Vessel-size dependent response of human cerebral arteries to hyperoxia
Esther AH Warnert1, Ian D Driver1, Joseph Whittaker1, and Kevin Murphy1

1Cardiff University Brain Research Imaging Centre, Cardiff University, Cardiff, United Kingdom

Synopsis

Due to the potential of using hyperoxia as a treatment for cerebral ischemic diseases, including stroke, it is important to fully understand the effects of hyperoxia on the cerebrovasculature. Although it is known that breathing of 100% O2 leads to a decrease in cerebral blood flow, it is unclear where along the cerebral arterial tree vasoconstriction occurs. Here we show that, while there is expected constriction of the large arteries, smaller and more distal arteries actually show vasodilation upon hyperoxia.

Introduction

Although it is well-documented that hyperoxia at 100% inspired O2 leads to decreased cerebral blood flow in humans1, reports on where vasoconstriction occurs along the cerebrovascular tree are limited2,3. Due to the potential of hyperoxia as treatment for cerebral ischaemia4, it is important to fully understand its effects on the human cerebrovasculature. Therefore, we aim to investigate the effect of hyperoxia along the cerebrovascular tree with short inversion time (TI) arterial spin labelling (ASL)

Data acquisition

5 healthy volunteers (2 F, 27.2 ± 1.6 years) underwent a MRI scan session (3 T, GE HDx, Milwaukee, USA). Single slice PICORE ASL images were acquired: single inversion time (TI = 450ms), TR = 600ms, TE = 3 ms, number of time points = 3200, slice along the anterior-posterior cingulate line, resolution = 3x3x7 mm3, FOV = 198 mm, label thickness = 50 mm (10 mm below the imaging plane). Images were acquired for 8 different levels of fixed inspired O2 (FiO2) ranging from 21% (normoxia) to 42% in 3% increments. Each level lasted 4 minutes and was created by mixing medical air and 100% O2. Automated flow controllers driven by in-house Matlab (R2012b) scripts ensured a randomized order. Gases were delivered via a tight fitting facemask. To determine baseline arterial blood volume (aBV), a multi-TI PICORE ASL scan was acquired at normoxia. Parameters: imaging and labelling planes identical to the above scan; 8 TIs (150ms to 850ms, spacing 100ms); variable TR (minimized); single TE = 3ms; 320 time points (20 tag-control pairs per TI). Throughout the scans, physiological monitoring measured end-tidal partial pressures of O2 and CO2 (PETO2 and PETCO2), and cardiac and respiratory cycles.

Data analysis

A running subtraction (ΔM) of tag and control images was performed for the short TI time series. Note that, due to the short TI, we assumed that all arterial blood is labelled and therefore ΔM is proportional to the aBV in the voxel. To obtain average ΔM per FiO2 the parameter maps were averaged over the last minute of each hyperoxia level, i.e. when PETO2 was stable. Maps of aBV were created by voxelwise fitting of an arterial input function5 to the average tag-control subtraction images from the multi TI baseline scan at normoxia. Masks of large (aBVLarge = aBV > 5 %v), medium (aBVMedium: 2 %v < aBV < 5 %v), and small arteries (aBVSmall: 0.5 %v < aBV < 2%v) were created (see Fig 1). Repeated measures ANOVA (RM-ANOVA) was used to investigate the effect of Hyperoxia and Artery Size on ΔM.

Results

The RM-ANOVA showed a significant interaction between Hyperoxia and Artery Size, across all voxels (F(14,56) = 8.3, p < .001). Separate RM-ANOVA for different artery sizes showed that there was a significant decrease in ΔM with oxygenation level for the large arteries (F(7,28) = 7.8 , p < .001), while there was no effect of oxygenation on ΔM for aBVMedium (F(7,28) = 2.4, p = 0.07), and a significant increase in ΔM for aBVSmall­­ (F(7,28) = 6.1, p < .001). Fig 2 illustrates these results. Note that the decrease in ΔM in aBVLarge at FiO2 = 42% (16.4 ± 8.4 %) is greater than the 2% decrease in ΔM expected based on shortening of T1 with increased oxygenation1. There was no significant effect of oxygenation level on PETCO2 F(7,35) = 0.9, p = 0.47), which rules out hypocapnia affecting vascular tone.

Discussion

Our results suggest that the effect of hyperoxia on cerebral vascular tone is dependent on the size of the artery. The induced vasoconstriction in large cerebral arteries is in line with the role of oxygen in the signalling pathway between glial and smooth muscle cells2. The absent response in aBV­Medium and apparent vasodilation in aBVSmall­ are not easily explained by current literature, although this work does match previous results of not finding a change in aBV with isocapnic hyperoxia in whole brain grey matter, effectively summing the response seen here across all arteries3. A possible explanation is an autoregulatory mechanism to maintain cerebral blood flow; in response to the increased resistance of the larger arteries, the more distal small arteries dilate to maintain perfusion (assuming that at moderate hyperoxia changes in perfusion are negligible1). Further investigation of the differential response of the cerebrovasculature to hyperoxia is required to fully understand the effects of oxygen on cerebral vascular tone.

Acknowledgements

No acknowledgement found.

References

1. Bulte DP et al. J Cereb Blood Flow Metab. 2007;27(1):69–75. 2. Mishra a. et al. Proc Natl Acad Sci. 2011;108(43):17827–31. 3. Croal PL et al. Neuroimage. 2015;105:323–31. 4. Liang J et al. Stroke . 2015;46 (5 ):1344–51. 5. Chappell MA et al. Magn Reson Med. 2010;63(5):1357–65.

Figures

Fig 1. Example aBV masks: voxels with aBV > 5%v are used for aBVLarge (white), voxels with 2 %v < aBV < 5 %v for aBV­Medium (orange), and voxels with 0.5%v < aBV < 2 %v are used for aBVSmall (red). ­­.

Fig 2. Fitted ΔM, normalized for normoxia (FiO2 = 21%), plotted against the FiO­2 for each participant (grey lines) and group averaged (black line). With increasing FiO2 there is a decrease in ΔM ­for aBVLarge (Left), no significant effect for aBVMedium (Middle), and an increase in ΔM for aBVSmall (Right).



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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