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Abstract #1339

Feasibility of Detecting White Matter Perfusion using Arterial Spin Labeling in Patients with Sickle Cell Disease

Wesley Thomas Richerson1, Megan Aumann1, Alex Song1, Jarrod Eisma1, Samantha Davis2, Lauren Milner2, Lori Jordan1,2,3, and Manus Donahue1,4,5
1Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 2Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States, 3Radiology, Vanderbilt University Medical Center, Nashville, TN, United States, 4Psychiatry, Vanderbilt University Medical Center, Nashville, TN, United States, 5Electrical and Computer Engineering, Vanderbilt University, Nashville, TN, United States

Synopsis

Keywords: Blood Vessels, Arterial spin labelling, Sickle Cell Disease, White Matter Perfusion

Motivation: Accurate white matter (WM) perfusion quantification is difficult but likely critical for assessing infarct risk in Sickle Cell Disease (SCD).

Goal(s): To evaluate the feasibility of detecting regional WM perfusion using arterial spin labeling (ASL) under conditions of high perfusion and reduced bolus arrival time (BAT) in SCD patients.

Approach: A multi-inversion time (TI; range=200-3200 ms), pulsed ASL sequence was applied to quantify perfusion detectability in SCD (n=35) and healthy (n=15) participants.

Results: WM perfusion was significantly detected for TI=800-1800 ms in SCD patients. BAT in SCD was more closely related to hematocrit (rho=0.43; p=0.01) than was WM perfusion (rho=-0.13; p=0.47).

Impact: We provide evidence in support of perfusion detection with ASL in SCD patients, which is attributable to higher perfusion and reduced BAT.

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