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Simultaneous gradient-echo/spin-echo EPI of graded ischemia in human skeletal muscle
Authors:Kathleen M Donahue  Joel Van Kylen  Safak Guven  Ahmed El-Bershawi  Wen-Ming Luh  Peter A Bandettini  Robert W Cox  James S Hyde  Ahmed H Kissebah
Abstract:The goal of this study was to evaluate the usefulness of blood oxygenation level-dependent (BOLD) methodologies to provide temporal and spatial information about skeletal muscle perfusion. A simultaneous gradient echo (GE) and spin-echo (SE) imaging sequence (GE/SE) with alternating TE was used to acquire images of leg skeletal muscle throughout a stepped reactive hyperemia paradigm. The change in both the GE and SE relaxation rates (ΔR2*, ΔR2) measured during ischemia and reactive hyperemia scaled with the duration of cuff inflation (the ischemic period) plateaued for cuff inflations lasting longer than 120 seconds and were greater in soleus muscle than in gastrocnemius. The ratio ΔR2*/ΔR2 was found to be less during the reactive hyperemia period relative to ischemia. Considering that a greater proportion of capillary vessels are perfused during reactive hyperemia than during ischemia, this finding suggests that magnetic susceptibility methodologies, with their dependence on compartment size, may provide a measure of the relative distribution of small and large vessels in skeletal muscle.
Keywords:Skeletal muscle perfusion  Insulin  BOLD  FMRI
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