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  4. Comparing end-tidal CO2, respiration volume per time (RVT), and average gray matter signal for mapping cerebrovascular reactivity amplitude and delay with breath-hold task BOLD fMRI
 
research article

Comparing end-tidal CO2, respiration volume per time (RVT), and average gray matter signal for mapping cerebrovascular reactivity amplitude and delay with breath-hold task BOLD fMRI

Zvolanek, Kristina M.
•
Moia, Stefano  
•
Dean, Joshua N.
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March 30, 2023
Neuroimage

Cerebrovascular reactivity (CVR), defined as the cerebral blood flow response to a vasoactive stimulus, is an imaging biomarker with demonstrated utility in a range of diseases and in typical development and aging processes. A robust and widely implemented method to map CVR involves using a breath-hold task during a BOLD fMRI scan. Recording end-tidal CO2 (PETCO2) changes during the breath-hold task is recommended to be used as a refer-ence signal for modeling CVR amplitude in standard units (%BOLD/mmHg) and CVR delay in seconds. However, obtaining reliable P(ET)CO(2)recordings requires equipment and task compliance that may not be achievable in all settings. To address this challenge, we investigated two alternative reference signals to map CVR amplitude and delay in a lagged general linear model (lagged-GLM) framework: respiration volume per time (RVT) and average gray matter BOLD response (GM-BOLD). In 8 healthy adults with multiple scan sessions, we compare spatial agreement of CVR maps from RVT and GM-BOLD to those generated with PETCO2. We define a threshold to determine whether a P(ET)CO(2)recording has "sufficient " quality for CVR mapping and perform these comparisons in 16 datasets with sufficient P(ET)CO(2)and 6 datasets with insufficient PETCO2. When PETCO2 quality is sufficient, both RVT and GM-BOLD produce CVR amplitude maps that are nearly identical to those from PETCO2 (after accounting for differences in scale), with the caveat they are not in standard units to facilitate between-group comparisons. CVR delays are comparable to P(ET)CO(2)with an RVT regressor but may be underestimated with the average GM-BOLD regressor. Importantly, when P(ET)CO(2)quality is insufficient, RVT and GM-BOLD CVR recover reasonable CVR amplitude and delay maps, provided the participant attempted the breath-hold task. Therefore, our framework offers a solution for achieving high quality CVR maps in both retrospective and prospective stud-ies where sufficient P(ET)CO(2)recordings are not available and especially in populations where obtaining reliable measurements is a known challenge (e.g., children). Our results have the potential to improve the accessibility of CVR mapping and to increase the prevalence of this promising metric of vascular health.

  • Details
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Type
research article
DOI
10.1016/j.neuroimage.2023.120038
Web of Science ID

WOS:000969061400001

Author(s)
Zvolanek, Kristina M.
Moia, Stefano  
Dean, Joshua N.
Stickland, Rachael C.
Caballero-Gaudes, Cesar
Bright, Molly G.
Date Issued

2023-03-30

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE

Published in
Neuroimage
Volume

272

Article Number

120038

Subjects

Neurosciences

•

Neuroimaging

•

Radiology, Nuclear Medicine & Medical Imaging

•

Neurosciences & Neurology

•

cerebrovascular reactivity

•

breath-hold

•

bold fmri

•

respiration volume per time

•

measuring vascular reactivity

•

near-infrared spectroscopy

•

small vessel disease

•

cerebral-blood-flow

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white-matter

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regressor interpolation

•

response function

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concurrent fmri

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arterial

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fluctuations

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
MIPLAB  
Available on Infoscience
May 8, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/197451
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