Periventricular white matter (PVWM) is exclusively perfused by small vessels, and hence PVWM Cerebral Blood Flow (CBF) can provide a biomarker of cerebral small vessel functional integrity. Although PVWM is weakly perfused, we demonstrate that PVWM-CBF derived from state-of-the-art Arterial Spin Labeling (ASL) acquired twice ~15minutes apart in a cohort of 16 subjects showed high reproducibility that was comparable to other larger regions of interest. Further there was high correlation between PVWM-CBF derived from ASL and concurrently acquired [15O]-water Positron Emission Tomography data. These findings suggest that PVWM CBF can be reliably measured with advanced ASL methods.
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