scholarly journals Cerebrospinal fluid pulse wave velocity measurements: In vitro and in vivo evaluation of a novel multiband cine phase‐contrast MRI sequence

2020 ◽  
Vol 85 (1) ◽  
pp. 197-208
Author(s):  
Kristina Sonnabend ◽  
Gerrit Brinker ◽  
David Maintz ◽  
Alexander C. Bunck ◽  
Kilian Weiss
2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Marit H. N. van Velzen ◽  
Arjo J. Loeve ◽  
Egbert G. Mik ◽  
Sjoerd P. Niehof

The multiphotodiode array (MPA) is a novel transmission photoplethysmography (PPG) sensor to measure pulse wave velocity (PWV) in the finger. To validate the MPA, a setup was built to generate a red laser dot traveling over the MPA with known and constant scanning velocities. These scanning velocities were chosen to include speeds at least twice as high as those found in the normal range of PWV in healthy populations and were set at 12.9, 25.8, 36, or 46.7 m/s. The aim of this study was to verify the functionality of the MPA: performing local noninvasive PWV measurements. To illustrate the applicability of the MPA in clinical practice, an in vivo pilot study was conducted using the flow-mediated dilation (FMD) technique. The in vitro accuracy of the MPA was ±0.2%, 0.3%, 0.5%, and 0.6% at the applied scanning velocities. The MPA can measure PWVs with a maximum deviation of 3.0%. The in vivo pilot study showed a PWV before the FMD of 1.1±0.2 m/s. These results suggest that this novel MPA can reliably and accurately measure PWV within clinically relevant ranges and even well beyond.


2004 ◽  
Vol 52 (2) ◽  
pp. 286-295 ◽  
Author(s):  
Mary T. Draney ◽  
Frank R. Arko ◽  
Marcus T. Alley ◽  
Michael Markl ◽  
Robert J. Herfkens ◽  
...  

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0120482 ◽  
Author(s):  
Zhen Wang ◽  
Yong Yang ◽  
Li-jun Yuan ◽  
Jie Liu ◽  
Yun-you Duan ◽  
...  

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Per Kristian Eide ◽  
Lars Magnus Valnes ◽  
Erika Kristina Lindstrøm ◽  
Kent-Andre Mardal ◽  
Geir Ringstad

Abstract Background Several central nervous system diseases are associated with disturbed cerebrospinal fluid (CSF) flow patterns and have typically been characterized in vivo by phase-contrast magnetic resonance imaging (MRI). This technique is, however, limited by its applicability in space and time. Phase-contrast MRI has yet to be compared directly with CSF tracer enhanced imaging, which can be considered gold standard for assessing long-term CSF flow dynamics within the intracranial compartment. Methods Here, we studied patients with various CSF disorders and compared MRI biomarkers of CSF space anatomy and phase-contrast MRI at level of the aqueduct and cranio-cervical junction with dynamic intrathecal contrast-enhanced MRI using the contrast agent gadobutrol as CSF tracer. Tracer enrichment of cerebral ventricles was graded 0–4 by visual assessment. An intracranial pressure (ICP) score was used as surrogate marker of intracranial compliance. Results The study included 94 patients and disclosed marked variation of CSF flow measures across disease categories. The grade of supra-aqueductal reflux of tracer varied, with strong reflux (grades 3–4) in half of patients. Ventricular tracer reflux correlated with stroke volume and aqueductal CSF pressure gradient. CSF flow in the cerebral aqueduct was retrograde (from 4th to 3rd ventricle) in one third of patients, with estimated CSF net flow volume about 1.0 L/24 h. In the cranio-cervical junction, net flow was cranially directed in 78% patients, with estimated CSF net flow volume about 4.7 L/24 h. Conclusions The present observations provide in vivo quantitative evidence for substantial variation in direction and magnitude of CSF flow, with re-direction of aqueductal flow in communicating hydrocephalus, and significant extra-cranial CSF production. The grading of ventricular reflux of tracer shows promise as a clinical useful method to assess CSF flow pattern disturbances in patients. Graphic abstract


Author(s):  
Soroush Heidari Pahlavian ◽  
Steven Yong Cen ◽  
Xiaoming Bi ◽  
Danny J. J. Wang ◽  
Helena Chang Chui ◽  
...  

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