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Lee J, Park DW, Kim YS, Kim HY, Lee YJ. Arterial spin labeling signal ratio between the lesion and contralateral sides for evaluation of acute middle cerebral artery infarct. Medicine (Baltimore) 2022; 101:e28569. [PMID: 35029228 PMCID: PMC8757971 DOI: 10.1097/md.0000000000028569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 12/22/2021] [Indexed: 01/05/2023] Open
Abstract
The purpose of our study was to differentiate arterial transit artifact from post-recanalization luxury perfusion on arterial spin labeling (ASL) image, and obtain the relationship between ASL signal intensity and clinical outcomes in patients with acute ischemic stroke.Thirty-five subjects with an acute middle cerebral artery (MCA) infarct were enrolled (18 with recanalized and 17 with non-recanalized MCAs). ASL images were obtained using pseudo-continuous ASL technique with 1600 ms (millisecond) of post-label delay within 3 days from symptom onset. Signal intensities on color ASL images were classified as high, intermediate, and poor grade visually. The ratio of maximum ASL signal between the ischemic area and contralateral side was calculated and compared between patients with and without MCA recanalization. Among patients with non-recanalized MCA, ASL signal ratios were compared between patients with and without hyperintense vessel sign on fluid attenuated inversion recovery (FLAIR). Also, correlation between the ASL signal ratio and National Institutes of Health Stroke Scale (NIHSS) score was evaluated.High or intermediate grade on color ASL images were more frequently found in patients with recanalized MCA (P < .01). Patients with non-recanalized MCA had higher ASL signal ratio in overall ASL signal grade (P = .010) and intermediate grade (P = .011). Among patients with non-recanalized MCA, those with hyperintense vessel sign on FLAIR had higher ASL signal ratios (P = .049). ASL signal ratio was negatively correlated with both initial (P = .023) and final (P = .003) NIHSS scores.The ASL signal ratio could help to differentiate between the pial collaterals and post-recanalization luxury perfusion. A higher ASL ratio was related with the hyperintense vessel sign on FLAIR and lower NIHSS score.
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Affiliation(s)
- Junyoung Lee
- Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, South Korea
| | - Dong Woo Park
- Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Seoul, South Korea
| | - Young Seo Kim
- Department of Neurology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, South Korea
| | - Hyun Young Kim
- Department of Neurology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, South Korea
| | - Young-Jun Lee
- Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, South Korea
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Lahiri A, Fessler JA, Hernandez‐Garcia L. Optimizing MRF‐ASL scan design for precise quantification of brain hemodynamics using neural network regression. Magn Reson Med 2019; 83:1979-1991. [DOI: 10.1002/mrm.28051] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 09/13/2019] [Accepted: 10/05/2019] [Indexed: 01/02/2023]
Affiliation(s)
- Anish Lahiri
- Department of Electrical and Computer Engineering University of Michigan Ann Arbor Michigan USA
| | - Jeffrey A. Fessler
- Department of Electrical and Computer Engineering University of Michigan Ann Arbor Michigan USA
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Hernandez-Garcia L, Lahiri A, Schollenberger J. Recent progress in ASL. Neuroimage 2019; 187:3-16. [PMID: 29305164 PMCID: PMC6030511 DOI: 10.1016/j.neuroimage.2017.12.095] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2017] [Revised: 12/21/2017] [Accepted: 12/30/2017] [Indexed: 11/26/2022] Open
Abstract
This article aims to provide the reader with an overview of recent developments in Arterial Spin Labeling (ASL) MRI techniques. A great deal of progress has been made in recent years in terms of the SNR and acquisition speed. New strategies have been introduced to improve labeling efficiency, reduce artefacts, and estimate other relevant physiological parameters besides perfusion. As a result, ASL techniques has become a reliable workhorse for researchers as well as clinicians. After a brief overview of the technique's fundamentals, this article will review new trends and variants in ASL including vascular territory mapping and velocity selective ASL, as well as arterial blood volume imaging techniques. This article will also review recent processing techniques to reduce partial volume effects and physiological noise. Next the article will examine how ASL techniques can be leveraged to calculate additional physiological parameters beyond perfusion and finally, it will review a few recent applications of ASL in the literature.
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Affiliation(s)
| | - Anish Lahiri
- FMRI Laboratory, University of Michigan, United States
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Yang S, Zhao B, Wang G, Xiang J, Xu S, Liu Y, Zhao P, Pfeuffer J, Qian T. Improving the Grading Accuracy of Astrocytic Neoplasms Noninvasively by Combining Timing Information with Cerebral Blood Flow: A Multi-TI Arterial Spin-Labeling MR Imaging Study. AJNR Am J Neuroradiol 2016; 37:2209-2216. [PMID: 27561831 DOI: 10.3174/ajnr.a4907] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2016] [Accepted: 07/01/2016] [Indexed: 01/07/2023]
Abstract
BACKGROUND AND PURPOSE Systematic and accurate glioma grading has clinical significance. We present the utility of multi-TI arterial spin-labeling imaging and provide the bolus arrival time maps for grading astrocytomas. MATERIALS AND METHODS Forty-three patients with astrocytomas (21 men; mean age, 51 years) were recruited. The classification abilities of conventional MR imaging features, normalized CBF value derived from multi-TI arterial spin-labeling imaging, normalized bolus arrival time, and normalized CBF derived from single-TI arterial spin-labeling were compared in patients with World Health Organization (WHO) grade II, III, and IV astrocytomas. RESULTS The normalized CBF value derived from multi-TI arterial spin-labeling imaging was higher in patients with higher grade astrocytoma malignancies compared with patients with lower grade astrocytomas, while the normalized bolus arrival time showed the opposite tendency. The normalized CBF value derived from the multi-TI arterial spin-labeling imaging showed excellent performance with areas under the receiver operating characteristic curve of 0.813 (WHO II versus III), 0.964 (WHO II versus IV), 0.872 (WHO III versus IV), and 0.883 (low-grade-versus-high-grade gliomas). The normalized CBF value derived from single-TI arterial spin-labeling imaging could statistically differentiate the WHO II and IV groups (area under the receiver operating characteristic curve = 0.826). The normalized bolus arrival time effectively identified the WHO grades II and III with an area under the receiver operating characteristic curve of 0.836. Combining the normalized CBF value derived from multi-TI arterial spin-labeling imaging and normalized bolus arrival time improved the diagnostic accuracy from 65.10% to 72.10% compared with the normalized CBF value derived from multi-TI arterial spin-labeling imaging being applied independently. The combination of multi-TI arterial spin-labeling imaging and conventional MR imaging had the best performance, with a diagnostic accuracy of 81.40%. CONCLUSIONS Multi-TI arterial spin-labeling imaging can evaluate perfusion dynamics by combining normalized bolus arrival time and normalized CBF values derived from multiple TIs. It is superior to single-TI arterial spin-labeling imaging and conventional MR imaging features when applied independently and can improve the diagnostic accuracy when combined with conventional MR imaging for grading astrocytomas.
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Affiliation(s)
- S Yang
- From the Department of MR Imaging (S.Y., B.Z., G.W., J.X.), Shandong Medical Imaging Research Institute, Shandong University, Jinan, P.R. China
| | - B Zhao
- From the Department of MR Imaging (S.Y., B.Z., G.W., J.X.), Shandong Medical Imaging Research Institute, Shandong University, Jinan, P.R. China
| | - G Wang
- From the Department of MR Imaging (S.Y., B.Z., G.W., J.X.), Shandong Medical Imaging Research Institute, Shandong University, Jinan, P.R. China
| | - J Xiang
- From the Department of MR Imaging (S.Y., B.Z., G.W., J.X.), Shandong Medical Imaging Research Institute, Shandong University, Jinan, P.R. China
| | - S Xu
- Department of Neurosurgery (S.X., Y.L., P.Z.), Shandong Provincial Hospital affiliated to Shandong University, Jinan, Shandong, China
| | - Y Liu
- Department of Neurosurgery (S.X., Y.L., P.Z.), Shandong Provincial Hospital affiliated to Shandong University, Jinan, Shandong, China
| | - P Zhao
- Department of Neurosurgery (S.X., Y.L., P.Z.), Shandong Provincial Hospital affiliated to Shandong University, Jinan, Shandong, China
| | - J Pfeuffer
- Application Development (J.P.), Siemens, Erlangen, Germany
| | - T Qian
- MR Collaborations NE Asia (T.Q.), Siemens Healthcare, Beijing, China
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Castellaro M, Peruzzo D, Mehndiratta A, Pillonetto G, Petersen ET, Golay X, Chappell MA, Bertoldo A. Estimation of arterial arrival time and cerebral blood flow from QUASAR arterial spin labeling using stable spline. Magn Reson Med 2014; 74:1758-67. [PMID: 25427245 DOI: 10.1002/mrm.25525] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Revised: 10/01/2014] [Accepted: 10/20/2014] [Indexed: 11/07/2022]
Abstract
PURPOSE QUASAR arterial spin labeling (ASL) permits the application of deconvolution approaches for the absolute quantification of cerebral perfusion. Currently, oscillation index regularized singular value decomposition (oSVD) combined with edge-detection (ED) is the most commonly used method. Its major drawbacks are nonphysiological oscillations in the impulse response function and underestimation of perfusion. The aim of this work is to introduce a novel method to overcome these limitations. METHODS A system identification method, stable spline (SS), was extended to address ASL peculiarities such as the delay in arrival of the arterial blood in the tissue. The proposed framework was compared with oSVD + ED in both simulated and real data. SS was used to investigate the validity of using a voxel-wise tissue T1 value instead of using a single global value (of blood T1 ). RESULTS SS outperformed oSVD + ED in 79.9% of simulations. When applied to real data, SS exhibited a physiologically realistic range for perfusion and a higher mean value with respect to oSVD + ED (55.5 ± 9.5 SS, 34.9 ± 5.2 oSVD + ED mL/100 g/min). CONCLUSION SS can represent an alternative to oSVD + ED for the quantification of QUASAR ASL data. Analysis of the retrieved impulse response function revealed that using a voxel wise tissue T1 might be suboptimal.
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Affiliation(s)
- Marco Castellaro
- Department of Information Engineering, University of Padova, Padova, Italy
| | - Denis Peruzzo
- Department of Neuroimaging, Research institute IRCCS "E. Medea", Bosisio Parini, LC, Italy
| | - Amit Mehndiratta
- Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom.,Centre for Biomedical Engineering, Indian Institute of Technology, Delhi, India
| | | | - Esben Thade Petersen
- Departments of Radiology and Radiotherapy, University Medical Center, Utrecht, Netherlands
| | - Xavier Golay
- University College London, Institute of Neurology, London, United Kingdom
| | - Michael A Chappell
- Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom
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Varvatsoulias G. The Physiological Processes Underpinning PET and fMRI Techniques With an Emphasis on the Temporal and Spatial Resolution of These Methods. PSYCHOLOGICAL THOUGHT 2013. [DOI: 10.5964/psyct.v6i2.75] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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