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Magnetic resonance imaging-based changes in vascular morphology and cerebral perfusion in subacute ischemic stroke

  • MRI-based vessel size imaging (VSI) allows for in-vivo assessment of cerebral microvasculature and perfusion. This exploratory analysis of vessel size (VS) and density (Q; both assessed via VSI) in the subacute phase of ischemic stroke involved sixty-two patients from the BAPTISe cohort (‘Biomarkers And Perfusion--Training-Induced changes after Stroke’) nested within a randomized controlled trial (intervention: 4-week training vs. relaxation). Relative VS, Q, cerebral blood volume (rCBV) and –flow (rCBF) were calculated for: ischemic lesion, perilesional tissue, and region corresponding to ischemic lesion on the contralateral side (mirrored lesion). Linear mixed-models detected significantly increased rVS and decreased rQ within the ischemic lesion compared to the mirrored lesion (coefficient[standard error]: 0.2[0.08] p = 0.03 and −1.0[0.3] p = 0.02, respectively); lesion rCBF and rCBV were also significantly reduced. Mixed-models did not identify time-to-MRI, nor training as modifying factors in terms of rVS or rQ up to two months post-stroke. Larger lesion VS was associated with larger lesion volumes (β 34, 95%CI 6.2–62; p = 0.02) and higher baseline NIHSS (β 3.0, 95%CI 0.49–5.3;p = 0.02), but was not predictive of six-month outcome. In summary, VSI can assess the cerebral microvasculature and tissue perfusion in the subacute phases of ischemic stroke, and may carry relevant prognostic value in terms of lesion volume and stroke severity.

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Author: Anna Kufner, Ahmed A Khalil, Ivana Galinovic, Elias Kellner, Ralf Mekle, Torsten Rackoll, Philipp Boehm-Sturm, Jochen B Fiebach, Agnes Flöel, Martin Ebinger, Matthias Endres, Alexander H Nave
Parent Title (English):Journal of Cerebral Blood Flow & Metabolism
Publisher:SAGE Publications
Place of publication:London, England
Document Type:Article
Date of first Publication:2021/10/01
Release Date:2022/06/21
Tag:Angiogenesis; ischemic stroke; microvasculature; perfusion; vessel size imaging
GND Keyword:-
First Page:2617
Last Page:2627
Faculties:Universitätsmedizin / Klinik und Poliklinik für Neurologie
Collections:Artikel aus DFG-gefördertem Publikationsfonds
Licence (German):License LogoCreative Commons - Namensnennung