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Research ArticleNeurovascular/Stroke Imaging
Open Access

The Choroid Plexus as an Alternative Locus for the Identification of the Arterial Input Function for Calculating Cerebral Perfusion Metrics Using MRI

Olivia Sobczyk, Ece Su Sayin, Julien Poublanc, James Duffin, Andrea Para, Joseph A. Fisher and David J. Mikulis
American Journal of Neuroradiology January 2024, 45 (1) 44-50; DOI: https://doi.org/10.3174/ajnr.A8099
Olivia Sobczyk
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
bDepartment of Anaesthesia and Pain Management (O.S., J.AF.), University Health Network, University of Toronto, Toronto, Ontario, Canada
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  • ORCID record for Olivia Sobczyk
Ece Su Sayin
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
cDepartment of Physiology (E.S.S., J.D., J.A.F.), University of Toronto, Toronto, Ontario, Canada
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  • ORCID record for Ece Su Sayin
Julien Poublanc
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
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James Duffin
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
cDepartment of Physiology (E.S.S., J.D., J.A.F.), University of Toronto, Toronto, Ontario, Canada
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  • ORCID record for James Duffin
Andrea Para
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
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Joseph A. Fisher
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
bDepartment of Anaesthesia and Pain Management (O.S., J.AF.), University Health Network, University of Toronto, Toronto, Ontario, Canada
cDepartment of Physiology (E.S.S., J.D., J.A.F.), University of Toronto, Toronto, Ontario, Canada
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  • ORCID record for Joseph A. Fisher
David J. Mikulis
aFrom the Joint Department of Medical Imaging and the Functional Neuroimaging Lab (O.S., E.S.S., J.P., J.D., A.P., J.A.F., D.J.M.), University Health Network, Toronto, Ontario, Canada
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  • FIG 1.
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    FIG 1.

    DSC voxel time-series in a representative healthy participant. The raw T2* signal time course in neighboring voxels adjacent to the MCA is shown in A and the CP in B. The green crosshairs in the T1 anatomical images show the corresponding locations of the center voxel in 3 planes for the MCA and CP AIF.

  • FIG 2.
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    FIG 2.

    The scaled percentage signal changes across time after an injection of GBCA in the same healthy participant shown in Fig 1. A, The location of a voxel selected adjacent to the MCA, the superior sagittal sinus, and the CP. B, The scaled percentage signal change for each voxel as indicated in A.

  • FIG 3.
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    FIG 3.

    Bland-Altman plots comparing GM perfusion metrics (MTT, rCBF, and rCBV) calculated using the MCA AIF and CP AIF selected from the left and right hemispheres. Δ GM perfusion metrics (MTT, rCBF, and rCBV) = AIF MCA – AIF CP. The solid line depicts bias, and the dashed lines show the 95% upper and lower limits of agreement as the mean difference.

  • FIG 4.
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    FIG 4.

    Maps of resting perfusion metrics for the healthy participant shown in Figs 1 and 2, calculated using an AIF from both the MCA and CP.

  • FIG 5.
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    FIG 5.

    Perfusion maps calculated using an AIF selected from both the MCA and the CP for a patient with a right frontal high-grade glioblastoma. Also shown are the patient's T1-weighted MPRAGE images. Note that leakage correction was not used.

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    Table 1:

    ΔS, CNR, and coefficient of variation (mean ± standard error of the mean) indices associated with the GBCA bolus time courses in the right-versus-left MCA and CP

    FactorΔS (%)CNR
    Mean coefficient of variation (%)Between MCA AIFs9 (SD, 3)22 (SD, 3)
    Between CP AIFs11 (SD, 3)24 (SD, 5)
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    Table 2:

    Coefficient of variation between resting perfusion measures (MTT, rCBF, and rCBV) calculated using AIFs from the right-versus-left MCA and right-versus-left CP in the GM and WM

    MTT (s)rCBF (a.u)rCBV (a.u)
    FactorGMWMGMWMGMWM
    Mean coefficient of variation (%)Between MCA AIFs14 (SD, 2)12 (SD, 2)9 (SD, 2)11 (SD, 2)11 (SD, 2)13 (SD, 3)
    Between CP AIFs6 (SD, 2)5 (SD, 1)9 (SD, 2)16 (SD, 5)11 (SD, 2)12 (SD, 2)
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American Journal of Neuroradiology: 45 (1)
American Journal of Neuroradiology
Vol. 45, Issue 1
1 Jan 2024
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Cite this article
Olivia Sobczyk, Ece Su Sayin, Julien Poublanc, James Duffin, Andrea Para, Joseph A. Fisher, David J. Mikulis
The Choroid Plexus as an Alternative Locus for the Identification of the Arterial Input Function for Calculating Cerebral Perfusion Metrics Using MRI
American Journal of Neuroradiology Jan 2024, 45 (1) 44-50; DOI: 10.3174/ajnr.A8099

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Choroid Plexus for Cerebral MI Perfusion Metrics
Olivia Sobczyk, Ece Su Sayin, Julien Poublanc, James Duffin, Andrea Para, Joseph A. Fisher, David J. Mikulis
American Journal of Neuroradiology Jan 2024, 45 (1) 44-50; DOI: 10.3174/ajnr.A8099
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This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Cerebral perfusion metrics calculated directly from a hypoxia-induced step change in deoxyhemoglobin
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