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Deep-learning-enabled brain hemodynamic mapping using resting-state fMRI

delete2023-06-21
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OA
AI
X
Xirui Hou
P
Pengfei Guo
P
Puyang Wang
P
Peiying Liu
D
Doris Lin
H
Hongli Fan
Y
Yang Li
Z
Zhiliang Wei
Z
Zixuan Lin
蒋邓荣 cover
蒋邓荣 (Dengrong Jiang)
J
Jin Jin
C
Catherine M. Kelly
J
Jay J. Pillai
J
Judy Huang
M
Marco C. Pinho
B
Binu P. Thomas
B
Babu G. Welch
D
Denise C. Park
V
Vishal M. Patel
A
Argye E. Hillis
H
Hanzhang Lu *
DOI:10.1038/s41746-023-00859-ydelete
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Abstract

Abstract

En 中文
Cerebrovascular disease is a leading cause of death globally. Prevention and early intervention are known to be the most effective forms of its management. Non-invasive imaging methods hold great promises for early stratification, but at present lack the sensitivity for personalized prognosis. Resting-state functional magnetic resonance imaging (rs-fMRI), a powerful tool previously used for mapping neural activity, is available in most hospitals. Here we show that rs-fMRI can be used to map cerebral hemodynamic function and delineate impairment. By exploiting time variations in breathing pattern during rs-fMRI, deep learning enables reproducible mapping of cerebrovascular reactivity (CVR) and bolus arrival time (BAT) of the human brain using resting-state CO2 fluctuations as a natural contrast media. The deep-learning network is trained with CVR and BAT maps obtained with a reference method of CO2-inhalation MRI, which includes data from young and older healthy subjects and patients with Moyamoya disease and brain tumors. We demonstrate the performance of deep-learning cerebrovascular mapping in the detection of vascular abnormalities, evaluation of revascularization effects, and vascular alterations in normal aging. In addition, cerebrovascular maps obtained with the proposed method exhibit excellent reproducibility in both healthy volunteers and stroke patients. Deep-learning resting-state vascular imaging has the potential to become a useful tool in clinical cerebrovascular imaging.
Keywords:
CEREBRAL-BLOOD-FLOW
CEREBROVASCULAR REACTIVITY
MOYAMOYA-DISEASE
CONTRAST
STROKE
TIME
AMPLITUDE
NETWORK
DELAY
MRI
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npj Digital Medicine
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Kennedy Krieger Institute
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johns hopkins bloomberg school of public health
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