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Effect of subject-specific T1 values for arterial spin labelling on cerebral blood flow in mild stroke patients
Michael S Stringer1,2, Cameron Manning1,2, Una Clancy1,2, Alasdair Morgan1,2, Zahra Shirzadi3,4, Francesca M Chappell1,2, Dany Jaime Garcia1,2, Angela CC Jochems1,2, Maria Valdes-Hernandez1,2, Stewart Wiseman1,2, Eleni Sakka1,2, Gordon W Blair1,2, Rosalind Brown1,2, Bradley MacIntosh3,4, Ian Marshall1,2, Fergus Doubal1,2, and Joanna M Wardlaw1,2
1Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom, 2UK DRI at the University of Edinburgh, Edinburgh, United Kingdom, 3Hurvitz Brain Sciences Research Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada
T1 can vary in mild stroke patients. We calculated cerebral blood flow (CBF) using subject-specific quantitative T1 finding lower grey and higher white matter CBF than standard processing. CBF was also lower in patients with higher disease severity.
Figure 1: Box plots showing the distribution of: A) the subject-specific T1 values with nominal T1 values for blood (1.65 s) and tissue (1.33 s) plotted in brown and blue respectively; B) cerebral blood flow (CBF) calculated with nominal and subject-specific T1 values, mean CBF values using the estimated T1 values are plotted in green (grey matter, GM) and purple (white matter, WM).
Figure 2: Bland-Altman plots of cerebral blood flow (CBF) values in grey (GM) and white matter (WM) calculated using the calculated using standard (tissue=1.33 s, blood=1.65 s) and subject-specific T1 values.