Joint Annual Meeting ISMRM-ESMRMB & ISMRT 31st Annual Meeting • 07-12 May 2022 • London, UK

2022 Joint Annual Meeting ISMRM-ESMRMB and 31st ISMRT Annual Meeting

Weekday Course

The Heart-Brain Connection: Linking Cardiovascular to Cerebral Function

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The Heart-Brain Connection: Linking Cardiovascular to Cerebral Function
Weekday Course
ORGANIZERS: Marta Bianciardi, Audrey Fan, Nivedita Agarwal
Monday, 09 May 2022
S11 (Breakout A)
17:00 -  19:00
Moderators: 
Applications: Fang Yu
Skill Level: Basic to Intermediate
Session Number: M-06
 

Session Number: M-06

Overview
The heart and brain are increasingly recognized to be interlinked in physiology and autonomic regulation of blood flow and reactivity. This connection can be directly and indirectly observed with functional/physiological MRI signals and is important to understand in systemic cardiovascular disease settings.

Target Audience
Clinicians, neuroscientists, and imaging researchers who are interested in the relationship between heart and brain function and how this changes in cardiovascular disease, dementia, and central autonomic disorders.

Educational Objectives
As a result of attending this course, participants should be able to:
- Describe how cardiovascular flow affects brain physiology and function, and how this is measured by imaging;
- Describe MRI biomarkers of the central autonomic system, its regulation of cardiac function, and disorders of dysregulation;
- Determine cardiac contributions to brain functional MRI signals; and
- Identify how cardiac events and ischemia contribute to neurodegeneration through imaging evidence.

    Basic Science
17:00   Heart & Brain: Physiology, Cerebrovascular Reactivity & Perfusion

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Claudine Gauthier
17:20   The Central Autonomic Network in Health

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Nicola Toschi
17:40 Functional Connectivity & Brain Perfusion: Cardiorespiratory brain pulsations

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Vesa Kiviniemi
A century after the detection of three pulsation mechanisms in the human brain during neurosurgical procedures, ultrafast fMRI enables exact depiction of the vasomotor waves, respiratory and cardiac pulsations non-invasively. Arterial blood impulses and respiration induced venous pulsations form continuosly propagating CSF waves that flush brain paravascular spaces and drive the glymphatic solute transport. Sleep increases all these pulsations in areas of increased brain interstiatial flushing. Brain diseases such as Alzheimer's disease, epilepsy, and PCNSL invading the perivascular space, significantly alter the pulsation dynamics of the brain, which enables direct visualization of individual pathology with ultrafast BOLD scans.
    Applications
18:00   Brain MRI Signal Changes Due to Cardiac Disease in Aging

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Fang Yu
The heart and the brain are intimately linked.  Herein, we review the changes in the brain as we age that can be detected using clinical MRI, and how they relate to cardiovascular disease.  Additionally, we will review imaging techniques including diffusion imaging for tissue microstructure and quantitative susceptibility mapping for iron accumulation as it relates to these neurologic changes.
18:20   Role of MRI to Examine Brain Structural, Metabolic, Hemodynamic, and Functional Deficits in Adults After Heart Failure

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Rajesh Kumar
Novel MRI procedures and analytical methods offer a unique opportunity to assess the brain structural, metabolic, hemodynamic, blood brain barrier, resting-state functional connectivity, and functional responses to autonomic challenges status in heart failure (HF) subjects. In a series of experiments in patients with HF, we characterized brain injury, abnormal metabolites, hemodynamics, resting-state functional connectivity, and abnormal functional responses to autonomic challenges, in autonomic, mood, and cognitive control sites, functions that are deficient in HF. Also, potential pathological mechanisms, including compromised CBF and BBB function, contributing to brain damages in HF will be discussed.
18:40   Brain MRI Signal Changes in Autonomic Dysfunction (Multiple System Atrophy, Hypotension, Dysautonomia)

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Stephen Jones
The first step of understanding the neuroimaging of autonomic function is to focus on normal subjects with normal brains, and then investigate the structural and functional correlates of the autonomic system.  The next step is to investigate diseases affecting the autonomic system, namely those causing dysautonomia.  This step may be even more revealing than normal subjects, since often the understanding of disease helps to better define normal function.  This presentation will provide multiple examples of diseases associate with either primary or secondary dysautonomia. Examples include multiple systems atrophy (MSA), multiple sclerosis, tumors, stroke, and epilepsy.

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