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The new technical of ultrasonic exploration of this project purpose to validate the measurement of cerebral pulsatility by a new way called "Fast Cerebral Pulsatility Imaging" (FCPI).This will somehow determine the natural history of cerebral pulsatility during development adult to old age
Main objective
Phase 1:
-Study the in-vivo development of ultrasonic method in terms of quality of the acquisitions and intra-operator reproducibility.
Study the ease of positioning in relation to MRI and fusion of MRI and FCPI data via the neuro-navigation system
Phase 2:
-Study the variability of cerebral pulsatility of measured by "Fast Cerebral Pulsatility Imaging" or FCPI with age.
Secondary objectives
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| echography | Experimental | Fast Cerebral Pulsatility Imaging |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fast Cerebral Pulsatility Imaging | Device | Cerebral ultrasonic exploration using with neuro-navigation system : 4 acquisitions on 12 or 6 section planes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 : to validate the technical procedure, we will appreciate several parameters |
| up to 8 days after consent |
| Phase 2 : the primary outcome measures will be the maximum amplitude and the average amplitude of cerebral movements | We hypothesize that the variables describing the FCPI will decrease with age. The primary outcome measures will be the maximum amplitude and the average amplitude of cerebral movements measured in µm in planes chosen previously (for example plan of Circle of Willis and a plane including the dorsolateral area of prefrontal cortex). | up to 8 days after consent |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 2 : Maps of cerebral displacementand tissular perfusion maps | Maps of cerebral displacement obtained by ultrasounds (amplitudes in µm and location in mm) and tissular perfusion maps obtained by Arterial Spin Labelling (Cerebral Blood Flow in µL.g-1.mn-1) | up to 8 days after consent |
| Phase 2 : Measures of FCPI on the regions of interest and cognitive tests |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Frédéric PATAT, MD | University Hospital of Tours | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Tours | Tours | 37044 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29544170 | Result | Angel L, Bouazzaoui B, Isingrini M, Fay S, Taconnat L, Vanneste S, Ledoux M, Gissot V, Hommet C, Andersson F, Barantin L, Cottier JP, Pasco J, Desmidt T, Patat F, Camus V, Remenieras JP. Brain tissue pulsatility mediates cognitive and electrophysiological changes in normal aging: Evidence from ultrasound tissue pulsatility imaging (TPI). Brain Cogn. 2018 Jun;123:74-80. doi: 10.1016/j.bandc.2018.02.001. Epub 2018 Mar 13. |
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|
Measures of FCPI on the regions of interest: amplitude (maximum displacement values, µm) and location x, y, z, of the location of this maximum in mm, or distance to a region of interest) on the hand and cognitive tests on the other hand expressed with a numerical score for each test. |
| up to 8 days after consent |
| Phase 2 : Measures of FCPI on the regions of interestand measures of PE EEG | Measures of FCPI on the regions of interest: amplitude (maximum displacement values, µm) and location x, y, z, of the location of this maximum in mm, or distance to a region of interest) on the hand and measures of PE EEG on the other hand expressed in terms of amplitude (µV), latency (ms), duration (ms) | up to 8 days after consent |
| Phase 2 : The signal to noise ratio | The signal to noise ratio of maps speed (m/s) and attenuation α (cm-1) of the shear wave obtained by mathematical processing of displacement maps | up to 8 days after consent |