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Abstract #0977

Obstructive Sleep Apnea: Feasibility of Concurrent Evaluation of Neurometabolic Rate and Upper Airway Architecture During Sleep in the Scanner

Felix W Wehrli1, Michael C Langham1, Andrew Wiemken2, Jing Xu1, John A Detre3, Jeffrey Dennison1, and Richard J Schwab2
1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Medicine, University of Pennsylvania, Philadelphia, PA, United States, 3Neurology, University of Pennsylvania, Philadelphia, PA, United States

Synopsis

Keywords: Neuroinflammation, Brain Connectivity, Cerebral Metabolic Rate of Oxygen

Motivation: Obstructive sleep apnea (OSA) is a common disorder predisposing patients to heart disease, stroke, and cognitive dysfunction.

Goal(s): To gain insights into the association between brain metabolism and changes in upper airway architecture during spontaneous apneas during sleep in the scanner.

Approach: A time-resolved pulse sequence was designed that yields neurometabolic parameters and airway anatomy at 6-second temporal resolution, along with EEG monitoring during a 90-minute scan.

Results: Data demonstrate associations between transient airway architectural changes and brain vascular-metabolic alterations, notably a steep drop in cerebral metabolic rate of oxygen (CMRO2) during sleep and following apneic events, providing new insight into the disorder.

Impact: Understanding the acute structural and neurometabolic consequences of apneic events in obstructive sleep apnea will provide new insight into the disease and provide a method to evaluate the response to treatment.

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Keywords