Evidence map›Paper›PMID 27044992›Full record

ArticlePhilosophical transactions. Series A, Mathematical, physical, and engineering sciences2016

The pulsatility volume index: an indicator of cerebrovascular compliance based on fast magnetic resonance imaging of cardiac and respiratory pulsatility.

Marta Bianciardi, Nicola Toschi, Jonathan R Polimeni, Karleyton C Evans, Himanshu Bhat, Boris Keil, Bruce R Rosen, David A Boas, Lawrence L Wald

Open access · bronzeAbstract read
In one paragraph

Article in Philosophical transactions. Series A, Mathematical, physical, and engineering sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Endocrine modulation of cortical and retinal baseline perfusion across the menstrual cycle.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Cerebrovascular blood oxygenation level dependent pulsatility at baseline and following acute exercise among healthy adolescents.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Continuous wavelet transform in the study of the time-scale properties of intracranial pressure in hydrocephalus.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2018
    Article
  17. Article
  18. Article
  19. Uncovering brain-heart information through advanced signal and image processing.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Marta BianciardiDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA martab@nmr.mgh.harvard.edu.ORCID http://orcid.org/0000-0001-9606-6853
Nicola ToschiDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA Medical Physics Section, Department of Biomedicine and Prevention, Faculty of Medicine, University of Rome 'Tor Vergata', Via Montpellier 1, 00133 Rome, Italy.
Jonathan R PolimeniDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA.
Karleyton C EvansDepartment of Psychiatry, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA.
Himanshu BhatSiemens Healthcare, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA.
Boris KeilDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA Institute for Medical Physics and Radiation Protection, Life Science Engineering, Mittelhessen University of Applied Science, Wiesenstrasse 14, 35390 Giessen, Germany.
Bruce R RosenDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA.
David A BoasDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA.
Lawrence L WaldDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Building 149, 13th Street, Charlestown, Boston, MA 02129, USA.
Harvard University · USSiemens Healthcare (United States) · USUniversity of Rome Tor Vergata · IT

Funding

ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BOAS, DAVID A · 1999 to 2011
$16.4M
Spatiotemporal Brain Imaging: Microscopic &System LevelR01EB000790 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DALE, ANDERS M · 2002 to 2015
$15.3M
A Storage Area Network for Structural and Functional Image AnalysisS10RR023401 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI FISCHL, BRUCE · 2009 to 2009
$2.0M
SILICON GRAPHICS PRISM EXTREME 128P/1TBS10RR023043 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI SORENSEN, ALMA GREGORY · 2006 to 2006
$1.5M
Neural Probes of Respiratory Control and Interoception in Panic DisorderK23MH086619 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI EVANS, KARLEYTON C. · 2009 to 2013
$929k
Biological Spatial Resolution Limits in fMRIK01EB011498 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI POLIMENI, JONATHAN RIZZO · 2011 to 2015
$877k
NCRR NIH HHS P41 RR014075NCRR NIH HHS P41-RR014075NCRR NIH HHS S10-RR023043NCRR NIH HHS S10-RR023401NIBIB NIH HHS R01--EB000790NIMH NIH HHS K23MH086619
6 · The paper itself

Abstract

The influence of cardiac activity on the viscoelastic properties of intracranial tissue is one of the mechanisms through which brain-heart interactions take place, and is implicated in cerebrovascular disease. Cerebrovascular disease risk is not fully explained by current risk factors, including arterial compliance. Cerebrovascular compliance is currently estimated indirectly through Doppler sonography and magnetic resonance imaging (MRI) measures of blood velocity changes. In order to meet the need for novel cerebrovascular disease risk factors, we aimed to design and validate an MRI indicator of cerebrovascular compliance based on direct endogenous measures of blood volume changes. We implemented a fast non-gated two-dimensional MRI pulse sequence based on echo-planar imaging (EPI) with ultra-short repetition time (approx. 30-50 ms), which stepped through slices every approximately 20 s. We constrained the solution of the Bloch equations for spins moving faster than a critical speed to produce an endogenous contrast primarily dependent on spin volume changes, and an approximately sixfold signal gain compared with Ernst angle acquisitions achieved by the use of a 90° flip angle. Using cardiac and respiratory peaks detected on physiological recordings, average cardiac and respiratory MRI pulse waveforms in several brain compartments were obtained at 7 Tesla, and used to derive a compliance indicator, the pulsatility volume index (pVI). The pVI, evaluated in larger cerebral arteries, displayed significant variation within and across vessels. Multi-echo EPI showed the presence of significant pulsatility effects in both S0 and [Formula: see text] signals, compatible with blood volume changes. Lastly, the pVI dynamically varied during breath-holding compared with normal breathing, as expected for a compliance indicator. In summary, we characterized and performed an initial validation of a novel MRI indicator of cerebrovascular compliance, which might prove useful to investigate brain-heart interactions in cerebrovascular disease and other disorders.

Indexed as

Magnetic Resonance Imagingcardiac pressure wavecerebrovascular complianceecho-planar imagingmagnetic resonance imaging indicatorpulsatility volume indexrespiratory pressure wave

Identifiers

PMID27044992
PMCPMC4822444
OpenAlexW2333781908

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.