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Respiratory influence on cerebral blood flow and blood volume: a 4D flow MRI study
Umeå University, Faculty of Science and Technology, Department of Applied Physics and Electronics.
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention. Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI).ORCID iD: 0000-0002-2031-722X
Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI). Umeå University, Faculty of Medicine, Department of Medical and Translational Biology.ORCID iD: 0000-0002-8603-9453
Umeå University, Faculty of Science and Technology, Department of Applied Physics and Electronics.ORCID iD: 0000-0002-2440-9543
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2025 (English)In: Journal of Cerebral Blood Flow and Metabolism, ISSN 0271-678X, E-ISSN 1559-7016Article in journal (Refereed) Epub ahead of print
Abstract [en]

Variations in cerebral blood flow and blood volume interact with intracranial pressure and cerebrospinal fluid dynamics, all of which play a crucial role in brain homeostasis. A key physiological modulator is respiration, but its impact on cerebral blood flow and volume has not been thoroughly investigated. Here we used 4D flow MRI in a population-based sample of 65 participants (mean age = 75 ± 1) to quantify these effects. Two gating approaches were considered, one using respiratory-phase and the other using respiratory-time (i.e. raw time in the cycle). For both gating methods, the arterial inflow was significantly larger during exhalation compared to inhalation, whereas the venous outflow was significantly larger during inhalation compared to exhalation. The cerebral blood volume variation per respiratory cycle was 0.83 [0.62, 1.13] ml for respiratory-phase gating and 0.78 [0.59, 1.02] ml for respiratory-time gating. For comparison, the volume variation of the cardiac cycle was 1.01 [0.80, 1.30] ml. Taken together, our results clearly demonstrate respiratory influences on cerebral blood flow. The corresponding vascular volume variations appear to be of the same order of magnitude as those of the cardiac cycle, highlighting respiration as an important modulator of cerebral blood flow and blood volume.

Place, publisher, year, edition, pages
Sage Publications, 2025.
Keywords [en]
4D flow MRI, Cerebral blood flow, gating, glymphatic system, respiration
National Category
Cardiology and Cardiovascular Disease
Identifiers
URN: urn:nbn:se:umu:diva-236121DOI: 10.1177/0271678X251316395ISI: 001409187300001PubMedID: 39883800Scopus ID: 2-s2.0-85216770955OAI: oai:DiVA.org:umu-236121DiVA, id: diva2:1942971
Funder
Swedish Research Council, 2022-01804Swedish Research Council, 2022-04263Swedish Heart Lung Foundation, 20210653Swedish Foundation for Strategic Research, RMX18-0152Jonas and Christina af Jochnick FoundationAvailable from: 2025-03-07 Created: 2025-03-07 Last updated: 2025-03-07Bibliographically approved

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Söderström, PontusEklund, AndersKaralija, NinaAndersson, Britt M.Riklund, KatrineMalm, JanWåhlin, Anders
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Department of Applied Physics and ElectronicsDepartment of Diagnostics and InterventionUmeå Centre for Functional Brain Imaging (UFBI)Department of Medical and Translational BiologyNeurosciences
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Journal of Cerebral Blood Flow and Metabolism
Cardiology and Cardiovascular Disease

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