Physiology & Contrast Mechanisms for mapping brain activity Flashcards

1
Q

What are examples of measuring brain activity?

A
  1. EEG/MEG
  2. Electrophysiology
  3. FDG PET
  4. Autoradiography
  5. 13C MRI
  6. BOLD fMRI
  7. ASL/VASO/CA
  8. 150 PET
  9. NIRS
  10. Optical imaging
  11. Doppler US
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2
Q

What are examples of neuroelectric activity?

A
  1. Action potential
  2. Postsynaptic activity
  3. Excitatory/inhibitory
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3
Q

What is metabolic consequence?

A
  1. Oxygen consumption

2. Glucose consumption

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4
Q

What is an example of vascular response?

A
  1. Blood flow
  2. Blood volume
  3. Blood oxygenation
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5
Q

What is fNIR?

A

A non-invasive imaging method involving the quantification ofchromophoreconcentration resolved from the measurement of near infrared (NIR)lightattenuation or temporal or phasic changes.

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6
Q

What does NIR spectrum light take advantage of?

A

Optical windowin which skin, tissue, and bone are mostly transparent to NIR light in the spectrum of 700-900nm, whilehemoglobin(Hb) and deoxygenated-hemoglobin (deoxy-Hb) are stronger absorbers of light.

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7
Q

What do differences in the absorption spectra of deoxy-Hb and oxy-Hb allow the measurement of?

A

Relative changes in haemoglobin concentration through the use of light attenuation at multiple wavelengths

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8
Q

What is the brief introduction to BOLD imaging?

A
  1. Ogawa et al 1990 - BOLD effect in rat brain

2. Kwong et al, 1992 - BOLD FMRI in human

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9
Q

What is the functional MRI in brief?

A
  1. Stimulus
  2. Neuronal activity
  3. Neurovascular coupling
  4. BOLD contrast
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10
Q

What is a stimulus?

A

Carefully designed to elicit a specific response from some cognitive system

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11
Q

What does neuronal activity require?

A

Energy leading to an increase in oxygen demands

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12
Q

What is neurovascular coupling?

A
  1. Vessels dilate
  2. Blood flow increases
  3. The supply of oxygen exceeds demand
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13
Q

What is BOLD contrast?

A

The net increase in oxygenated haemoglobin in the vasculature leads to an increase in signal

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14
Q

What does BOLD magnetic resonance signal used in functional imaging of the brain reflect?

A

Loss of oxygen from haemoglobin causing its iron to become paramagnetic, which influences the magnetic field experienced by protons in the surrounding water molecules

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15
Q

What happens during neuronal activity?

A
  1. An increase of oxygen usage
  2. Larger fractional increase in blood flow
  3. Increase in blood volume
  4. Net decrease of the amount of deoxygenated haemoglobin present
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16
Q

what does PET imaging detect?

A

Activity-induced increases in blood flow

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17
Q

What is the relationship first proposed 100 years ago?

A

Understanding the increased blood flow associated with neural activity

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18
Q

Where has brain energy usage been attributed mainly to?

A

Activity in the presynaptic terminal or to the energy needed to take up neurotransmitter glutamate and convert it to glutamine in astrocytes

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19
Q

What is dominated by excitatory postsynaptic currents?

A

BOLD signal from primates did directly reflect energy consumption

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20
Q

What happens during rest period?

A
  • Haemoglobin carries oxygen
  • Neuron is taking oxygen from the haemoglobin  oxyhaemoglobin
  • Deoxyhaemoglobin in the absence of oxygen
  • In the venous part, there are some oxyhaemoglobin or deoxyhaemoglobin – this is rest period
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21
Q

What happens during activity?

A
  • Needs more oxygen
  • Take more oxygen and there will be less oxyhaemoglobin in the venous part and more deoxyhaemoglobin
  • Blood flow will increase to provide more oxygen to the neuron
  • The supply will increase the demand by a factor of 2
  • There is more oxygen coming than it is consumed by the neuron
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22
Q

Deoxy-haemoglobin as endogenous contrast agent?

A
  1. oxygen metabolism increase
  2. Deoxyhaemoglobin increase
  3. Blood flow inceease
    deoxyhaemoglobin decrease
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23
Q

What is the impact of magnetic susceptibility?

A

MRI signal = amplitude of magnetization vector M
M = the sum of all the magnetization vectors of each proton in one voxel
Every small magnetization vector is rotating about the z axis
The precessional frequency is proportional to the amplitude of the magnetic field
Even inside a voxel they may not experience exactly the same magnetic field
So they are dephasing
The sum of non-parallel vectors is smaller than the sum of parallel vectors.

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24
Q

What is T2 decay?

A

The signal loss cannot be recovered

25
Q

What is T2* decay?

A

The additional signal loss can be recovered via a spin-echo

26
Q

What is iron-containing Heme group?

A

Makes deoxygenated haemoglobin (Hb)

  1. Paramagnetic (attracted and form induced magnetic field in the direction of the applied magnetic field)
  2. Different from tissue (H20)
27
Q

What does the bound oxygen shield?

A

Heme group making oxygenated Hb

  1. Diamagnetic (repelled and form induced magnetic field in the opposite direction of the applied magnetic field
  2. Same as tissue (H20)
28
Q

What does vessel cause?

A

A distortion in the magnetic field as it has different magnetic susceptibility

29
Q

What does the effect of distortion of magnetic field depend on?

A

Amplitude of applied magnetic field

30
Q

Vessel at 0.5T

A

No distortion of the magnetic field

31
Q

What happens when you increase B0?

A

The amplitude of the magnetic field is different around the vessels that create dipole

32
Q

What does paramagnetic deoxyhameoglobin cause?

A

A local field distortion in and around the vessel: intra and extra-vascular components
The distortions are amplified at higher field

33
Q

What is found in the middle of phantom?

A

Another tissue with different magnetic susceptibility

34
Q

Where can you see the dipole?

A

On the phase image that is proportional to amplitude of the B0

35
Q

What is found in the resting and active state?

A

Resting state - deoxyenated Hb

Active state - oxygenated Hb

36
Q

Why does vectors get dephased?

A

Normal T2* decay

37
Q

What are vessels full of?

A

Deoxygenated Hb that creates a dipole - distortion of magnetic field

38
Q

Why does deoxygenated Hb get more dephased?

A

because of the additional source of inhomogeneity due to the vessels of deoxygenated Hb – more inhomogeneity of the magnetic field, and more difference of precessional frequency between protons and more dephasing

39
Q

What happens at TE of 40 ms?

A

the signal will be higher in the oxyhaemoglobin [in the active state]
• Parameter: T2*
• The T2* will be longer for the activity state

40
Q

What is R2*?

A

inverse of the T2* - the activity state – more oxygen, slower decay, longer T2* - smaller R2*

41
Q

What happens in the resting state?

A
More deoxyhaemoglobin
more B0 inhomogeneity
More rapid dephasing
More rapid decay of signal
Shorter T2*
longer R2*
42
Q

Why must TE must be sufficient long to?

A

Capture the BOLD effect but not too long to have enough MR signal

43
Q

What is bold sensitivity proportional to?

A

TE and signal at the time TE

44
Q

Where is super-sensitivity found?

A

Between active and resting state

45
Q

What is T2* at 3T?

A

30ms

But if you have a scanner of 7T, the T2* will be shorter about 20ms

46
Q

What does haemodynamic response function (HRF) represent?

A

The amplitude of signal if there is neuronal activity at time 0

47
Q

What happens if there is a neuronal activity at time 0?

A
  • Decrease in oxygen, decrease in signal because of the increase in oxygen consumption, but the blood flow didn’t have time to re-apply quickly
  • There is an exceed of supply compared to demand – there is an increase in signal, and it takes longer
48
Q

What is the maximum amplitude that the signal can achieve

A

About 5-6 seconds?

49
Q

How long will it last at the end of the total change in signal?

A

10-20 seconds

50
Q

What are the key findings in the experimental characterisation of the haemodynamic response?

A
  1. CBF increases much more than CMRO2 with brain activation, producing a reduction of E and the total deoxyhemoglobin present in an image voxel
  2. The CBF and BOLD responses to even a very brief stimulus are delayed by 1–2 s and have a temporal width on the order of 4–6 s.For a sustained stimulus of 20 s or longer, the response typically reaches a plateau value, although there can be substantial variation
  3. A post-stimulus undershoot of the BOLD signal is common and may last for 30 s or more.
  4. with longer duration stimuli tending to have longer post-undershoots. The CBF response typically shows only a shorter and weaker post-stimulus undershoot, or none at all
  5. Some investigators have reported an initial dip of the BOLD signal lasting 1–2 s before the standard BOLD signal increase
  6. The BOLD response typically exhibits a temporal nonlinearity such that an appropriately shifted and added response to a brief stimulus over-predicts the true response to an extended stimulus This temporal nonlinearity is most pronounced when the brief stimulus is less than about 4 s and the extended stimulus is longer than 6 s. Comparing short and long duration stimuli that are both longer than about 4 s, the temporal nonlinearity is reduced.
  7. Nonlinearity has also been reported as a “refractory period”, such that two identical stimuli presented close together in time produce a net response with less than twice the integrated response of a single stimulus alone

8There is a growing body of evidence suggesting that the baseline CBF can have a strong effect on the magnitude of the BOLD response to the same stimulus

51
Q

What is dynamic of the BOLD response an interplay of?

A
  1. CBF (cerebral blood flow)
  2. CMRO2 (consumption rate of O2)
  3. CBV (cerebral blood volume)
52
Q

What are the sequence for dynamic of the BOLD response?

A
  1. Initial dip
  2. Positive response (most fMRI studies)
  3. Undershoot
53
Q

What is the Balloon model?

A
  1. CBF increase by arterioles reducing resistance
  2. Pressure raised in venules as consequence
  3. increased pressure increases CBV in venules by about 15%
  4. Elastic properties of venous bed may delay compliance and induce transient mismatches between CBV and CBF
54
Q

Dynamic of the BOLD response

A
  1. Increase in CMR02 preceding CBF increase
    –> signal change
    <0.5% up to 1s
  2. Reduced oxygen extraction fraction, reduced dHb concentration
    - -> ca. 1-5% signal change after ca. 6s
  3. Undershoot due to delayed return of CBV to baseline
    –> ca. 2% signal change for up to 30s
    very controversial
55
Q

What are the factors that affect the BOLD signal?

A
  1. The strength field
  2. Size of the vessel
  3. MR pulse sequence used
56
Q

What is the strength field?

A

At high field, the BOLD signal doesn’t depend on the intra-vascular component if the TE is set to the T2* ( At TE-T2* (GM) the signal from the blood has already vanished

57
Q

What is the size of the vessel?

A
  1. Active vs Rest –> change in T2* but also in T2
  2. The bigger the magnetic field is the change in T2* is
  3. The effect on T2 is maximal for vessel radius of 5um but the effect on T2* increases when the vessel radius increases
58
Q

What is MR pulse sequence used?

A
  1. A spin-echo sequence is able to refocus the protons in that case: spin-echo can suppress the extra-vascular signal of large vessels