Review Article
Regional Cerebral Blood Flow in Mild Cognitive Impairment and Alzheimer’s Disease Measured with Arterial Spin Labeling Magnetic Resonance Imaging
Table 2
Overview of the imaging techniques dedicated to brain hemodynamics (adapted from Wintermark et al. [
27]).
| | PET | SPECT | DSC | ASL | fMRI |
| Age range | Adults (and children for static exams) | Adults (and children) | Adults (and children) | Adults + children | Adults (and children) |
| Contrast material | 15O2, C 15O2, | 99Tc-HMPAO, 99Tc-ECD, 133Xe, 123I-IMP (diffusible) | Gadolinium chelate (nondiffusible) | None (endogenous contrast) | None |
| Radiation/study | 0.5–2 mSv | 3.5–12 mSv | None | None | None |
| Data acquisition | 5–9 min | 10–15 min | 1 min | 5–10 min | |
| Data processing | 5–10 min | 5 min | 5 min | 5 min | |
| Assessed parameters | CBV, CBF, rOEF, glucose metabolism | CBF | CBF, CBV, MTT, TTP, permeability map | CBF | BOLD signal |
| Quantitative accuracy | Yes | Yes for 133Xe and 123I-IMP | Not in daily practice | Yes | |
| Including for low perfused areas | Yes | Not applicable | Not applicable | Not below 10 mL/min/100 g | Yes |
| Reproducibility | 5% | 10% | 10–15% | 10% | |
| Spatial resolution | 4–6 mm | 1 cm | 2 mm | 2 mm | |
| Minimal time interval between 2 successive exams | 10 min | 10 min | 25 min | 0 min | |
| Applications in neurodegenerative disorders | Yes | Yes | No | Yes | Yes |
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