Golestani Ali M, Wei Luxi L, Chen J Jean
Rotman Research Institute, Baycrest Centre, Canada.
Rotman Research Institute, Baycrest Centre, Canada; Department of Physics and Astronomy, University of British Columbia, Canada.
Neuroimage. 2016 Sep;138:147-163. doi: 10.1016/j.neuroimage.2016.05.025. Epub 2016 May 11.
In conventional neuroimaging, cerebrovascular reactivity (CVR) is quantified primarily using the blood-oxygenation level-dependent (BOLD) functional MRI (fMRI) signal, specifically, as the BOLD response to intravascular carbon dioxide (CO2) modulations, in units of [%ΔBOLD/mmHg]. While this method has achieved wide appeal and clinical translation, the tolerability of CO2-related tasks amongst patients and the elderly remains a challenge in more routine and large-scale applications. In this work, we propose an improved method to quantify CVR by exploiting intrinsic fluctuations in CO2 and corresponding changes in the resting-state BOLD signal (rs-qCVR). Our rs-qCVR approach requires simultaneous monitoring of PETCO2, cardiac pulsation and respiratory volume. In 16 healthy adults, we compare our quantitative CVR estimation technique to the prospective CO2-targeting based CVR quantification approach (qCVR, the "standard"). We also compare our rs-CVR to non-quantitative alternatives including the resting-state fluctuation amplitude (RSFA), amplitude of low-frequency fluctuation (ALFF) and global-signal regression. When all subjects were pooled, only RSFA and ALFF were significantly associated with qCVR. However, for characterizing regional CVR variations within each subject, only the PETCO2-based rs-qCVR measure is strongly associated with standard qCVR in 100% of the subjects (p≤0.1). In contrast, for the more qualitative CVR measures, significant within-subject association with qCVR was only achieved in 50-70% of the subjects. Our work establishes the feasibility of extracting quantitative CVR maps using rs-fMRI, opening the possibility of mapping functional connectivity and qCVR simultaneously.
在传统神经成像中,脑血管反应性(CVR)主要通过血氧水平依赖(BOLD)功能磁共振成像(fMRI)信号进行量化,具体而言,是以对血管内二氧化碳(CO2)调制的BOLD反应来量化,单位为[%ΔBOLD/mmHg]。尽管这种方法已获得广泛认可并实现了临床转化,但在更常规和大规模的应用中,CO2相关任务在患者和老年人中的耐受性仍然是一个挑战。在这项工作中,我们提出了一种改进的方法,通过利用CO2的内在波动和静息态BOLD信号(rs-qCVR)的相应变化来量化CVR。我们的rs-qCVR方法需要同时监测呼气末二氧化碳分压(PETCO2)、心脏搏动和呼吸量。在16名健康成年人中,我们将我们的定量CVR估计技术与基于前瞻性CO2靶向的CVR量化方法(qCVR,“标准方法”)进行了比较。我们还将我们的rs-CVR与非定量替代方法进行了比较,包括静息态波动幅度(RSFA)、低频波动幅度(ALFF)和全脑信号回归。当将所有受试者汇总时,只有RSFA和ALFF与qCVR显著相关。然而,为了表征每个受试者内的区域CVR变化,只有基于PETCO2的rs-qCVR测量在100%的受试者中与标准qCVR密切相关(p≤0.1)。相比之下,对于更定性的CVR测量,只有50-70%的受试者实现了与qCVR的显著受试者内关联。我们的工作确立了使用静息态功能磁共振成像提取定量CVR图谱的可行性,为同时绘制功能连接性和qCVR开辟了可能性。