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Abstract #1058

The role of venous hemodynamics in cerebral small vessel disease

Wen Shi1,2, Dengrong Jiang2, Jie Song1,2, Yifan Gou1,2, Zhiyi Hu1,2, Kaisha Hazel2, George Pottanat2, Ebony Jones2, Julia Suconic2, Cuimei Xu2, Vivek Yedavalli2, Paul Rosenberg3, Rita Kalyani4, Abhay Moghekar5, Sevil Yasar4, Doris Lin2, Marilyn Albert5, and Hanzhang Lu1,2
1Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Radiology & Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 5Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Synopsis

Keywords: Dementia, Vascular, Small vessel disease

Motivation: Post-mortem studies suggested that vascular cognitive impairment and dementia (VCID) are more strongly related to small vein abnormalities than to arteriolosclerosis. However, few studies have investigated the relationship between venous dysfunction and VCID in vivo.

Goal(s): To study the role of venous hemodynamics in cerebral small vessel disease (CSVD).

Approach: VICTR MRI was applied to patients with CSVD-related VCID to measure venous transit time (VTT) and venous cerebral blood volume (vCBV). Associations with imaging and clinical features were studied.

Results: Patients with longer VTT and larger vCBV were associated with more extensive white matter hyperintensities and greater vascular risks, particularly hypertension and diabetes.

Impact: Venous hemodynamics such as transit time and blood volume are associated with white matter hyperintensity and vascular risks. These measures may be useful as imaging markers to characterize venous abnormalities in cerebral small vessel disease.

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Keywords