ArticleAJNR. American journal of neuroradiology2025
Correlation between P2-PCA Volume Flow Rate and BOLD Cerebrovascular Reactivity in Patients with Symptomatic Carotid Artery Occlusion.
Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Corrections and comments
- Erratum issuedErratum.2025
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeIdentifying and assessing hemodynamic and flow status in patients with symptomatic ICA occlusion is crucial for evaluating recurrent stroke risk. The aim of this study was to analyze the correlation between 2 quantitative imaging modalities: 1) blood oxygenation level-dependent (BOLD) cerebrovascular reactivity (CVR) and 2) quantitative MR angiography (qMRA) with noninvasive optimal vessel analysis (NOVA), measuring volume flow rate (VFR). Comparing these modalities is relevant for assessing collateral circulation and hemodynamic impairment. MATERIALS AND
methodsIn this retrospective analysis of prospectively collected data, 37 symptomatic patients with unilateral ICA occlusion, who underwent both NOVA-qMRA and BOLD-CVR investigation, were included. The correlation analysis between NOVA-qMRA-derived second segment of the posterior cerebral artery (PCA-P2) VFR and BOLD-CVR (hemispheric and MCA territory CVR) was done by using a linear mixed-effects model.
resultsA moderate correlation was found between P2-VFR and BOLD-CVR values for the ipsilateral MCA territory (
conclusionsThis correlation suggests that impaired BOLD-CVR is partly linked to an increased PCA-P2 volume flow rate, potentially indicating the activation of leptomeningeal collaterals in severe hemodynamic conditions. Both imaging techniques could aid clinicians in creating personalized treatment strategies for patients with symptomatic ICA occlusion.
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