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- W2058709849 abstract "Cerebrovascular reactivity (CVR) can be mapped using BOLD fMRI to provide a clinical insight into vascular health that can be used to diagnose cerebrovascular disease. Breath-holds are a readily accessible method for producing the required arterial CO 2 increases but their implementation into clinical studies is limited by concerns that patients will demonstrate highly variable performance of breath-hold challenges. This study assesses the repeatability of CVR measurements despite poor task performance, to determine if and how robust results could be achieved with breath-holds in patients. Twelve healthy volunteers were scanned at 3T. Six functional scans were acquired, each consisting of 6 breath-hold challenges (10, 15, or 20 s duration) interleaved with periods of paced breathing. These scans simulated the varying breath-hold consistency and ability levels that may occur in patient data. Uniform ramps, time-scaled ramps, and end-tidal CO 2 data were used as regressors in a general linear model in order to measure CVR at the grey matter, regional, and voxelwise level. The intraclass correlation coefficient (ICC) quantified the repeatability of the CVR measurement for each breath-hold regressor type and scale of interest across the variable task performances. The ramp regressors did not fully account for variability in breath-hold performance and did not achieve acceptable repeatability (ICC < 0.4) in several regions analysed. In contrast, the end-tidal CO 2 regressors resulted in “excellent” repeatability (ICC = 0.82) in the average grey matter data, and resulted in acceptable repeatability in all smaller regions tested (ICC > 0.4). Further analysis of intra-subject CVR variability across the brain (ICC spatial and voxelwise correlation) supported the use of end-tidal CO 2 data to extract robust whole-brain CVR maps, despite variability in breath-hold performance. We conclude that the incorporation of end-tidal CO 2 monitoring into scanning enables robust, repeatable measurement of CVR that makes breath-hold challenges suitable for routine clinical practice. • Cerebrovascular reactivity can be measured despite poor breath-hold performance. • Measuring end-tidal CO 2 accounts for varying breath-hold ability and consistency. • Breath-holds can provide CVR maps with “excellent” repeatability. • Breath-holding is a robust tool for assessing vascular health in patient studies." @default.
- W2058709849 created "2016-06-24" @default.
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- W2058709849 date "2013-12-01" @default.
- W2058709849 modified "2023-09-29" @default.
- W2058709849 title "Reliable quantification of BOLD fMRI cerebrovascular reactivity despite poor breath-hold performance" @default.
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- W2058709849 doi "https://doi.org/10.1016/j.neuroimage.2013.07.007" @default.
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