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Abstract #4576

3D Quantitative BOLD MRI in Patients with Unilateral Carotid Occlusion

Jeffrey B Dennison1, Michael Langham2, Favilla Christopher3, Hyunyeol Lee4, and Felix W Wehrli2
1Radiology, University of Pennsylvania, Evesham, NJ, United States, 2Radiology, University of Pennsylvania, Philadelphia, PA, United States, 3Neurology, University of Pennsylvania, Philadelphia, PA, United States, 4School of Electronics Engineering, Kyungpook National University, Daegu, Korea, Republic of

Synopsis

Keywords: Quantitative Imaging, Metabolism

Motivation: Recently developed constrained quantitative BOLD (c-qBOLD) offers the ability to quantify local cerebral metabolic rate of oxygen (CMRO2). However, it has yet to be applied in a clinical setting.

Goal(s): By imaging patients with carotid occlusions we expect to observe specific disruptions to cerebral blood flow (CBF) and oxygen extraction fraction (OEF) i.e. neurometabolism.

Approach: Patients (N=4) presenting with unilateral carotid occlusions were examined with a 3D constrained qBOLD protocol to map CBF, OEF, and cerebral blood volume, allowing for calculations of local CMRO2.

Results: Data show both global and hemispheric differences in oxygen metabolism compared to healthy subjects.

Impact: The novel c-qBOLD protocol has potential clinical utility as the degree and character of metabolic dysfunction, but can be performed quickly, offers fine spatial resolution (5.8mm3), and avoids uncomfortable calibration procedures.

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