scholarly journals Quantitative Oxygen Extraction Fraction from 7-Tesla MRI Phase: Reproducibility and Application in Multiple Sclerosis

2014 ◽  
Vol 35 (1) ◽  
pp. 131-139 ◽  
Author(s):  
Audrey P Fan ◽  
Sindhuja T Govindarajan ◽  
R Philip Kinkel ◽  
Nancy K Madigan ◽  
A Scott Nielsen ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Three Dimensional ◽  
Structural Mri ◽  
Brain Regions ◽  
Oxygen Extraction Fraction ◽  
Oxygen Extraction ◽  
7 Tesla ◽  
Information Processing Speed ◽  
Prefrontal Cortical ◽  
Extraction Fraction

Quantitative oxygen extraction fraction (OEF) in cortical veins was studied in patients with multiple sclerosis (MS) and healthy subjects via magnetic resonance imaging (MRI) phase images at 7 Tesla (7 T). Flow-compensated, three-dimensional gradient-echo scans were acquired for absolute OEF quantification in 23 patients with MS and 14 age-matched controls. In patients, we collected T2∗-weighted images for characterization of white matter, deep gray matter, and cortical lesions, and also assessed cognitive function. Variability of OEF across readers and scan sessions was evaluated in a subset of volunteers. OEF was averaged from 2 to 3 pial veins in the sensorimotor, parietal, and prefrontal cortical regions for each subject (total of ∼10 vessels). We observed good reproducibility of mean OEF, with intraobserver coefficient of variation (COV)=2.1%, interobserver COV=5.2%, and scan—rescan COV=5.9%. Patients exhibited a 3.4% reduction in cortical OEF relative to controls ( P=0.0025), which was not different across brain regions. Although oxygenation did not relate with measures of structural tissue damage, mean OEF correlated with a global measure of information processing speed. These findings suggest that cortical OEF from 7-T MRI phase is a reproducible metabolic biomarker that may be sensitive to different pathologic processes than structural MRI in patients with MS.

scholarly journals Hemodynamic mechanisms underlying elevated oxygen extraction fraction (OEF) in moyamoya and sickle cell anemia patients

2016 ◽  
Vol 38 (9) ◽  
pp. 1618-1630 ◽  
Author(s):  
Jennifer M Watchmaker ◽  
Meher R Juttukonda ◽  
Larry T Davis ◽  
Allison O Scott ◽  
Carlos C Faraco ◽  
...  
Keyword(s):  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Structural Mri ◽  
Interquartile Range ◽  
Cerebrovascular Reactivity ◽  
Oxygen Extraction Fraction ◽  
Oxygen Extraction ◽  
Vascular Reserve ◽  
Extraction Fraction ◽  
Oxygen Carrying Capacity

Moyamoya is a bilateral, complex cerebrovascular condition characterized by progressive non-atherosclerotic intracranial stenosis and collateral vessel formation. Moyamoya treatment focuses on restoring cerebral blood flow (CBF) through surgical revascularization, however stratifying patients for revascularization requires abilities to quantify how well parenchyma is compensating for arterial steno-occlusion. Globally elevated oxygen extraction fraction (OEF) secondary to CBF reduction may serve as a biomarker for tissue health in moyamoya patients, as suggested in patients with sickle cell anemia (SCA) and reduced oxygen carrying capacity. Here, OEF was measured (TRUST-MRI) to test the hypothesis that OEF is globally elevated in patients with moyamoya (n = 18) and SCA (n = 18) relative to age-matched controls (n = 43). Mechanisms underlying the hypothesized OEF increases were evaluated by performing sequential CBF-weighted, cerebrovascular reactivity (CVR)-weighted, and structural MRI. Patients were stratified by treatment and non-parametric tests applied to compare study variables (significance: two-sided P < 0.05). OEF was significantly elevated in moyamoya participants (interquartile range = 0.38–0.45) compared to controls (interquartile range = 0.29–0.38), similar to participants with SCA (interquartile range = 0.37–0.45). CBF was inversely correlated with OEF in moyamoya participants. Elevated OEF was only weakly related to reductions in CVR, consistent with basal CBF level, rather than vascular reserve capacity, being most closely associated with OEF.

Brain oxygen extraction fraction mapping in patients with multiple sclerosis

2021 ◽  
pp. 0271678X2110480
Author(s):  
Junghun Cho ◽  
Thanh D Nguyen ◽  
Weiyuan Huang ◽  
Elizabeth M Sweeney ◽  
Xianfu Luo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Oxygen Extraction Fraction ◽  
Oxygen Extraction ◽  
Linear Mixed Effect Model ◽  
Oxygen Utilization ◽  
Mixed Effect ◽  
Whole Brain ◽  
Brain Oxygen ◽  
Normal Appearing White Matter ◽  
Extraction Fraction

We aimed to demonstrate the feasibility of whole brain oxygen extraction fraction (OEF) mapping for measuring lesion specific and regional OEF abnormalities in multiple sclerosis (MS) patients. In 22 MS patients and 11 healthy controls (HC), OEF and neural tissue susceptibility ([Formula: see text]) maps were computed from MRI multi-echo gradient echo data. In MS patients, 80 chronic active lesions with hyperintense rim on quantitative susceptibility mapping were identified, and the mean OEF and [Formula: see text] within the rim and core were compared using linear mixed-effect model analysis. The rim showed higher OEF and [Formula: see text] than the core: relative to their adjacent normal appearing white matter, OEF contrast = −6.6 ± 7.0% vs. −9.8 ± 7.8% (p < 0.001) and [Formula: see text] contrast = 33.9 ± 20.3 ppb vs. 25.7 ± 20.5 ppb (p = 0.017). Between MS and HC, OEF and [Formula: see text]were compared using a linear regression model in subject-based regions of interest. In the whole brain, compared to HC, MS had lower OEF, 30.4 ± 3.3% vs. 21.4 ± 4.4% (p < 0.001), and higher [Formula: see text], −23.7 ± 7.0 ppb vs. −11.3 ± 7.7 ppb (p = 0.018). Our feasibility study suggests that OEF may serve as a useful quantitative marker of tissue oxygen utilization in MS.

scholarly journals Oxygen Extraction Fraction at Maximally Vasodilated Tissue in the Ischemic Brain Estimated from the Regional CO2 Responsiveness Measured by Positron Emission Tomography

1988 ◽  
Vol 8 (2) ◽  
pp. 227-235 ◽  
Author(s):  
Iwao Kanno ◽  
Kazuo Uemura ◽  
Schuichi Higano ◽  
Matsutaro Murakami ◽  
Hidehiro Iida ◽  
...  
Keyword(s):  
Positron Emission Tomography ◽  
Resting State ◽  
Emission Tomography ◽  
Oxygen Extraction Fraction ◽  
Oxygen Extraction ◽  
Cross Point ◽  
Steady State Method ◽  
Extraction Fraction ◽  
Positron Emission ◽  
Vascular Responsiveness

The oxygen extraction fraction (OEF) at maximally vasodilated tissue in patients with chronic cerebrovascular disease was evaluated using positron emission tomography. The vascular responsiveness to changes in PaCO2 was measured by the H215O autoradiographic method. It was correlated with the resting-state OEF, as estimated using the 15O steady-state method. The subjects comprised 15 patients with unilateral or bilateral occlusion and stenosis of the internal carotid artery or middle cerebral artery or moyamoya disease. In hypercapnia, the scattergram between the OEF and the vascular responsiveness to changes in PaCO2 revealed a significant negative correlation in 11 of 19 studies on these patients, and the OEF at the zero cross point of the regression line with a vascular responsiveness of 0 was 0.53 ± 0.08 (n = 11). This OEF in the resting state corresponds to exhaustion of the capacity for vasodilation. The vasodilatory capacity is discussed in relation to the lower limit of autoregulation.

scholarly journals Quantifying the changes in oxygen extraction fraction and cerebral activity caused by caffeine and acetazolamide

2016 ◽  
Vol 37 (3) ◽  
pp. 825-836 ◽  
Author(s):  
Sagar Buch ◽  
Yongquan Ye ◽  
E Mark Haacke
Keyword(s):  
Oxygen Saturation ◽  
A Priori ◽  
Susceptibility Mapping ◽  
Oxygen Extraction Fraction ◽  
Oxygen Extraction ◽  
Cerebral Veins ◽  
Blood Oxygen Saturation ◽  
Vascular Reserve ◽  
Extraction Fraction ◽  
Before And After

A quantitative estimate of cerebral blood oxygen saturation is of critical importance in the investigation of cerebrovascular disease. We aimed to measure the change in venous oxygen saturation (Yv) before and after the intake of the vaso-dynamic agents caffeine and acetazolamide with high spatial resolution using susceptibility mapping. Caffeine and acetazolamide were administered on separate days to five healthy volunteers to measure the change in oxygen extraction fraction. The internal streaking artifacts in the susceptibility maps were reduced by giving an initial susceptibility value uniformly to the structure-of-interest, based on a priori information. Using this technique, Yv for normal physiological conditions, post-caffeine and post-acetazolamide was measured inside the internal cerebral veins as YNormal = 69.1 ± 3.3%, YCaffeine = 60.5 ± 2.8%, and YAcet = 79.1 ± 4.0%. This suggests that susceptibility mapping can serve as a sensitive biomarker for measuring reductions in cerebro-vascular reserve through abnormal vascular response. The percentage change in oxygen extraction fraction for caffeine and acetazolamide were found to be +27.0 ± 3.8% and −32.6 ± 2.1%, respectively. Similarly, the relative changes in cerebral blood flow in the presence of caffeine and acetazolamide were found to be −30.3% and + 31.5%, suggesting that the cerebral metabolic rate of oxygen remains stable between normal and challenged brain states for healthy subjects.

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