Assessment of human brain motion using CSPAMM

PURPOSE: To quantify periodic displacement in the cranium using complementary spatial modulation of magnetization (CSPAMM) with harmonic phase (HARP) postprocessing. MATERIALS AND METHODS: CSPAMM tagging sequence with separate tag-line preparation in two orthogonal directions was applied on 10 healthy volunteers in combination with HARP for tissue displacement mapping. RESULTS: Important features of brain dynamics, such as caudal displacement amplitude and the time-to-peak of the pulse wave were derived for six regions in the brain. Peak displacement values amounted to 0.18+/-0.02 mm, 0.10+/-0.01 mm, 0.09+/-0.02 mm, and 0.04+/-0.01 mm for regions in the pons, cerebellum, corpus callosum (splenium), and frontal lobe, respectively. Displacement values of the pons differed significantly from all other regions measured. With the additional information of the time-to-peak measure all six regions except the corpus callosum (splenium) and cerebellum can be distinguished. The values found suggest that the pulse wave travels from the brain stem first occipitally and then to the frontal lobe, where peak values appear later and are significantly attenuated. CONCLUSION: Direct quantification of periodic caudal brain tissue displacement is feasible with the proposed method, and several brain regions can be distinguished through peak displacement and time-to-peak values

Three-dimensional computational modeling of subject-specific cerebrospinal fluid flow in the subarachnoid space

This study aims at investigating three-dimensional subject-specific cerebrospinal fluid (CSF) dynamics in the inferior cranial space, the superior spinal subarachnoid space (SAS), and the fourth cerebral ventricle using a combination of a finite-volume computational fluid dynamics (CFD) approach and magnetic resonance imaging (MRI) experiments. An anatomically accurate 3D model of the entire SAS of a healthy volunteer was reconstructed from high resolution T2 weighted MRI data. Subject-specific pulsatile velocity boundary conditions were imposed at planes in the pontine cistern, cerebellomedullary cistern, and in the spinal subarachnoid space. Velocimetric MRI was used to measure the velocity field at these boundaries. A constant pressure boundary condition was imposed at the interface between the aqueduct of Sylvius and the fourth ventricle. The morphology of the SAS with its complex trabecula structures was taken into account through a novel porous media model with anisotropic permeability. The governing equations were solved using finite-volume CFD. We observed a total pressure variation from -42 Pa to 40 Pa within one cardiac cycle in the investigated domain. Maximum CSF velocities of about 15 cm/s occurred in the inferior section of the aqueduct, 14 cm/s in the left foramen of Luschka, and 9 cm/s in the foramen of Magendie. Flow velocities in the right foramen of Luschka were found to be significantly lower than in the left, indicating three-dimensional brain asymmetries. The flow in the cerebellomedullary cistern was found to be relatively diffusive with a peak Reynolds number (Re) = 72, while the flow in the pontine cistern was primarily convective with a peak Re =386. The net volumetric flow rate in the spinal canal was found to be negligible despite CSF oscillation with substantial amplitude with a maximum volumetric flow rate of 109 ml/min. The observed transient flow patterns indicate a compliant behavior of the cranial subarachnoid space. Still, the estimated deformations were small owing to the large parenchymal surface. We have integrated anatomic and velocimetric MRI data with computational fluid dynamics incorporating the porous SAS morphology for the subject-specific reconstruction of cerebrospinal fluid flow in the subarachnoid space. This model can be used as a basis for the development of computational tools, e.g., for the optimization of intrathecal drug delivery and computer-aided evaluation of cerebral pathologies such as syrinx development in syringomelia

Heart beats brain: the problem of detecting alpha waves by neuronal current imaging in joint EEG-MRI experiments

It has been suggested recently that the influence of the neuro-magnetic field should make electrical brain activity directly detectable by MRI. To test this hypothesis, we performed combined EEG-MRI experiments which aim to localize the neuronal current sources of alpha waves (8-12 Hz), one of the most prominent EEG phenomena in humans. A detailed analysis of cross-spectral coherence between simultaneously recorded EEG and MRI time series revealed no sign of alpha waves. Instead the EEG-MRI approach was found to be hampered by artefacts due to cardiac pulsation, which extend into the frequency band of alpha waves. Separate brain displacement mapping experiments confirmed that not only the EEG but also the MRI signal is confounded by harmonics of the cardiac frequency even at 10 Hz and beyond. This well-known ballistocardiogram artefact cannot be avoided or eliminated entirely by available signal processing techniques. Therefore we must conclude that current EEG-MRI methodology based on correlation analysis lacks not only the sensitivity but also the specificity required for the reliable detection of alpha waves

Quantitative Magnetization Transfer Imaging in Postmortem Brain at 3T Using BSSFP

A crucial issue in determining quantitative magnetization transfer (qMT) parameters using balanced steady state free precession (bSSFP) is the estimation of the on-resonant singularity of the superlorentzian absorption line shape G0. We present an empirical G0 calibration method for postmortem in-situ brain scans at 3T using cross-linked BSA (bovine serum albumin) probes. For the investigated temperature range from 6-20°C G0 resulted in 2.0*10-5. First qMT results of three postmortem in-situ brain scans revealed decreased bound pool size ratios f in white matter compared to in-vivo scans

The role of the carotid sinus in the reduction of arterial wall stresses due to head movements--potential implications for cervical artery dissection

Spontaneous dissection of the cervical internal carotid artery (sICAD) is a major cause of stroke in young adults. A tear in the inner part of the vessel wall triggers sICAD as it allows the blood to enter the wall and develop a transmural hematoma. The etiology of the tear is unknown but many patients with sICAD report an initiating trivial trauma. We thus hypothesised that the site of the tear might correspond with the location of maximal stress in the carotid wall. Carotid artery geometries segmented from magnetic resonance images of a healthy subject at different static head positions were used to define a path of motion and deformation of the right cervical internal carotid artery (ICA). Maximum head rotation to the left and rotation to the left combined with hyperextension of the neck were investigated using a structural finite element model. A role of the carotid sinus as a geometrically compliant feature accommodating extension of the artery is shown. At the extreme range of the movements, the geometrical compliance of the carotid sinus is limited and significant stress concentrations appear just distal to the sinus with peak stresses at the internal wall on the posterior side of the vessel following maximum head rotation and on the anteromedial portion of the vessel wall following rotation and hyperextension. Clinically, the location of sICAD initiation is 10-30 mm distal to the origin of the cervical ICA, which corresponds with the peak stress locations observed in the model, thus supporting trivial trauma from natural head movements as a possible initiating factor in sICAD

Cerebrospinal fluid dynamics in the human cranial subarachnoid space: an overlooked mediator of cerebral disease. I. Computational model

Abnormal cerebrospinal fluid (CSF) flow is suspected to be a contributor to the pathogenesis of neurodegenerative diseases such as Alzheimer's through the accumulation of toxic metabolites, and to the malfunction of intracranial pressure regulation, possibly through disruption of neuroendocrine communication. For the understanding of transport processes involved in either, knowledge of in vivo CSF dynamics is important. We present a three-dimensional, transient, subject-specific computational analysis of CSF flow in the human cranial subarachnoid space (SAS) based on in vivo magnetic resonance imaging. We observed large variations in the spatial distribution of flow velocities with a temporal peak of 5 cm s−1 in the anterior SAS and less than 4 mm s−1 in the superior part. This could reflect dissimilar flushing requirements of brain areas that may show differences in susceptibility to pathological CSF flow. Our methods can be used to compare the transport of metabolites and neuroendocrine substances in healthy and diseased brains