Meeting Banner
Abstract #2186

Simultaneous Quantification of Perfusion, Venous Oxygen Saturation, and Skeletal Muscle T2* in Response to Cuff-Induced Ischemia in the Leg

Erin K. Englund1, Michael C. Langham1, Cheng Li1, Emile R. Mohler2, Thomas F. Floyd3, Felix W. Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States; 2Department of Cardiology, University of Pennsylvania, Philadelphia, PA, United States; 3Department of Anesthesiology, Stony Brook University, Stony Brook, NY, United States

A novel method to simultaneously measure perfusion, venous oxygen saturation, and skeletal muscle T2* using an interleaved pulsed arterial spin labeling and multi-echo GRE sequence, termed PASL/Ox-BOLD, is presented. The technique is assessed in healthy subjects during a series of ischemia reperfusion paradigms. Time course data is analyzed to investigate the kinetics of recovery following cuff-induced ischemia. Results indicate that PASL/Ox-BOLD is capable of faithfully measuring all three parameters at 2 second temporal resolution. The method is also used to investigate a small cohort of peripheral artery disease patients. In these patients, a blunted and delayed hyperemic response is detected.

Keywords

accumulation achieved acquisition adiabatic affected affects agree agreement alterations although around arterial assess assessment bars black blood blue blunted bold brook capable cardiology chosen comprehensive conditions control course courses cuff decreased delay delayed described detected determined develop diagram disease drawn dynamic ensure error established even every exhibit expected experimental exponential extremity fitted five flow functional grants healthy hyperemia hyperemic illustrate index indicate indicated indicates induced interleave interleaved inversion investigation keyhole label labeling larger lists location made magnitude marked marker match matrix measure measured mono muscle occlusion offer overshoot oxygen oxygenation paired partial patient patients peak perfusion period peripheral physiology pixel post previous previously protocol pulse pulsed pulses qualitatively quantification quantified quantifying radiology reactive reactivity reason recovery recruitment repeated reported represent represents respectively response rest saturation secured selective separate separately severity simultaneous simultaneously skeletal slice space still stony studies subjects suggests superior surrounding table thigh tissue vascular vein venous washout years young