high-resolution TOF is able to visualize brain vasculature beyond the effective resolution limit. Magn Reson Med 80:248-258, 2018. © 2017 International Society for Magnetic Resonance in Medicine.


Assuntos
Angiografia Digital/métodos , Encéfalo/diagnóstico por imagem , Angiografia por Ressonância Magnética/métodos , Movimento (Física) , Adulto , Algoritmos , Artefatos , Voluntários Saudáveis , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional , Masculino , Modelos Estatísticos , Movimento , Imagens de Fantasmas , Estudos Prospectivos , Reprodutibilidade dos Testes
10.
Magn Reson Med ; 78(6): 2250-2264, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28185433

RESUMO

PURPOSE: To describe a model-based reconstruction strategy for single-shot echo planar imaging (EPI) that intrinsically accounts for k-space nonuniformity, Nyquist ghosting, and geometric distortions during rather than before or after image reconstruction. METHODS: Ramp sampling and inhomogeneous B0 field-induced distortion cause the EPI samples to lie on a non-Cartesian grid, thus requiring the nonuniform fast Fourier transform. Additionally, a 2D Nyquist ghost phase correction without the need for extra navigator acquisition is included in the proposed reconstruction. Coil compression is also incorporated to reduce the computational load. The proposed method is applied to phantom and human brain MRI data. RESULTS: The results demonstrate that Nyquist ghosting and geometric distortions are reduced by the proposed reconstruction. The proposed 2D phase correction is superior to a conventional 1D correction. The reductions of both artifacts lead to improved temporal signal-to-noise ratio (tSNR). The virtual coil results suggest that the processing time can be reduced by up to 75%, with a mean tSNR loss of only 3.2% when using 8-virtual instead of 32-physical coils for twofold undersampled data. CONCLUSION: The proposed reconstruction improves the quality (ghosting, geometry, and tSNR) of EPI without requiring calibration data for Nyquist ghost correction. Magn Reson Med 78:2250-2264, 2017. © 2017 International Society for Magnetic Resonance in Medicine.


Assuntos
Imagem Ecoplanar/métodos , Processamento de Imagem Assistida por Computador/métodos , Adulto , Algoritmos , Artefatos , Encéfalo/diagnóstico por imagem , Calibragem , Simulação por Computador , Desenho de Equipamento , Feminino , Análise de Fourier , Humanos , Imageamento por Ressonância Magnética , Masculino , Modelos Estatísticos , Imagens de Fantasmas , Transdução de Sinais , Razão Sinal-Ruído , Software
11.
bioRxiv ; 2024 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-38826408

RESUMO

Magnetic resonance angiography (MRA) performed at ultra-high magnetic field provides a unique opportunity to study the arteries of the living human brain at the mesoscopic level. From this, we can gain new insights into the brain's blood supply and vascular disease affecting small vessels. However, for quantitative characterization and precise representation of human angioarchitecture to, for example, inform blood-flow simulations, detailed segmentations of the smallest vessels are required. Given the success of deep learning-based methods in many segmentation tasks, we here explore their application to high-resolution MRA data, and address the difficulty of obtaining large data sets of correctly and comprehensively labelled data. We introduce VesselBoost, a vessel segmentation package, which utilizes deep learning and imperfect training labels for accurate vasculature segmentation. Combined with an innovative data augmentation technique, which leverages the resemblance of vascular structures, VesselBoost enables detailed vascular segmentations.

12.
J Cereb Blood Flow Metab ; : 271678X241260629, 2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38863151

RESUMO

Enlarged perivascular spaces (EPVS) are common in cerebral small vessel disease (CSVD) and have been identified as a marker of dysfunctional brain clearance. However, it remains unknown if the enlargement occurs predominantly around arteries or veins. We combined in vivo ultra-high-resolution MRI and histopathology to investigate the spatial relationship of veins and arteries with EPVS within the basal ganglia (BG). Furthermore, we assessed the relationship between the EPVS and measures of blood-flow (blood-flow velocity, pulsatility index) in the small arteries of the BG. Twenty-four healthy controls, twelve non-CAA CSVD patients, and five probable CAA patients underwent a 3 tesla [T] and 7T MRI-scan, and EPVS, arteries, and veins within the BG were manually segmented. Furthermore, the scans were co-registered. Six autopsy-cases were also assessed. In the BG, EPVS were significantly closer to and overlapped more frequently with arteries than with veins. Histological analysis showed a higher proportion of BG EPVS surrounding arteries than veins. Finally, the pulsatility index of BG arteries correlated with EPVS volume. Our results are in line with previous works and establish a pathophysiological relationship between arteries and EPVS, contributing to elucidating perivascular clearance routes in the human brain.

13.
Brain Commun ; 5(3): fcad135, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37180994

RESUMO

This scientific commentary refers to 'Functional connectivity in older adults-the effect of cerebral small vessel disease' by Drenth et al. (https://doi.org/10.1093/braincomms/fcad126).

14.
Int J Comput Assist Radiol Surg ; 18(5): 837-844, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36662415

RESUMO

PURPOSE: 7T time-of-flight (TOF) MRI provides high resolution for the evaluation of cerebrovascular vessels and pathologies. In combination with 4D flow fields acquired with phase-contrast (PC) MRI, hemodynamic information can be extracted to enhance the analysis by providing direct measurements in the larger arteries or patient-specific boundary conditions. Hence, a registration between both modalities is required. METHODS: To combine TOF and PC-MRI data, we developed a hybrid registration approach. Vessels and their centerlines are segmented from the TOF data. The centerline is fit to the intensity ridges of the lower resolved PC-MRI data, which provides temporal information. We used a metric that utilizes a scaled sum of weighted intensities and gradients on the normal plane. The registration is then guided by decoupled local affine transformations. It is applied hierarchically following the branching order of the vessel tree. RESULTS: A landmark validation over Monte Carlo simulations yielded an average mean squared error of 184.73 mm and an average Hausdorff distance of 15.20 mm. The hierarchical traversal that transforms child vessels with their parents registers even small vessels not detectable in the PC-MRI. CONCLUSION: The presented work combines high-resolution tomographic information from 7T TOF-MRI and measured flow data from 4D 7T PC-MRI scan for the arteries of the brain. This enables usage of patient-specific flow parameters for realistic simulations, thus supporting research in areas such as cerebral small vessel disease. Automatization and free deformations can help address the limiting error measures in the future.


Assuntos
Angiografia por Ressonância Magnética , Imageamento por Ressonância Magnética , Criança , Humanos , Angiografia por Ressonância Magnética/métodos , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Encéfalo/irrigação sanguínea , Artérias
15.
Front Neurol ; 14: 1112312, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37006483

RESUMO

Background: Cerebral microbleeds (MBs) are a hallmark of cerebral small vessel disease (CSVD) and can be found on T2*-weighted sequences on MRI. Quantitative susceptibility mapping (QSM) is a postprocessing method that also enables MBs identification and furthermore allows to differentiate them from calcifications. Aims: We explored the implications of using QSM at submillimeter resolution for MBs detection in CSVD. Methods: Both 3 and 7 Tesla (T) MRI were performed in elderly participants without MBs and patients with CSVD. MBs were quantified on T2*-weighted imaging and QSM. Differences in the number of MBs were assessed, and subjects were classified in CSVD subgroups or controls both on 3T T2*-weighted imaging and 7T QSM. Results: 48 participants [mean age (SD) 70.9 (8.8) years, 48% females] were included: 31 were healthy controls, 6 probable cerebral amyloid angiopathy (CAA), 9 mixed CSVD, and 2 were hypertensive arteriopathy [HA] patients. After accounting for the higher number of MBs detected at 7T QSM (Median = Mdn; Mdn7T-QSM = 2.5; Mdn3T-T2 = 0; z = 4.90; p < 0.001) and false positive MBs (6.1% calcifications), most healthy controls (80.6%) demonstrated at least one MB and more MBs were discovered in the CSVD group. Conclusions: Our observations suggest that QSM at submillimeter resolution improves the detection of MBs in the elderly human brain. A higher prevalence of MBs than so far known in healthy elderly was revealed.

16.
Acta Neuropathol Commun ; 11(1): 204, 2023 12 19.
Artigo em Inglês | MEDLINE | ID: mdl-38115109

RESUMO

Vascular risk factors such as chronic hypertension are well-established major modifiable factors for the development of cerebral small vessel disease (cSVD). In the present study, our focus was the investigation of cSVD-related phenotypic changes in microglia in human disease and in the spontaneously hypertensive stroke-prone rat (SHRSP) model of cSVD. Our examination of cortical microglia in human post-mortem cSVD cortical tissue revealed distinct morphological microglial features specific to cSVD. We identified enlarged somata, an increase in the territory occupied by thickened microglial processes, and an expansion in the number of vascular-associated microglia. In parallel, we characterized microglia in a rodent model of hypertensive cSVD along different durations of arterial hypertension, i.e., early chronic and late chronic hypertension. Microglial somata were already enlarged in early hypertension. In contrast, at late-stage chronic hypertension, they further exhibited elongated branches, thickened processes, and a reduced ramification index, mirroring the findings in human cSVD. An unbiased multidimensional flow cytometric analysis revealed phenotypic heterogeneity among microglia cells within the hippocampus and cortex. At early-stage hypertension, hippocampal microglia exhibited upregulated CD11b/c, P2Y12R, CD200R, and CD86 surface expression. Detailed analysis of cell subpopulations revealed a unique microglial subset expressing CD11b/c, CD163, and CD86 exclusively in early hypertension. Notably, even at early-stage hypertension, microglia displayed a higher association with cerebral blood vessels. We identified several profound clusters of microglia expressing distinct marker profiles at late chronic hypertensive states. In summary, our findings demonstrate a higher vulnerability of the hippocampus, stage-specific microglial signatures based on morphological features, and cell surface protein expression in response to chronic arterial hypertension. These results indicate the diversity within microglia sub-populations and implicate the subtle involvement of microglia in cSVD pathogenesis.


Assuntos
Doenças de Pequenos Vasos Cerebrais , Hipertensão , Ratos , Humanos , Camundongos , Animais , Microglia/metabolismo , Hipertensão/complicações , Hipertensão/patologia , Ratos Endogâmicos SHR , Doenças de Pequenos Vasos Cerebrais/patologia , Fenótipo
17.
Cells ; 12(6)2023 03 21.
Artigo em Inglês | MEDLINE | ID: mdl-36980297

RESUMO

Brain vascular health appears to be critical for preventing the development of amyotrophic lateral sclerosis (ALS) and slowing its progression. ALS patients often demonstrate cardiovascular risk factors and commonly suffer from cerebrovascular disease, with evidence of pathological alterations in their small cerebral blood vessels. Impaired vascular brain health has detrimental effects on motor neurons: vascular endothelial growth factor levels are lowered in ALS, which can compromise endothelial cell formation and the integrity of the blood-brain barrier. Increased turnover of neurovascular unit cells precedes their senescence, which, together with pericyte alterations, further fosters the failure of toxic metabolite removal. We here provide a comprehensive overview of the pathogenesis of impaired brain vascular health in ALS and how novel magnetic resonance imaging techniques can aid its detection. In particular, we discuss vascular patterns of blood supply to the motor cortex with the number of branches from the anterior and middle cerebral arteries acting as a novel marker of resistance and resilience against downstream effects of vascular risk and events in ALS. We outline how certain interventions adapted to patient needs and capabilities have the potential to mechanistically target the brain microvasculature towards favorable motor cortex blood supply patterns. Through this strategy, we aim to guide novel approaches to ALS management and a better understanding of ALS pathophysiology.


Assuntos
Esclerose Lateral Amiotrófica , Córtex Motor , Humanos , Esclerose Lateral Amiotrófica/metabolismo , Córtex Motor/metabolismo , Fator A de Crescimento do Endotélio Vascular/metabolismo , Neurônios Motores/patologia , Barreira Hematoencefálica/patologia
18.
Elife ; 112022 04 29.
Artigo em Inglês | MEDLINE | ID: mdl-35486089

RESUMO

The pial arterial vasculature of the human brain is the only blood supply to the neocortex, but quantitative data on the morphology and topology of these mesoscopic arteries (diameter 50-300 µm) remains scarce. Because it is commonly assumed that blood flow velocities in these vessels are prohibitively slow, non-invasive time-of-flight magnetic resonance angiography (TOF-MRA)-which is well suited to high 3D imaging resolutions-has not been applied to imaging the pial arteries. Here, we provide a theoretical framework that outlines how TOF-MRA can visualize small pial arteries in vivo, by employing extremely small voxels at the size of individual vessels. We then provide evidence for this theory by imaging the pial arteries at 140 µm isotropic resolution using a 7 Tesla (T) magnetic resonance imaging (MRI) scanner and prospective motion correction, and show that pial arteries one voxel width in diameter can be detected. We conclude that imaging pial arteries is not limited by slow blood flow, but instead by achievable image resolution. This study represents the first targeted, comprehensive account of imaging pial arteries in vivo in the human brain. This ultra-high-resolution angiography will enable the characterization of pial vascular anatomy across the brain to investigate patterns of blood supply and relationships between vascular and functional architecture.


Assuntos
Encéfalo , Angiografia por Ressonância Magnética , Encéfalo/irrigação sanguínea , Encéfalo/diagnóstico por imagem , Humanos , Imageamento Tridimensional , Angiografia por Ressonância Magnética/métodos , Imageamento por Ressonância Magnética/métodos , Estudos Prospectivos
19.
J Imaging ; 8(10)2022 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-36286353

RESUMO

Blood vessels of the brain provide the human brain with the required nutrients and oxygen. As a vulnerable part of the cerebral blood supply, pathology of small vessels can cause serious problems such as Cerebral Small Vessel Diseases (CSVD). It has also been shown that CSVD is related to neurodegeneration, such as Alzheimer's disease. With the advancement of 7 Tesla MRI systems, higher spatial image resolution can be achieved, enabling the depiction of very small vessels in the brain. Non-Deep Learning-based approaches for vessel segmentation, e.g., Frangi's vessel enhancement with subsequent thresholding, are capable of segmenting medium to large vessels but often fail to segment small vessels. The sensitivity of these methods to small vessels can be increased by extensive parameter tuning or by manual corrections, albeit making them time-consuming, laborious, and not feasible for larger datasets. This paper proposes a deep learning architecture to automatically segment small vessels in 7 Tesla 3D Time-of-Flight (ToF) Magnetic Resonance Angiography (MRA) data. The algorithm was trained and evaluated on a small imperfect semi-automatically segmented dataset of only 11 subjects; using six for training, two for validation, and three for testing. The deep learning model based on U-Net Multi-Scale Supervision was trained using the training subset and was made equivariant to elastic deformations in a self-supervised manner using deformation-aware learning to improve the generalisation performance. The proposed technique was evaluated quantitatively and qualitatively against the test set and achieved a Dice score of 80.44 ± 0.83. Furthermore, the result of the proposed method was compared against a selected manually segmented region (62.07 resultant Dice) and has shown a considerable improvement (18.98%) with deformation-aware learning.

20.
Sci Data ; 8(1): 138, 2021 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-34035308

RESUMO

Here, we present an extension to our previously published structural ultrahigh resolution T1-weighted magnetic resonance imaging (MRI) dataset with an isotropic resolution of 250 µm, consisting of multiple additional ultrahigh resolution contrasts. Included are up to 150 µm Time-of-Flight angiography, an updated 250 µm structural T1-weighted reconstruction, 330 µm quantitative susceptibility mapping, up to 450 µm structural T2-weighted imaging, 700 µm T1-weighted back-to-back scans, 800 µm diffusion tensor imaging, one hour continuous resting-state functional MRI with an isotropic spatial resolution of 1.8 mm as well as more than 120 other structural T1-weighted volumes together with multiple corresponding proton density weighted acquisitions collected over ten years. All data are from the same participant and were acquired on the same 7 T scanner. The repository contains the unprocessed data as well as (pre-)processing results. The data were acquired in multiple studies with individual goals. This is a unique and comprehensive collection comprising a "human phantom" dataset. Therefore, we compiled, processed, and structured the data, making them publicly available for further investigation.


Assuntos
Mapeamento Encefálico , Imagem de Tensor de Difusão , Imagens de Fantasmas , Humanos
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