HST.583 Functional Magnetic Resonance Imaging: Data Acquisition and Analysis Fall 2008

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MIT OpenCourseWare http://ocw.mit.edu HST.583 Functional Magnetic Resonance Imaging: Data Acquisition and Analysis Fall 2008 For information about citing these materials or our Terms of Use, visit: http://ocw.mit.edu/terms.

HST.583: Functional Magnetic Resonance Imaging: Data Acquisition and Analysis, Fall 2008 Harvard-MIT Division of Health Sciences and Technology Course Director: Dr. Randy Gollub. BOLD Imaging I Divya S. Bolar MD/PhD Candidate Harvard Medical School MIT Dept. of Electrical Eng. Division of HST

Imaging Physiology Block Lecture 1: Neural activity, energy metabolism, and cerebral blood flow in the resting brain Lecture 2: Brain activation and intro to BOLD fmri Lecture 3: BOLD Imaging I Lecture 4: Bold Imaging II and Beyond BOLD: State-of of-the art fmri techniques

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

Review of BOLD fmri dhb is paramagnetic agent; decreases signal in T 2 /T 2 * -weighted MR imaging Neuronal activity leads to: Small in CMRO 2 = Small in dhb Large in CBF = Large dhb Net effect = in dhb: fresh oxygenated blood flushes out deoxygenated blood (dhb( dhb) MR signal increases This is BOLD in simplest terms

Review of BOLD fmri Embedded animation removed due to copyright restrictions. See http://www.sinauer.com/neuroscience4e /animations1.1.html (Website for Purves et al. Neuroscience. 4 th edition. Sunderland, MA: Sinauer Associates, 2008.) 1. External stimulus increases neural activity 2. CMRO 2 increases slightly, resulting in a transient increase in dhb, and a transient decrease in BOLD Fast response: in CMRO 2 dhb content BOLD signal!

Review of BOLD fmri Embedded animation removed due to copyright restrictions. See http://www.sinauer.com/neuroscience4e /animations1.1.html (Website for Purves et al. Neuroscience. 4 th edition. Sunderland, MA: Sinauer Associates, 2008.) Slow response: CBF dhb BOLD signal! 1. External stimulus increases neural activity 2. CMRO 2 increases slightly, resulting in a transient increase in dhb, and a transient decrease in BOLD 3. CBF begins to increase substantially, delivering more HbO 2 4. HbO 2 (now abundant) displaces dhb; BOLD signal increases

Review of BOLD fmri Thought question: Ignoring timing, what if CBF and CMRO 2 both increased by the same percent? Would we see much of a BOLD effect? Probably not; the increased dhb content (via oxygen removal from HbO 2 via metabolism) would be exactly compensated by fresh HbO 2 brought in by CBF dhb/hbo 2 ratio and thus dhb content would not appreciably change*

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

BOLD Response Recall first fmri study Courtesy of National Academy of Sciences, U. S. A. Used with permission Kwong, K K, et al. "Dynamic magnetic resonance imaging of human brain activity during primary sensory stimulation." PNAS 89, no. 12 (1992): 5675-5679. Copyright 1992, National Academy of Sciences, U.S.A.

BOLD Response Recall first fmri study Courtesy of National Academy of Sciences, U. S. A. Used with permission Kwong, K K, et al. "Dynamic magnetic resonance imaging of human brain activity during primary sensory stimulation." PNAS 89, no. 12 (1992): 5675-5679. Copyright 1992, National Academy of Sciences, U.S.A. Experiment involved using a long duration visual stimulus (60 s), i.e. the on period

BOLD Response Recall first fmri study Courtesy of National Academy of Sciences, U. S. A. Used with permission Kwong, K K, et al. "Dynamic magnetic resonance imaging of human brain activity during primary sensory stimulation." PNAS 89, no. 12 (1992): 5675-5679. Copyright 1992, National Academy of Sciences, U.S.A. Experiment involved using a long duration visual stimulus (60 s), i.e. the on period Interleaved with long off periods (60 s)

BOLD review Even earliest study revealed some characterisc features of the BOLD response: Courtesy of National Academy of Sciences, U. S. A. Used with permission Kwong, K K, et al. "Dynamic magnetic resonance imaging of human brain activity during primary sensory stimulation." PNAS 89, no. 12 (1992): 5675-5679. Copyright (c) 1992, National Academy of Sciences, U.S.A. BOLD effect does not instantaneously follow stimulus There is a delay after stimulus onset and offset; undershoot after stimulus cessation

BOLD: Epoch-related or blocked design This type of approach is known as a blocked or epoch-related design Sustained periods of stimulation produce sustained neural activity and a sustained BOLD response Employed by most early fmri studies; provides a large response for maximal sensitivity

BOLD: Epoch-related or blocked design Off On Off On Block stimulus yields strong BOLD response of extended duration

BOLD: Epoch-related or blocked design Off On Off On Block stimulus yields strong BOLD response of extended duration

BOLD: Epoch-related Event-related Off On Off On On period can also be thought of as being composed of many individual repeating events, clustered together

BOLD: Epoch-related Event-related Off On Off On Looking at the BOLD response from a single event

BOLD: Epoch-related Event-related Off On Off On We d see a much shorter, smaller amplitude response

BOLD: Epoch-related Event-related Off On Off On Notice both delay and dispersion from actual stimulus

BOLD: Event-related BOLD response to event is known as the impulse response or hemodynamic response 1.2 Delay 1 Ensemble Neural Firing Hemodynamic Response 0.8 Amplitude 0.6 0.4 0.2 Dispersion 0-0.2 0 2 4 6 8 10 12 14 16 18 20 Time (s) Many implications for fmri design and analysis

BOLD: Event-related Experimentally measuring the hemodynamic response requires averaging to reduce noise Signal Average (N = 10) 760 755 750 745 740-5 0 5 10 15 20 25 30 Time (s) from 100 ms stimulus Courtesy of Robert Savoy, Ph.D., and Robert Weisskoff, Ph.D. Used with permission.

BOLD: Events and Epochs Event refers to a short-duration stimulus producing a brief burst of neural activity Epoch refers a block of consecutive events, clustered into on periods, interleaved with off periods, producing sustained neural activity

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

Linearity of BOLD hemodynamic response It has been shown that the BOLD hemodynamic response is roughly linear Scaling and superposition hold Scaling states that the output of a linear system is proportional to magnitude of its input Superposition states that the output of a linear system with more than one input is the sum of the responses to the individual inputs

Linearity of BOLD response Scaling property can be demonstrated by Increasing stimulus intensity

Linearity of BOLD response Scaling property can be demonstrated by Increasing stimulus intensity

Linearity of BOLD response Scaling property can be demonstrated by Increasing stimulus intensity

Linearity of BOLD response Scaling property can be demonstrated by Doubling stimulus intensity Doubling stimulus duration

Linearity of BOLD response Scaling property can be demonstrated by Doubling stimulus intensity Doubling stimulus duration

Linearity of BOLD response Scaling property can be demonstrated by Doubling stimulus intensity Doubling stimulus duration

Linearity of BOLD response Superposition can be demonstrated by adding additional events at points in time Responses sum with appropriate lag

Linearity of BOLD response Superposition can be demonstrated by adding additional events at points in time Responses sum with appropriate lag

Linearity of BOLD response Superposition can be demonstrated by adding additional events at points in time Responses sum with appropriate lag

Linearity of BOLD response Superposition can be demonstrated by adding additional events at points in time Responses sum with appropriate lag

Linearity of BOLD response Blocked design increase response amplitude significantly

Linearity of BOLD response In reality, signal response to short stimuli can be lost in noise 3750 ASE Signal ( (arb arb) 3700 3650 3600 3550 3500 3450 0 60 120 180 240 300 360 420 480 Time (s) Courtesy of Robert Savoy, Ph.D., and Robert Weisskoff, Ph.D. Used with permission.

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

Modeling the BOLD response Response arises from a culmination of different physiological responses secondary to stimulus The nature of these response and how they are linked is an active area of research Courtesy Elsevier, Inc., http://www.sciencedirect.com. Used with permission. From Buxton et. al., HST.583, NeuroImage, Divya 2004 Bolar, 2008

Modeling the BOLD response We have discussed the CBF/ CMRO 2 relationship Several competing hypotheses; difficult to test because imaging CMRO 2 difficult with MRI Mismatch remains one of the most fundamental questions of functional neuroimaging Courtesy Elsevier, Inc., http://www.sciencedirect.com. Used with permission. From Buxton et. al., HST.583, NeuroImage, Divya 2004 Bolar, 2008

Why is increase in CBF so much larger than increase in CMRO 2? 1. Uncoupling between CBF and CMRO 2? 2. Coarse spatial control of CBF? 3. Oxygen limitation model? 4. Astrocyte-Neuron Lactate Shuttle Model? 5. Hemoneural hypothesis? 6. Other ideas?

1. Uncoupling between CBF and CMRO? 2 Probably not; Hoge et. Al showed a strong linear relatiobship between CBF and CMRO 2 Probably not; 20% 10% Courtesy of National Academy of Sciences, U. S. A. Used with permission. Source: Hoge, R., et al. "Linear coupling between cerebral blood flow and oxygen consumption in activated human cortex." PNAS 96 no. 16 (August 3, 1999): 9403-9408. Copyright (c) 1999, National Academy of Sciences, U.S.A. Graded hypercapnia was used to define isocontours of CMRO 2 ; graded visual stimulus experiments could be then used explore CMRO 2 / CBF relationship* Still doesn t t explain why a much larger CBF change is needed; ; i.e. Rick s s data shows a 2x increase in CBF versus CMRO 2!

2. Coarse spatial control of CBF? Malonek & Grinvald suggested that in fact a matching increase in oxygen delivery is required to support the small increase in CMRO 2 (oxygen consumption) However, vascular response is not precise enough to delivery CBF to only the region with increased CMRO 2 Can only deliver CBF to a larger containing area,, and thus a much larger than necessary response is required Watering the garden, for the sake of the thirsty flower

2. Coarse spatial control of CBF? Image removed due to copyright restrictions. Fig. 3 in Malonek, D. and A. Grinvald. Interactions Between Electrical Activity and Cortical Microcirculation Revealed by Imaging Spectroscopy: Implications for Functional Brain Mapping. Science 272 (1996): 551-554. Malonek & Grinvald,, Science, 1996 In other words, Malonek and Grinvald asserted that CBF is controlled on a coarse spatial scale, while areas of increased CMRO 2 occur on a fine spatial scale Using optical techniques found that initial transient rise in dhb mapped to fine columnar structure of visual cortex Suggested that increased dhb correlates to increased CMRO 2 oxygen metabolism before CBF increase The spatial map of HbO 2 (i.e. the effect behind BOLD) did not reveal columnar structure, suggesting only coarse control

2. Coarse spatial control of CBF? Relative concentration 4 3 2 1 0-1 0 2 4 6 8 10 12 Time (s) Figure by MIT OpenCourseWare. Oxygenated hemoglobin Deoxygenated hemoglobin After Malonek & Grinvald,, Science, 1996 In other words, Malonek and Grinvald asserted that CBF is controlled on a coarse spatial scale, while areas of increased CMRO 2 occur on a fine spatial scale Using optical techniques found that initial transient rise in dhb mapped to fine columnar structure of visual cortex Suggested that increased dhb correlates to increased CMRO 2 oxygen metabolism before CBF increase The spatial map of HbO 2 (i.e. the effect behind BOLD) did not reveal columnar structure, suggesting only coarse control

2. Coarse spatial control of CBF? See accompanying video clip Screen Grating Orthogonal Stimuli at 45 and 135 degrees Duong and colleagues used CBF-mapping MRI (ASL) to delineate orientation columns in cat visual cortex Suggested that hemodynamic-based fmri could indeed be used to individual functional columns Non-BOLD approach; eliminates venous large- vessel contribution

2. Coarse spatial control of CBF? Duong et al, PNAS, 2001 Courtesy of National Academy of Sciences, U. S. A. Used with permission. Source: Duong, T. Q. "Localized cerebral blood flow response at submillimeter columnar resolution." PNAS 98, no. 19 (September 11, 2001):10904-10909. Copyright 2001, National Academy of Sciences, U.S.A. Duong and colleagues used CBF-mapping MRI (ASL) to delineate orientation columns in cat visual cortex Suggested that hemodynamic-based fmri could indeed be used to individual functional columns Non-BOLD approach; eliminates venous large- vessel contribution 1

2. Coarse spatial control of CBF? In addition to Duong, several studies of provide contradictory evidence to Malonek & Grinvald theory Woolsey & Rovainen,, 1991, rat barrel cortex. However,, these specialized cortices (i.e. visual and barrel) may be unique cases; brain in general may not have such fine spatial control of blood flow If Malonek and Grinvald are correct, what does this imply about spatial resolution of BOLD imaging?? Suggests limit of BOLD fmri spatial resolution is physiological, not technological!

3. Oxygen limitation model? Hb Flow O 2 Figure by MIT OpenCourseWare. τ Buxton & Frank, JCFMB, 1997 Buxton, Intro to fmri, Cambridge 2002 Assume O 2 extraction is limited at rest and CBF increases by increasing blood velocity (not( by recruitment)

3. Oxygen limitation model? Hb O 2 Figure by MIT OpenCourseWare. τ Flow ACTIVATION: Increased capillary velocity Reduced transit time Decreased oxygen extraction Buxton & Frank, JCFMB, 1997 Buxton, Intro to fmri, Cambridge 2002 Assume O 2 extraction is limited at rest and CBF increases by increasing blood velocity (not( by recruitment) An increase in CBF will decreases capillary transit time A decrease in capillary transmit time will decrease O 2 extraction Results in nonlinear relationship between CBF and OEF Consistent with following equation: CMRO2 OEF CBF Thus, a large increase in CBF is required to sustain a modest increase in CMRO 2!

4. Astrocyte-Neuron Lactate Shuttle? Figure by MIT OpenCourseWare. After Huttel et al, frmi, 2002. After Magestretti et al, Science, 1999. Posits that initial increase in neuronal activity is followed by an immediate increase in anaerobic respiration (since( it can respond faster) This suggests an initial uncoupling between CBF and CMRO 2 ; anaerobic respiration does not use O 2, so initial increase in CMRO 2 is small Using extended duration stimuli Mintun and colleagues have shown that CMRO 2 actually increases over time, perhaps recoupling with CBF Perhaps fast anaerobic response for immediate ATP demands, then slow aerobic response to sustain ATP demands

5. Hemoneural hypothesis? While the increase in CBF is excessive from a metabolic standpoint, it may be appropriate if interpreted as having activity-dependent neuro- modulatory functions Authors posit that hemodynamics may impact neural activity through direct and indirect mechanisms Chris Moore spent a discussion section talking about these novel ideas, and will have another session later this fall

6. Other ideas (have any?!)

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

Modeling the BOLD signal Another key feature of the BOLD response is the post-stimulus stimulus undershoot (PSU) Until recently, two similar CBV models (i.e. the balloon model or delayed venous compliance model) were broadly accepted Courtesy Elsevier, Inc., http://www.sciencedirect.com. Used with permission. From Buxton et. al., HST.583, NeuroImage, Divya 2004 Bolar, 2008

Balloon / Delayed Venous Compliance (DVC) Model Veins are compliant and distend in response to increased blood flow Distention leads to increased venous CBV, but CBV response lags CBF response CBF returns to baseline quickly; thereby stops HbO 2 delivery and dhb flushing dhb concentration starts returning to baseline CBV venous is still elevated, so total dhb content (content = CBV venous [dhb]) is increased compared to baseline BOLD signal transiently decreases following stimulus cessation

Balloon/DVC Model Activated steady-state 1. During activation both CBF and CBV are elevated; dhb is low dhb Low, HbO 2 high

Balloon/DVC Model Return to baseline 1. During activation both CBF and CBV are elevated; dhb is low 2. After activation ceases, CBF returns to baseline quickly; [dhb[ dhb] ] returns towards baseline 3. CBV takes much longer to return to baseline 4. Total dhb content increases; signal falls

Balloon/DVC Model 30 20 10 venous complance CBV % Change 0-10 -20-30 -40 arteriole resistance -50-10 0 10 20 30 40 50 60 Time (sec) Figure by MIT OpenCourseWare. After Mandeville et al, JCBFM, 1999. PSU Copyright 1999 Wiley-Liss, Inc., a subsidiary of John Wiley & Sons, Inc. Reprinted with permission of John Wiley & Sons., Inc.

PSU: Not a volume effect!? New evidence suggests post-stimulus stimulus undershoot is NOT caused by elevated CBV (not biomechanical) Another example of being on the edge of 50% right/ wrong!

PSU: Uncoupling of CMRO 2 and CBF? CBF returns to baseline quickly after stimulus ends, but CMRO 2 stays elevated. Oxygen consumption/ dhb production) > Oxygen delivery/ dhb removal) Net result: more dhb leading to transient decrease in BOLD signal Schroeter (NIRS), Frahm,, Van Zijl (VASO), Devor

Overview BOLD review BOLD response to blocks and events Linearity of BOLD response Modeling the BOLD signal Main response Post-stimulus stimulus undershoot Initial Dip

Modeling the BOLD signal An important, but controversial feature of the BOLD response is the initial or early dip. Initial decrease in dhb content, leading to initial decrease in BOLD Many groups do not see initial dip, but this may be due to decreased sensitivity at lower fields As imaging hardware improves, the initial dip may become an important indicator of activation Courtesy Elsevier, Inc., http://www.sciencedirect.com. Used with permission. From Buxton et. al., HST.583, NeuroImage, Divya 2004 Bolar, 2008

The Initial or Early Dip Primary BOLD Initial Dip Menon & colleagues reported first BOLD fmri study at 4T Initial dip appeared more tightly correlated to cortical neurons than primary response Like Malonek & Grinvald,, suggested that early surge in dhb was due to a fast increase in CMRO 2 Source: Menon, R.S. MRM 33, no. 3 (March 1995); 453-459. Copyright (c) 1995 Wiley-Liss, Inc., a subsidiary of John Wiley & Sons, Inc. Reprinted with permission of John Wiley & Sons., Inc.

The Initial or Early Dip Relative concentration 4 3 2 1 0-1 0 Oxygenated hemoglobin Deoxygenated hemoglobin 2 4 6 8 10 12 Time (s) Malonek & Grinvald, Science, 1996 Figure by MIT OpenCourseWare. Menon & colleagues reported first BOLD fmri study at 4T Initial dip appeared more tightly correlated to cortical neurons than primary response Like Malonek & Grinvald,, suggested that early surge in dhb was due to a fast increase in CMRO 2

Summary: Some contributors to BOLD response CMRO 2 Stimulus Neural Activity CBF Deoxyhemoglobin Content CBV Figure by MIT OpenCourseWare. After Buxton, Introduction to fmri, 2002.

Summary BOLD response to stimuli called hemodynamic response and is roughly linear Three main features of response: initial dip, primary positive response, and post- stimulus undershoot These features have different spatiotemporal properties, as they arise from different physiologic parameters

BOLD Imaging II Up next: Effects of diffusion on BOLD signal Spatial source of BOLD signal contribution (extravascular versus intravascular) BOLD sequence variants and parameters Beyond BOLD: State-of of-the-art techniques to image activation physiology CBF techniques (ASL) CBV techniques (VASO) Calibrated BOLD/ rel CMRO 2 techniques