Arterial spin-labeling magnetic resonance imaging of brain maturation in early childhood: Mathematical model fitting to assess age-dependent change of cerebral blood flow

Alex Mun Ching Wong*, Ho Ling Liu, Ming Lun Tsai, Erin Simon Schwartz, Chih Hua Yeh, Huei Shyong Wang, Tai Wei Wu, Chien Yuan Lin

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

9 Scopus citations

Abstract

Purpose: To determine the trajectory of age-dependent cerebral blood flow (CBF) change in infants and young children by fitting mathematical models to the imaging data. Methods: In this retrospective study, we reviewed the arterial spin-labeling imaging studies of 49 typically developing infants and young children at postmenstrual age (PMA) ranging from 38 to 194 weeks. All patients had normal structural MR imaging. Coregistration and gray matter segmentation were performed to extract whole-brain CBF values. Regional CBF values were obtained using manual region-of-interest placement. Curve estimation regression procedures with the corrected Akaike information criterion (AICc) were performed to determine the mathematical model best fitting the relationship between the CBF (whole-brain and regional measurements) and PMA of the patients. Results: Whole-brain CBF trajectory was best fitted by a cubic model (AICc = 215.95; R 2 = 0.566; P <.001). Whole-brain CBF at 1, 6, 12, and 24 months was estimated to be 36, 52, 58, and 55 mL/100 g/min, respectively. Regional CBF trajectory was also best fitted by a cubic model in the frontal (AICc = 233.63; R 2 = 0.442; P <.001), parietal (AICc = 229.18; R 2 = 0.614; P <.001), basal ganglion (AICc = 239.39; R 2 = 0.178; P =.043), temporal (AICc = 236.01; R 2 = 0.441; P <.001), and occipital (AICc = 236.46; R 2 = 0.475; P <.001) regions. Conclusions: In early childhood, the trajectory of CBF change was nonlinear and best fitted by the cubic model for the whole brain and all brain regions.

Original languageEnglish
Pages (from-to)114-120
Number of pages7
JournalMagnetic Resonance Imaging
Volume59
DOIs
StatePublished - 06 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.

Keywords

  • Akaike information criterion
  • Arterial spin-labeling imaging
  • Cerebral blood flow
  • Mathematical model fitting

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