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Abstract #4862

Non-Invasive Perfusion MR Imaging of the Human Brain via Breath-Holding

Jacob Benjamin Schulman1, Sriranga Kashyap2, Seong-Gi Kim3, and Kamil Uludag1
1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Krembil Brain Institute, University Health Network, Toronto, ON, Canada, 3Center for Neuroscience Imaging Research, Suwon, Korea, Republic of

Synopsis

Keywords: Perfusion, Perfusion

Motivation: DSC is the leading methodology for MR-based perfusion imaging. However, the technique's reliance on invasive gadolinium injections poses a major limitation.

Goal(s): Can breath-holding induce perfusion contrast that is exploitable using DSC MRI?

Approach: Ten healthy subjects underwent MRI at both 3T and 7T, while performing eight 16 s breath-holds. Breath-hold-induced signal changes were fed into a DSC MRI analysis pipeline, and perfusion was quantified.

Results: Calculated cerebral perfusion values were within the physiological range of literature values; the breath-hold task yielded significantly higher contrast-to-noise and GM-to-WM contrast with higher field strength and increased scan time, although this plateaued at roughly 6 min.

Impact: For the first time, we show that DSC-MRI using breath-holding allows for the quantification of perfusion parameters. This may have broad implications for neurovascular disease, either circumventing the need for invasive gadolinium injections or shedding additional light into pathology.

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Keywords