We propose compartmental modelling of blood-brain barrier (BBB) water exchange measurements using diffusion-filtered exchange imaging (FEXI), with the aim of providing greater biophysical insight into BBB function than is possible using the apparent exchange rate (AXR) approach. As relaxation time differences between blood and extravascular tissue have not yet been accounted for in FEXI-based BBB permeability measurements, we use simulations to quantify potential biases in exchange rates from both the AXR and compartmental approaches. Finally, we evaluate the repeatability of the AXR and compartmental models in a cohort of healthy subjects.
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