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Establishing the distribution of cerebrovascular resistance using computational fluid dynamics and 4D flow MRI
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention. Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics. Umeå University, Faculty of Science and Technology, Centre for Biomedical Engineering and Physics (CMTF).
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics. Umeå University, Faculty of Science and Technology, Department of Applied Physics and Electronics. Umeå University, Faculty of Science and Technology, Centre for Biomedical Engineering and Physics (CMTF).ORCID iD: 0000-0002-1141-5143
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention. Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Neurosciences. Umeå University, Faculty of Science and Technology, Centre for Biomedical Engineering and Physics (CMTF).ORCID iD: 0000-0002-1315-7010
Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI). Umeå University, Faculty of Science and Technology, Centre for Biomedical Engineering and Physics (CMTF). Umeå University, Faculty of Science and Technology, Department of Applied Physics and Electronics. Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics.ORCID iD: 0000-0001-6784-1945
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2024 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 14, no 1, article id 14585Article in journal (Refereed) Published
Abstract [en]

Cerebrovascular resistance (CVR) regulates blood flow in the brain, but little is known about the vascular resistances of the individual cerebral territories. We present a method to calculate these resistances and investigate how CVR varies in the hemodynamically disturbed brain. We included 48 patients with stroke/TIA (29 with symptomatic carotid stenosis). By combining flow rate (4D flow MRI) and structural computed tomography angiography (CTA) data with computational fluid dynamics (CFD) we computed the perfusion pressures out from the circle of Willis, with which CVR of the MCA, ACA, and PCA territories was estimated. 56 controls were included for comparison of total CVR (tCVR). CVR were 33.8 ± 10.5, 59.0 ± 30.6, and 77.8 ± 21.3 mmHg s/ml for the MCA, ACA, and PCA territories. We found no differences in tCVR between patients, 9.3 ± 1.9 mmHg s/ml, and controls, 9.3 ± 2.0 mmHg s/ml (p = 0.88), nor in territorial CVR in the carotid stenosis patients between ipsilateral and contralateral hemispheres. Territorial resistance associated inversely to territorial brain volume (p < 0.001). These resistances may work as reference values when modelling blood flow in the circle of Willis, and the method can be used when there is need for subject-specific analysis.

Place, publisher, year, edition, pages
Springer Nature, 2024. Vol. 14, no 1, article id 14585
National Category
Neurosciences Physiology and Anatomy Medical Imaging Computational Mathematics
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URN: urn:nbn:se:umu:diva-227152DOI: 10.1038/s41598-024-65431-4ISI: 001255006800068Scopus ID: 2-s2.0-85196758949OAI: oai:DiVA.org:umu-227152DiVA, id: diva2:1877139
Funder
Swedish Research Council, 2015-05616Swedish Research Council, 2017-04949Region VästerbottenSwedish Heart Lung FoundationSwedish Foundation for Strategic ResearchAvailable from: 2024-06-25 Created: 2024-06-25 Last updated: 2025-04-24Bibliographically approved

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Vikström, AxelHolmlund, PetterHolmgren, MadeleneWåhlin, AndersZarrinkoob, LalehMalm, JanEklund, Anders

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Vikström, AxelHolmlund, PetterHolmgren, MadeleneWåhlin, AndersZarrinkoob, LalehMalm, JanEklund, Anders
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Department of Diagnostics and InterventionRadiation PhysicsCentre for Biomedical Engineering and Physics (CMTF)Department of Applied Physics and ElectronicsNeurosciencesUmeå Centre for Functional Brain Imaging (UFBI)Department of Surgical and Perioperative Sciences
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Scientific Reports
NeurosciencesPhysiology and AnatomyMedical ImagingComputational Mathematics

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