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.
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