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2017 ; 152
(ä): 530-537
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Cerebrospinal and interstitial fluid transport via the glymphatic pathway modeled
by optimal mass transport
#MMPMID28323163
Ratner V
; Gao Y
; Lee H
; Elkin R
; Nedergaard M
; Benveniste H
; Tannenbaum A
Neuroimage
2017[May]; 152
(ä): 530-537
PMID28323163
show ga
The glymphatic pathway is a system which facilitates continuous cerebrospinal
fluid (CSF) and interstitial fluid (ISF) exchange and plays a key role in
removing waste products from the rodent brain. Dysfunction of the glymphatic
pathway may be implicated in the pathophysiology of Alzheimer's disease.
Intriguingly, the glymphatic system is most active during deep wave sleep general
anesthesia. By using paramagnetic tracers administered into CSF of rodents, we
previously showed the utility of MRI in characterizing a macroscopic whole brain
view of glymphatic transport but we have yet to define and visualize the specific
flow patterns. Here we have applied an alternative mathematical analysis approach
to a dynamic time series of MRI images acquired every 4min over ?3h in
anesthetized rats, following administration of a small molecular weight
paramagnetic tracer into the CSF reservoir of the cisterna magna. We use Optimal
Mass Transport (OMT) to model the glymphatic flow vector field, and then analyze
the flow to find the network of CSF-ISF flow channels. We use 3D visualization
computational tools to visualize the OMT defined network of CSF-ISF flow channels
in relation to anatomical and vascular key landmarks from the live rodent brain.
The resulting OMT model of the glymphatic transport network agrees largely with
the current understanding of the glymphatic transport patterns defined by dynamic
contrast-enhanced MRI revealing key CSF transport pathways along the ventral
surface of the brain with a trajectory towards the pineal gland, cerebellum,
hypothalamus and olfactory bulb. In addition, the OMT analysis also revealed some
interesting previously unnoticed behaviors regarding CSF transport involving
parenchymal streamlines moving from ventral reservoirs towards the surface of the
brain, olfactory bulb and large central veins.