Sex-Specific Vascular Score: A Novel Perfusion Biomarker from Supervoxel Analysis of 3D pCASL MRI

📅 2025-08-09
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🤖 AI Summary
This study investigates sex- and age-dependent heterogeneity in cerebral perfusion and develops a biologically grounded vascular risk metric to quantify early cerebral hypoperfusion and vascular contributions to neurodegenerative disorders, particularly Alzheimer’s disease. Method: Leveraging 3D pseudocontinuous arterial spin labeling (pCASL) MRI data, we propose the first sex-specific cerebrovascular scoring framework—integrating hyperspectral voxel clustering, region-wise perfusion feature extraction, and a customized convolutional neural network (CNN)—achieving 95% sex classification accuracy in a cohort of 186 cognitively healthy individuals. Contribution/Results: We establish the first interpretable, sex-stratified cerebral perfusion atlas, systematically characterizing sex-dimorphic perfusion patterns—especially within key networks such as the default mode network—and their nonlinear age-related trajectories. These findings yield novel, biologically informed biomarkers for personalized cerebrovascular health assessment and early detection of neurodegeneration.

Technology Category

Humans and AI: Brain-Sensing and AnalysisComputer Vision: Medical and Biological ImagingMachine Learning: Neuro-Symbolic Learning

Application Category

Search and Retrieval-Augmented AI: Web evaluation methodologies and metricsGraph Algorithms and Modeling for the Web: Algorithms and analysis for heterogeneous, signed, attributed, multi-relational, temporal, higher-order, and annotated Web-related graphsSecurity and Privacy: Large-scale security measurements
📝 Abstract
We propose a novel framework that leverages 3D pseudo-continuous arterial spin labeling (3D pCASL) MRI to compute sex-specific vascular scores that quantify cerebrovascular health and potential disease susceptibility. The brain is parcellated into spatially contiguous regions of homogeneous perfusion using supervoxel clustering, capturing both microvascular and macrovascular contributions. Mean cerebral blood flow (CBF) values are extracted from 186 cognitively healthy participants and used to train a custom convolutional neural network, achieving 95 percent accuracy in sex classification. This highlights robust, sex-specific perfusion patterns across the brain. Additionally, regional CBF variations and age-related effects are systematically evaluated within male and female cohorts. The proposed vascular risk-scoring framework enhances understanding of normative brain perfusion and aging, and may facilitate early detection and personalized interventions for neurodegenerative diseases such as Alzheimer's.
Problem

Research questions and friction points this paper is trying to address.

Develops vascular risk score from age-sex stratified perfusion norms
Quantifies sex-specific cerebral blood flow patterns using pCASL MRI
Detects early hypoperfusion for neurodegenerative disease stratification
Innovation

Methods, ideas, or system contributions that make the work stand out.

Uses 3D pCASL MRI to quantify cerebral perfusion
Trains CNN on CBF maps for sex classification
Proposes Vascular Risk Score from normative distributions
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Sneha Noble
Sneha Noble
Centre for Brain Research, Indian Institute of Science, Bengaluru, Karnataka 560012, India
Neelam Sinha
Neelam Sinha
Associate Professor
Medical image processing
V
Vaanathi Sundareshan
Department of Computational and Data Sciences, Indian Institute of Science, Bengaluru, Karnataka 560012, India
T
T. Issac
Centre for Brain Research, Indian Institute of Science, Bengaluru, Karnataka 560012, India