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Cerebral Blood Flow And Metabolism: A Quantitative Approach

Cerebral Blood Flow And Metabolism: A Quantitative Approach

Payne Stephen John

(2017)

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Book Details

Table of Contents

Section Title Page Action Price
Contents xxi
Preface v
Acknowledgments ix
Introduction xi
Chapter 1. Physiology of Blood Flow\rand Metabolism 1
1.1. Anatomy of the Cerebral Circulation 2
1.2. Geometry of the Cerebral Circulation 8
1.2.1. Arterial circulation 8
1.2.2. Microcirculation 10
1.3. Blood 14
1.3.1. Physiology of blood 15
1.3.2. Models of blood 17
1.4. Blood Vessels 21
1.4.1. Structure 22
1.4.2. Mechanical properties 24
1.4.3. Single vessel model 27
1.4.4. Vessel collapse 29
1.5. Cerebrospinal Fluid and Brain Barriers 31
1.5.1. Blood–brain barrier 34
1.5.2. Blood-CSF barrier 35
1.5.3. Arachnoid barrier 35
1.6. Brain Cells 35
1.6.1. Neurons and glial cells 36
1.6.2. Cellular metabolism 38
1.7. Conclusions 42
Chapter 2. Models of Blood Flow and Metabolism 43
2.1. Poiseuille Equation 43
2.2. Viscosity 45
2.2.1. Empirical relationships for viscosity 45
2.2.2. Model-based predictions of viscosity 50
2.2.3. Conclusions 53
2.3. One-dimensional Blood Flow 53
2.3.1. Wave flow 54
2.3.2. Linearised 1D models 58
2.3.3. Womersley flow 61
2.3.4. Non-axisymmetric flow 66
2.3.5. Conclusions 68
2.4. Flow in Vascular Network Models 68
2.4.1. Network flow models 69
2.4.2. Scaling laws 73
2.4.3. Conclusions 78
2.5. Models of the Cerebral Vasculature 78
2.5.1. Models of the large arterial vessels 78
2.5.2. Models of the microvasculature 87
2.5.3. Full cerebral vasculature models 94
2.5.4. Conclusions 98
2.6. Transport and Metabolism 99
2.6.1. Governing equations 100
2.6.2. Transport from blood to tissue 104
2.6.3. Oxygen relationships 108
2.6.4. Conclusions 111
2.7. Parameter Fitting and Sensitivity Analysis 111
2.7.1. Parameter fitting 111
2.7.2. Sensitivity analysis 113
2.7.3. Model simplification 114
2.8. Conclusions 114
Chapter 3. Global Control of Blood Flow 117
3.1. Autoregulation 118
3.1.1. Mechanisms of autoregulation 118
3.1.2. Quantification of autoregulation 123
3.1.2.1. Static autoregulation 124
3.1.2.2. Dynamic autoregulation 125
3.2. Cerebrovascular Reactivity 132
3.2.1. Mechanisms of CVR 132
3.2.2. Quantification of CVR 134
3.2.3. Interaction between autoregulation and CVR 139
3.3. Models of Autoregulation and CVR 140
3.3.1. Lumped compartment+feedback models 140
3.3.2. Single vessel models 146
3.4. Conclusions 155
Chapter 4. Local Control of Perfusion 157
4.1. Neurovascular Coupling 157
4.1.1. Physiological basis 159
4.1.2. Conducted response 167
4.1.3. Brain metabolism 170
4.2. Neurogenic Control 172
4.2.1. Physiological basis 172
4.2.2. Origins of control 176
4.3. Models of Neurovascular Coupling 178
4.3.1. Lumped compartmental models 179
4.3.2. Cerebral blood volume 185
4.3.3. Network models 188
4.3.4. Nitric oxide 193
4.3.5. Cellular models 198
4.3.6. Conclusions 201
4.4. Angiogenesis and Adaptation 201
4.5. Vasomotion 210
4.6. Conclusions 212
Chapter 5. Externally-based Measurements 215
5.1. Ultrasound 216
5.1.1. Reproducibility 219
5.1.2. Insonation area 219
5.1.3. 3D Ultrasound 222
5.2. Optical Imaging 225
5.2.1. Near infra-red spectroscopy (diffuse optical spectroscopy) 225
5.2.2. Diffuse correlation spectroscopy 233
5.2.3. Other optical methods 237
5.3. Electroencephalography (EEG) 238
5.4. Conclusion 241
Chapter 6. Internally-based Measurements 243
6.1. Development of CBF Measurements 245
6.2. Tracer Kinetic Theory 248
6.2.1. Single compartment model 249
6.2.2. Two compartment exchange model 251
6.2.3. Spatially distributed compartment models 253
6.2.4. Deconvolution methods 253
6.2.5. Conclusions 255
6.3. Computed Tomography (CT) 255
6.4. Single Photon Emission CT (SPECT) 257
6.5. Positron Emission Tomography (PET) 258
6.6. Magnetic Resonance Imaging (MRI) 261
6.6.1. Dynamic Susceptibility Contrast (DSC) / Dynamic Contrast\rEnhancement (DCE) MRI 265
6.6.2. Arterial Spin Labelling (ASL) 267
6.6.3. Vessel-encoded ASL 273
6.6.4. Perfusion quantification 274
6.6.5. CMRO2 quantification 279
6.6.6. Other uses of MRI 286
6.7. Conclusions 288
Chapter 7. Global Changes in Cerebral Blood Flow\rand Metabolism 289
7.1. Ageing 289
7.1.1. Autoregulation 295
7.1.2. Cerebrovascular reactivity 296
7.1.3. Cerebral metabolic rate 297
7.2. Hypertension 298
7.3. Fitness and Exercise 300
7.3.1. Autoregulation 302
7.3.2. Cerebrovascular reactivity 302
7.3.3. Cerebral metabolic rate 303
7.4. Sex 303
7.4.1. Pregnancy 304
7.5. Temperature 305
7.6. Altitude 306
7.6.1. Autoregulation 307
7.6.2. Cerebrovascular reactivity 307
7.7. Other Effects 308
7.8. Connectivity 308
7.9. Conclusions 310
Chapter 8. Local Changes in Cerebral Blood Flow\rand Metabolism 311
8.1. Stroke 312
8.1.1. Physiology 314
8.1.2. Treatment 316
8.1.3. Hypertension 319
8.1.4. Imaging 321
8.1.5. Outcome prediction 327
8.1.6. Autoregulation 331
8.1.6.1. Ischaemic stroke 332
8.1.6.2. Haemorrhagic stroke 332
8.1.7. Models of ischaemic stroke 333
8.2. Dementia 334
8.2.1. Autoregulation 340
8.2.2. Cerebrovascular reactivity 340
8.2.3. Cerebral metabolism 340
8.3. Traumatic Brain Injury 341
8.3.1. Autoregulation 342
8.4. Oncology 343
8.5. Cerebral Small Vessel Disease (SVD) 345
8.6. Aneurysms 346
8.7. Other Neurodegenerative Diseases 347
8.8. Conclusions 348
Chapter 9. Conclusions 351
9.1. Prevention 352
9.2. Diagnosis 353
9.3. Treatment 356
References 359
Index 435