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Abstract #2485

Toward Reliable Quantification of Global Cerebrovascular Reactivity to Hypoxic Hypoxia

Hannah R Johnson1,2, Max C Wang1,2, Rachael C Stickland2, Yufen Chen3, and Molly G Bright1,2
1Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, United States, 2Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 3Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States

Synopsis

Keywords: Blood Vessels, Velocity & Flow, Neuro, Hypoxia, Oxygenation, Cerebrovascular Reactivity

Motivation: The cerebrovascular response to mild hypoxia has not been well-characterized, but hypoxic cerebrovascular reactivity (CVR) may be an important metric that could complement hypercapnic CVR in clinical applications, giving distinct information about cerebrovascular health.

Goal(s): We aimed to increase reliability of hypoxic CVR and modulate the effects of concurrent CO2 changes.

Approach: Using phase-contrast MRI, we measured cerebral blood flow during baseline, hypoxic, and hypercapnic respiratory states, induced with a computer-controlled gas blender. We used hypercapnic CVR to implement a simple correction for changes in PETCO2 that occurred during hypoxia.

Results: While substantial inter-subject variability remained, PETCO2 correction reduced variability and improved reliability.

Impact: Minimizing and correcting for concurrent changes in PETCO2 during a mild inhaled hypoxic stimulus improves the reliability of hypoxic cerebrovascular reactivity, but normal inter-subject variability and the utility of hypoxic cerebrovascular reactivity in clinical populations have yet to be determined.

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