Quantification of blood–brain barrier water exchange and permeability with multidelay diffusion-weighted pseudo-continuous arterial spin labeling
Corresponding Author
Xingfeng Shao
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Correspondence
Xingfeng Shao, Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Email: [email protected]
Search for more papers by this authorChenyang Zhao
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorQinyang Shou
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorKeith S. St Lawrence
Lawson Health Research Institute, London, Ontario, Canada
Department of Medical Biophysics, Western University, London, Ontario, Canada
Search for more papers by this authorDanny J. J. Wang
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorCorresponding Author
Xingfeng Shao
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Correspondence
Xingfeng Shao, Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Email: [email protected]
Search for more papers by this authorChenyang Zhao
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorQinyang Shou
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorKeith S. St Lawrence
Lawson Health Research Institute, London, Ontario, Canada
Department of Medical Biophysics, Western University, London, Ontario, Canada
Search for more papers by this authorDanny J. J. Wang
Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorClick here for author-reader discussions
Funding information: National Institute of Health (NIH), Grant/Award Numbers: R01-EB028297, R01-NS114382, UF1-NS100614
Abstract
Purpose
To present a pulse sequence and mathematical models for quantification of blood–brain barrier water exchange and permeability.
Methods
Motion-compensated diffusion-weighted (MCDW) gradient-and-spin echo (GRASE) pseudo-continuous arterial spin labeling (pCASL) sequence was proposed to acquire intravascular/extravascular perfusion signals from five postlabeling delays (PLDs, 1590–2790 ms). Experiments were performed on 11 healthy subjects at 3 T. A comprehensive set of perfusion and permeability parameters including cerebral blood flow (CBF), capillary transit time (τc), and water exchange rate (kw) were quantified, and permeability surface area product (PSw), total extraction fraction (Ew), and capillary volume (Vc) were derived simultaneously by a three-compartment single-pass approximation (SPA) model on group-averaged data. With information (i.e., Vc and τc) obtained from three-compartment SPA modeling, a simplified linear regression of logarithm (LRL) approach was proposed for individual kw quantification, and Ew and PSw can be estimated from long PLD (2490/2790 ms) signals. MCDW-pCASL was compared with a previously developed diffusion-prepared (DP) pCASL sequence, which calculates kw by a two-compartment SPA model from PLD = 1800 ms signals, to evaluate the improvements.
Results
Using three-compartment SPA modeling, group-averaged CBF = 51.5/36.8 ml/100 g/min, kw = 126.3/106.7 min−1, PSw = 151.6/93.8 ml/100 g/min, Ew = 94.7/92.2%, τc = 1409.2/1431.8 ms, and Vc = 1.2/0.9 ml/100 g in gray/white matter, respectively. Temporal SNR of MCDW-pCASL perfusion signals increased 3-fold, and individual kw maps calculated by the LRL method achieved higher spatial resolution (3.5 mm3 isotropic) as compared with DP pCASL (3.5 × 3.5 × 8 mm3).
Conclusion
MCDW-pCASL allows visualization of intravascular/extravascular ASL signals across multiple PLDs. The three-compartment SPA model provides a comprehensive measurement of blood–brain barrier water dynamics from group-averaged data, and a simplified LRL method was proposed for individual kw quantification.
Supporting Information
Filename | Description |
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mrm29581-sup-0001-Supinfo.docxWord 2007 document , 6.3 MB | Figure S1. Reconstruction results from one representative subject (Female, 25 years old). 36 and 12 slices were acquired by the proposed MCDW-pCASL and DP-pCASL, respectively. A and B show CBF and kw maps obtained from the MCDW-pCASL LRL (top) and DP-pCASL (bottom) techniques. C and D show Ew and PSw maps obtained from the proposed technique. E shows the ATT map obtained from DP-pCASL. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- 1Sweeney MD, Zhao Z, Montagne A, Nelson AR, Zlokovic BV. Blood-brain barrier: from physiology to disease and back. Physiol Rev. 2019; 99: 21-78.
- 2Farrall AJ, Wardlaw JM. Blood-brain barrier: ageing and microvascular disease--systematic review and meta-analysis. Neurobiol Aging. 2009; 30: 337-352.
- 3Ingrisch M, Sourbron S, Morhard D, et al. Quantification of perfusion and permeability in multiple sclerosis: dynamic contrast-enhanced MRI in 3D at 3T. Invest Radiol. 2012; 47: 252-258.
- 4Heye AK, Culling RD, Valdes Hernandez Mdel C, Thrippleton MJ, Wardlaw JM. Assessment of blood-brain barrier disruption using dynamic contrast-enhanced MRI. A systematic review. Neuroimage Clin. 2014; 6: 262-274.
- 5Montagne A, Toga AW, Zlokovic BV. Blood-brain barrier permeability and gadolinium: benefits and potential pitfalls in research. JAMA Neurol. 2016; 73: 13-14.
- 6Bridges LR, Andoh J, Lawrence AJ, et al. Blood-brain barrier dysfunction and cerebral small vessel disease (arteriolosclerosis) in brains of older people. J Neuropathol Exp Neurol. 2014; 73: 1026-1033.
- 7Zhang CE, Wong SM, van de Haar HJ, et al. Blood-brain barrier leakage is more widespread in patients with cerebral small vessel disease. Neurology. 2017; 88: 426-432.
- 8Nation DA, Sweeney MD, Montagne A, et al. Blood–brain barrier breakdown is an early biomarker of human cognitive dysfunction. Nat Med. 2019; 25: 270-276.
- 9Montagne A, Zhao Z, Zlokovic BV. Alzheimer's disease: a matter of blood–brain barrier dysfunction? J Exp Med. 2017; 214: 3151-3169.
- 10Gulani V, Calamante F, Shellock FG, Kanal E, Reeder SB;ISMRM. Gadolinium deposition in the brain: summary of evidence and recommendations. Lancet Neurol. 2017; 16: 564-570.
- 11Montagne A, Huuskonen MT, Rajagopal G, et al. Undetectable gadolinium brain retention in individuals with an age-dependent blood-brain barrier breakdown in the hippocampus and mild cognitive impairment. Alzheimers Dement. 2019; 15: 1568-1575.
- 12Perazella MA. Current status of gadolinium toxicity in patients with kidney disease. Clin J Am Soc Nephrol. 2009; 4: 461-469.
- 13Nitta T, Hata M, Gotoh S, et al. Size-selective loosening of the blood-brain barrier in claudin-5–deficient mice. J Cell Biol. 2003; 161: 653-660.
- 14Papadopoulos MC, Verkman AS. Aquaporin water channels in the nervous system. Nat Rev Neurosci. 2013; 14: 265-277.
- 15Ohene Y, Harrison IF, Nahavandi P, et al. Non-invasive MRI of brain clearance pathways using multiple echo time arterial spin labelling: an aquaporin-4 study. Neuroimage. 2019; 188: 515-523.
- 16Dickie BR, Parker GJ, Parkes LM. Measuring water exchange across the blood-brain barrier using MRI. Prog Nucl Magn Reson Spectrosc. 2020; 116: 19-39.
- 17Shao X, Ma SJ, Casey M, D'Orazio L, Ringman JM, Wang DJJ. Mapping water exchange across the blood-brain barrier using 3D diffusion-prepared arterial spin labeled perfusion MRI. Magn Reson Med. 2019; 81: 3065-3079.
- 18Rooney WD, Li X, Sammi MK, Bourdette DN, Neuwelt EA, Springer CS Jr. Mapping human brain capillary water lifetime: high-resolution metabolic neuroimaging. NMR Biomed. 2015; 28: 607-623.
- 19Wengler K, Ha J, Syritsyna O, et al. Abnormal blood-brain barrier water exchange in chronic multiple sclerosis lesions: a preliminary study. Magn Reson Imaging. 2020; 70: 126-133.
- 20Palomares JA, Tummala S, Wang DJ, et al. Water exchange across the blood-brain barrier in obstructive sleep apnea: an MRI diffusion-weighted pseudo-continuous arterial spin labeling study. J Neuroimaging. 2015; 25: 900-905.
- 21Tiwari YV, Lu J, Shen Q, Cerqueira B, Duong TQ. Magnetic resonance imaging of blood–brain barrier permeability in ischemic stroke using diffusion-weighted arterial spin labeling in rats. J Cereb Blood Flow Metab. 2017; 37: 2706-2715.
- 22Dickie BR, Vandesquille M, Ulloa J, Boutin H, Parkes LM, Parker GJ. Water-exchange MRI detects subtle blood-brain barrier breakdown in Alzheimer's disease rats. Neuroimage. 2019; 184: 349-358.
- 23Shao X, Jann K, Ma SJ, et al. Comparison between blood-brain barrier water exchange rate and permeability to gadolinium-based contrast agent in an elderly cohort. Front Neurosci. 2020; 14: 1236.
- 24Kl L, Zhu X, Hylton N, Jahng GH, Weiner MW, Schuff N. Four-phase single-capillary stepwise model for kinetics in arterial spin labeling MRI. Magn Reson Med. 2005; 53: 511-518.
- 25Anderson VC, Tagge IJ, Li X, et al. Observation of reduced homeostatic metabolic activity and/or coupling in white matter aging. J Neuroimaging. 2020; 30: 658-665.
- 26Ford JN, Zhang Q, Sweeney EM, et al. Quantitative water permeability mapping of blood-brain-barrier dysfunction in aging. Front Aging. Neurosci. 2022; 14: 14.
- 27Benveniste H, Liu X, Koundal S, Sanggaard S, Lee H, Wardlaw J. The glymphatic system and waste clearance with brain aging: a review. Gerontology. 2019; 65: 106-119.
- 28Uchida Y, Kan H, Sakurai K, et al. APOE ɛ4 dose associates with increased brain iron and β-amyloid via blood–brain barrier dysfunction. J Neurol Neurosurg Psychiatry. 2022; 93: 772-778.
- 29Gold BT, Shao X, Sudduth TL, et al. Water exchange rate across the blood-brain barrier is associated with CSF amyloid-β 42 in healthy older adults. Alzheimers Dement. 2021; 17: 2020-2029.
- 30Silva I, Silva J, Ferreira R, Trigo D. Glymphatic system, AQP4, and their implications in Alzheimer's disease. Neurol Res Pract. 2021; 3: 1-9.
- 31Yang J, Lunde LK, Nuntagij P, et al. Loss of astrocyte polarization in the tg-ArcSwe mouse model of Alzheimer's disease. J Alzheimers Dis. 2011; 27: 711-722.
- 32Escartin C, Galea E, Lakatos A, et al. Reactive astrocyte nomenclature, definitions, and future directions. Nat Neurosci. 2021; 24: 312-325.
- 33Wang J, Fernández-Seara MA, Wang S, Lawrence KSS. When perfusion meets diffusion: in vivo measurement of water permeability in human brain. J Cereb Blood Flow Metab. 2007; 27: 839-849.
- 34St Lawrence KS, Owen D, Wang DJ. A two-stage approach for measuring vascular water exchange and arterial transit time by diffusion-weighted perfusion MRI. Magn Reson Med. 2012; 67: 1275-1284.
- 35St. Lawrence K, Frank J, McLaughlin A. Effect of restricted water exchange on cerebral blood flow values calculated with arterial spin tagging: a theoretical investigation. Magn Reson Med. 2000; 44: 440-449.
- 36Alsop DC. Phase insensitive preparation of single-shot RARE: application to diffusion imaging in humans. Magn Reson Med. 1997; 38: 527-533.
- 37Shao X, Wang DJ. High resolution BBB water exchange rate mapping with multi-delay diffusion prepared pseudo-continuous arterial spin labeling. In Proceedings of the 31st Annual Meeting of ISMRM [Virtual], 2021. P. 1085.
- 38Parkes LM. Quantification of cerebral perfusion using arterial spin labeling: two-compartment models. J Magn Reson Imaging. 2005; 22: 732-736.
- 39Renkin EM. Transport of potassium-42 from blood to tissue in isolated mammalian skeletal muscles. Am J Physiol. 1959; 197: 1205-1210.
- 40Crone C. The permeability of capillaries in various organs as determined by use of the ‘indicator diffusion’ method. Acta Physiol Scand. 1963; 58: 292-305.
- 41Lu H, Clingman C, Golay X, Van Zijl PC. Determining the longitudinal relaxation time (T1) of blood at 3.0 Tesla. Magn Reson Med. 2004; 52: 679-682.
- 42Wright P, Mougin O, Totman J, et al. Water proton T1 measurements in brain tissue at 7, 3, and 1.5 T using IR-EPI, IR-TSE, and MPRAGE: results and optimization. MAGMA. 2008; 21: 121-130.
- 43Jespersen SN, Østergaard L. The roles of cerebral blood flow, capillary transit time heterogeneity, and oxygen tension in brain oxygenation and metabolism. J Cereb Blood Flow Metab. 2012; 32: 264-277.
- 44Liu P, Uh J, Lu H. Determination of spin compartment in arterial spin labeling MRI. Magn Reson Med. 2011; 65: 120-127.
- 45Parkes LM, Tofts PS. Improved accuracy of human cerebral blood perfusion measurements using arterial spin labeling: accounting for capillary water permeability. Magn Reson Med. 2002; 48: 27-41.
- 46 Alsop DC, Detre JA, Golay X, et al. Recommended implementation of arterial spin-labeled perfusion MRI for clinical applications: a consensus of the ISMRM perfusion study group and the European consortium for ASL in dementia. Magn Reson Med. 2015; 73: 102-116.
- 47De Graaf RA, Nicolay K. Adiabatic rf pulses: applications to in vivo NMR. Concepts Magn Reson. 1997; 9: 247-268.
- 48Staewen RS, Johnson AJ, Ross BD, Parrish T, Merkle H, Garwood M. 3-D FLASH imaging using a single surface coil and a new adiabatic pulse, BIR-4. Invest Radiol. 1990; 25: 559-567.
- 49Spann SM, Shao X, Wang DJ, et al. Robust single-shot acquisition of high resolution whole brain ASL images by combining time-dependent 2D CAPIRINHA sampling with spatio-temporal TGV reconstruction. Neuroimage. 2020; 206:116337.
- 50Shao X, Wang Y, Moeller S, Wang DJJ. A constrained slice-dependent background suppression scheme for simultaneous multislice pseudo-continuous arterial spin labeling. Magn Reson Med. 2018; 79: 394-400.
- 51Wang JJ, Alsop DC, Song HK, et al. Arterial transit time imaging with flow encoding arterial spin tagging (FEAST). Magn Reson Med. 2003; 50: 599-607.
- 52Kety SS. The theory and application of the exchange of inert gas at the lungs and tissues. Pharmacol Rev. 1951; 3: 1-41.
- 53Petr J, Mutsaerts HJ, De Vita E, et al. Effects of systematic partial volume errors on the estimation of gray matter cerebral blood flow with arterial spin labeling MRI. MAGMA. 2018; 31: 725-734.
- 54Shao X, Tisdall MD, Wang DJ, van der Kouwe AJW. Prospective Motion Correction for 3D GRASE pCASL with Volumetric Navigators. NIH Public Access; 2017: 680.
- 55Shao X, Wang D. Single shot high resolution 3D arterial spin labeling using 2D CAIPI and ESPIRiT reconstruction. In Proceedings of the 26th Annual Meeting of ISMRM, 2017. p. 3629.
- 56Plog BA, Nedergaard M. The glymphatic system in central nervous system health and disease: past, present, and future. Annu Rev Pathol. 2018; 13: 379-394.
- 57Nedergaard M, Goldman SA. Glymphatic failure as a final common pathway to dementia. Science. 2020; 370: 50-56.
- 58Warth A, Kröger S, Wolburg H. Redistribution of aquaporin-4 in human glioblastoma correlates with loss of agrin immunoreactivity from brain capillary basal laminae. Acta Neuropathol. 2004; 107: 311-318.
- 59Asgari M, de Zélicourt D, Kurtcuoglu V. How astrocyte networks may contribute to cerebral metabolite clearance. Sci Rep. 2015; 5: 1-13.
- 60Haj-Yasein NN, Vindedal GF, Eilert-Olsen M, et al. Glial-conditional deletion of aquaporin-4 (Aqp4) reduces blood–brain water uptake and confers barrier function on perivascular astrocyte endfeet. Proc Natl Acad Sci. 2011; 108: 17815-17820.
- 61Herscovitch P, Raichle ME, Kilbourn MR, Welch MJ. Positron Emission Tomographic Measurement of Cerebral Blood Flow and Permeability—Surface Area Product of Water Using [15O] Water and [11C] Butanol. SAGE Publications; 1987.
10.1038/jcbfm.1987.102 Google Scholar
- 62Lin Z, Li Y, Su P, et al. Non-contrast MR imaging of blood-brain barrier permeability to water. Magn Reson Med. 2018; 80: 1507-1520.
- 63Wengler K, Bangiyev L, Canli T, Duong TQ, Schweitzer ME, He X. 3D MRI of whole-brain water permeability with intrinsic diffusivity encoding of arterial labeled spin (IDEALS). Neuroimage. 2019; 189: 401-414.
- 64Schlageter KE, Molnar P, Lapin GD, Groothuis DR. Microvessel organization and structure in experimental brain tumors: microvessel populations with distinctive structural and functional properties. Microvasc Res. 1999; 58: 312-328.
- 65Ohene Y, Harrison IF, Evans PG, Thomas DL, Lythgoe MF, Wells JA. Increased blood–brain barrier permeability to water in the aging brain detected using noninvasive multi-TE ASL MRI. Magn Reson Med. 2021; 85: 326-333.
- 66Gregori J, Schuff N, Kern R, Günther M. T2-based arterial spin labeling measurements of blood to tissue water transfer in human brain. J Magn Reson Imaging. 2013; 37: 332-342.
- 67Mahroo A, Buck MA, Huber J, et al. Robust multi-TE ASL-based blood–brain barrier integrity measurements. Front Neurosci. 2021; 15: 15.
- 68Zhang X, Ingo C, Teeuwisse WM, Chen Z, van Osch MJ. Comparison of perfusion signal acquired by arterial spin labeling–prepared intravoxel incoherent motion (IVIM) MRI and conventional IVIM MRI to unravel the origin of the IVIM signal. Magn Reson Med. 2018; 79: 723-729.
- 69Wang DJ, Alger JR, Qiao JX, et al. The value of arterial spin-labeled perfusion imaging in acute ischemic stroke: comparison with dynamic susceptibility contrast-enhanced MRI. Stroke. 2012; 43: 1018-1024.
- 70Qin Q, Alsop DC, Bolar DS, et al. Velocity-selective arterial spin labeling perfusion MRI: a review of the state of the art and recommendations for clinical implementation. Magn Reson Med. 2022; 88: 1528-1547.