Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques

Impaired cerebrovascular reactivity (CVR), a predictive factor of imminent stroke, has been shown to be associated with carotid steno-occlusive disease. Magnetic resonance imaging (MRI) techniques, such as blood oxygenation level-dependent (BOLD) and arterial spin labeling (ASL), have emerged as p...

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Principais autores: Leoni, Renata F., Mazzetto-Betti, Kelley C., Silva, Afonso C., Santos, Antonio C. dos, Araújo, Dráulio Barros de, Leite, João P., Pontes-Neto, Octavio M.
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Endereço do item:https://repositorio.ufrn.br/jspui/handle/123456789/23173
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spelling ri-123456789-231732021-07-08T18:39:57Z Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques Leoni, Renata F. Mazzetto-Betti, Kelley C. Silva, Afonso C. Santos, Antonio C. dos Araújo, Dráulio Barros de Leite, João P. Pontes-Neto, Octavio M. Carotid Steno-Occlusive Cerebrovascular Reactivity MRI BOLD ASL Impaired cerebrovascular reactivity (CVR), a predictive factor of imminent stroke, has been shown to be associated with carotid steno-occlusive disease. Magnetic resonance imaging (MRI) techniques, such as blood oxygenation level-dependent (BOLD) and arterial spin labeling (ASL), have emerged as promising noninvasive tools to evaluate altered CVR with whole-brain coverage, when combined with a vasoactive stimulus, such as respiratory task or injection of acetazolamide. Under normal cerebrovascular conditions, CVR has been shown to be globally and homogenously distributed between hemispheres, but with differences among cerebral regions. Such differences can be explained by anatomical specificities and different biochemical mechanisms responsible for vascular regulation. In patients with carotid steno-occlusive disease, studies have shown that MRI techniques can detect impaired CVR in brain tissue supplied by the affected artery. Moreover, resulting CVR estimations have been well correlated to those obtained with more established techniques, indicating that BOLD and ASL are robust and reliable methods to assess CVR in patients with cerebrovascular diseases. Therefore, the present paper aims to review recent studies which use BOLD and ASL to evaluate CVR, in healthy individuals and in patients with carotid steno-occlusive disease, providing a source of information regarding the obtained results and the methodological difficulties. 2017-05-29T14:11:12Z 2017-05-29T14:11:12Z 2012-04-17 article 2090-1941 https://repositorio.ufrn.br/jspui/handle/123456789/23173 eng Acesso Aberto application/pdf
institution Repositório Institucional
collection RI - UFRN
language eng
topic Carotid Steno-Occlusive
Cerebrovascular Reactivity
MRI BOLD
ASL
spellingShingle Carotid Steno-Occlusive
Cerebrovascular Reactivity
MRI BOLD
ASL
Leoni, Renata F.
Mazzetto-Betti, Kelley C.
Silva, Afonso C.
Santos, Antonio C. dos
Araújo, Dráulio Barros de
Leite, João P.
Pontes-Neto, Octavio M.
Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques
description Impaired cerebrovascular reactivity (CVR), a predictive factor of imminent stroke, has been shown to be associated with carotid steno-occlusive disease. Magnetic resonance imaging (MRI) techniques, such as blood oxygenation level-dependent (BOLD) and arterial spin labeling (ASL), have emerged as promising noninvasive tools to evaluate altered CVR with whole-brain coverage, when combined with a vasoactive stimulus, such as respiratory task or injection of acetazolamide. Under normal cerebrovascular conditions, CVR has been shown to be globally and homogenously distributed between hemispheres, but with differences among cerebral regions. Such differences can be explained by anatomical specificities and different biochemical mechanisms responsible for vascular regulation. In patients with carotid steno-occlusive disease, studies have shown that MRI techniques can detect impaired CVR in brain tissue supplied by the affected artery. Moreover, resulting CVR estimations have been well correlated to those obtained with more established techniques, indicating that BOLD and ASL are robust and reliable methods to assess CVR in patients with cerebrovascular diseases. Therefore, the present paper aims to review recent studies which use BOLD and ASL to evaluate CVR, in healthy individuals and in patients with carotid steno-occlusive disease, providing a source of information regarding the obtained results and the methodological difficulties.
format article
author Leoni, Renata F.
Mazzetto-Betti, Kelley C.
Silva, Afonso C.
Santos, Antonio C. dos
Araújo, Dráulio Barros de
Leite, João P.
Pontes-Neto, Octavio M.
author_facet Leoni, Renata F.
Mazzetto-Betti, Kelley C.
Silva, Afonso C.
Santos, Antonio C. dos
Araújo, Dráulio Barros de
Leite, João P.
Pontes-Neto, Octavio M.
author_sort Leoni, Renata F.
title Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques
title_short Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques
title_full Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques
title_fullStr Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques
title_full_unstemmed Assessing Cerebrovascular Reactivity in Carotid Steno-Occlusive Disease UsingMRI BOLD and ASL Techniques
title_sort assessing cerebrovascular reactivity in carotid steno-occlusive disease usingmri bold and asl techniques
publishDate 2017
url https://repositorio.ufrn.br/jspui/handle/123456789/23173
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