Increasing mean airway pressure reduces functional MRI (fMRI) signal in the primary visual cortex

Changes in both blood flow and blood oxygenation determine the functional MRI (fMRI) signal. In the present study factors responsible for blood oxygenation (e.g., FiO 2) were held constant so that changes in pixel count would above all reflect changes in regional cerebral blood flow (rCBF). Continuo...

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Veröffentlicht in:Magnetic resonance imaging 2001, Vol.19 (1), p.7-11
Hauptverfasser: Lorenz, Ingo H., Kolbitsch, Christian, Hörmann, Christoph, Schocke, Michael, Kremser, Christian, Zschiegner, Fritz, Felber, Stephan, Benzer, Arnulf
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container_issue 1
container_start_page 7
container_title Magnetic resonance imaging
container_volume 19
creator Lorenz, Ingo H.
Kolbitsch, Christian
Hörmann, Christoph
Schocke, Michael
Kremser, Christian
Zschiegner, Fritz
Felber, Stephan
Benzer, Arnulf
description Changes in both blood flow and blood oxygenation determine the functional MRI (fMRI) signal. In the present study factors responsible for blood oxygenation (e.g., FiO 2) were held constant so that changes in pixel count would above all reflect changes in regional cerebral blood flow (rCBF). Continuous positive airway pressure (CPAP) breathing at 12 cm H 2O, which was previously shown to influence rCBF, was applied in human volunteers ( n = 19) to investigate the sensitivity of fMRI for changes in rCBF caused by increased mean airway pressure. Increasing the mean airway pressure decreased the pixel count in the primary visual cortex (median (range)): baseline: 219 (58–425) pixels vs. CPAP (12 cm H 2O): 92 (0–262) pixels). These findings indicate that fMRI is sensitive to detect a reduced rCBF-response in the primary visual cortex. The underlying mechanism is likely to be a reduced basal rCBF due to constriction and/or compression of postcapillary venoles during CPAP breathing. These findings are important for interpreting fMRI results in awake and in artificially respirated patients, in whom positive airway pressure is used to improve pulmonary function during the diagnostic procedure.
doi_str_mv 10.1016/S0730-725X(00)00229-0
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Biological and medical sciences
Cerebrovascular Circulation - physiology
continuous positive airway pressure (CPAP)
fMRI signal
Humans
Investigative techniques of respiratory function
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medical sciences
Nervous system
Oxygen - blood
Oxygen - physiology
Positive-Pressure Respiration
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Reference Values
Respiration, Artificial
Visual Cortex - anatomy & histology
Visual Cortex - physiology
Volunteers
title Increasing mean airway pressure reduces functional MRI (fMRI) signal in the primary visual cortex
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