Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent

Introduction: Use of contrast in determining hemodynamic measures requires the deconvolution of an arterial input function (AIF) selected over a voxel in the middle cerebral artery to calculate voxel wise perfusion metrics. Transfer function analysis (TFA) offers an alternative analytic approach tha...

Full description

Bibliographic Details
Main Authors: Ece Su Sayin, Olivia Sobczyk, Julien Poublanc, David J. Mikulis, Joseph A. Fisher, James Duffin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1167857/full
_version_ 1797828867250978816
author Ece Su Sayin
Ece Su Sayin
Olivia Sobczyk
Olivia Sobczyk
Julien Poublanc
David J. Mikulis
Joseph A. Fisher
Joseph A. Fisher
Joseph A. Fisher
James Duffin
James Duffin
author_facet Ece Su Sayin
Ece Su Sayin
Olivia Sobczyk
Olivia Sobczyk
Julien Poublanc
David J. Mikulis
Joseph A. Fisher
Joseph A. Fisher
Joseph A. Fisher
James Duffin
James Duffin
author_sort Ece Su Sayin
collection DOAJ
description Introduction: Use of contrast in determining hemodynamic measures requires the deconvolution of an arterial input function (AIF) selected over a voxel in the middle cerebral artery to calculate voxel wise perfusion metrics. Transfer function analysis (TFA) offers an alternative analytic approach that does not require identifying an AIF. We hypothesised that TFA metrics Gain, Lag, and their ratio, Gain/Lag, correspond to conventional AIF resting perfusion metrics relative cerebral blood volume (rCBV), mean transit time (MTT) and relative cerebral blood flow (rCBF), respectively.Methods: 24 healthy participants (17 M) and 1 patient with steno-occlusive disease were recruited. We used non-invasive transient hypoxia-induced deoxyhemoglobin as an MRI contrast. TFA and conventional AIF analyses were used to calculate averages of whole brain and smaller regions of interest.Results: Maps of these average metrics had colour scales adjusted to enhance contrast and identify areas of high congruence. Regional gray matter/white matter (GM/WM) ratios for MTT and Lag, rCBF and Gain/Lag, and rCBV and Gain were compared. The GM/WM ratios were greater for TFA metrics compared to those from AIF analysis indicating an improved regional discrimination.Discussion: Resting perfusion measures generated by The BOLD analysis resulting from a transient hypoxia induced variations in deoxyhemoglobin analyzed by TFA are congruent with those analyzed by conventional AIF analysis.
first_indexed 2024-04-09T13:11:16Z
format Article
id doaj.art-7301816458004c009d79cb51b09b77e4
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-04-09T13:11:16Z
publishDate 2023-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-7301816458004c009d79cb51b09b77e42023-05-12T07:22:24ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-05-011410.3389/fphys.2023.11678571167857Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agentEce Su Sayin0Ece Su Sayin1Olivia Sobczyk2Olivia Sobczyk3Julien Poublanc4David J. Mikulis5Joseph A. Fisher6Joseph A. Fisher7Joseph A. Fisher8James Duffin9James Duffin10Department of Physiology, University of Toronto, Toronto, ON, CanadaDepartments of Anaesthesia and Pain Management, University Health Network, Toronto, ON, CanadaDepartments of Anaesthesia and Pain Management, University Health Network, Toronto, ON, CanadaJoint Department of Medical Imaging and the Functional Neuroimaging Laboratory, University Health Network, Toronto, ON, CanadaJoint Department of Medical Imaging and the Functional Neuroimaging Laboratory, University Health Network, Toronto, ON, CanadaJoint Department of Medical Imaging and the Functional Neuroimaging Laboratory, University Health Network, Toronto, ON, CanadaDepartment of Physiology, University of Toronto, Toronto, ON, CanadaDepartments of Anaesthesia and Pain Management, University Health Network, Toronto, ON, CanadaToronto General Hospital Research Institute, University Health Network, University of Toronto, Toronto, ON, CanadaDepartment of Physiology, University of Toronto, Toronto, ON, CanadaDepartments of Anaesthesia and Pain Management, University Health Network, Toronto, ON, CanadaIntroduction: Use of contrast in determining hemodynamic measures requires the deconvolution of an arterial input function (AIF) selected over a voxel in the middle cerebral artery to calculate voxel wise perfusion metrics. Transfer function analysis (TFA) offers an alternative analytic approach that does not require identifying an AIF. We hypothesised that TFA metrics Gain, Lag, and their ratio, Gain/Lag, correspond to conventional AIF resting perfusion metrics relative cerebral blood volume (rCBV), mean transit time (MTT) and relative cerebral blood flow (rCBF), respectively.Methods: 24 healthy participants (17 M) and 1 patient with steno-occlusive disease were recruited. We used non-invasive transient hypoxia-induced deoxyhemoglobin as an MRI contrast. TFA and conventional AIF analyses were used to calculate averages of whole brain and smaller regions of interest.Results: Maps of these average metrics had colour scales adjusted to enhance contrast and identify areas of high congruence. Regional gray matter/white matter (GM/WM) ratios for MTT and Lag, rCBF and Gain/Lag, and rCBV and Gain were compared. The GM/WM ratios were greater for TFA metrics compared to those from AIF analysis indicating an improved regional discrimination.Discussion: Resting perfusion measures generated by The BOLD analysis resulting from a transient hypoxia induced variations in deoxyhemoglobin analyzed by TFA are congruent with those analyzed by conventional AIF analysis.https://www.frontiersin.org/articles/10.3389/fphys.2023.1167857/fulltransfer function analysistransient hypoxiaMRIBOLD = blood oxygen level dependentcontrast agentsbrain
spellingShingle Ece Su Sayin
Ece Su Sayin
Olivia Sobczyk
Olivia Sobczyk
Julien Poublanc
David J. Mikulis
Joseph A. Fisher
Joseph A. Fisher
Joseph A. Fisher
James Duffin
James Duffin
Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent
Frontiers in Physiology
transfer function analysis
transient hypoxia
MRI
BOLD = blood oxygen level dependent
contrast agents
brain
title Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent
title_full Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent
title_fullStr Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent
title_full_unstemmed Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent
title_short Transfer function analysis assesses resting cerebral perfusion metrics using hypoxia-induced deoxyhemoglobin as a contrast agent
title_sort transfer function analysis assesses resting cerebral perfusion metrics using hypoxia induced deoxyhemoglobin as a contrast agent
topic transfer function analysis
transient hypoxia
MRI
BOLD = blood oxygen level dependent
contrast agents
brain
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1167857/full
work_keys_str_mv AT ecesusayin transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT ecesusayin transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT oliviasobczyk transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT oliviasobczyk transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT julienpoublanc transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT davidjmikulis transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT josephafisher transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT josephafisher transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT josephafisher transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT jamesduffin transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent
AT jamesduffin transferfunctionanalysisassessesrestingcerebralperfusionmetricsusinghypoxiainduceddeoxyhemoglobinasacontrastagent