Abstract

The blood oxygen level dependent (BOLD) effect that provides the contrast in functional magnetic resonance imaging (fMRI) has been demonstrated to affect the linewidth of spectral peaks as measured with magnetic resonance spectroscopy (MRS) and through this, may be used as an indirect measure of cerebral blood flow related to neural activity. By acquiring MR-spectra interleaved with frames without water suppression, it may be possible to image the BOLD effect and associated metabolic changes simultaneously through changes in the linewidth of the unsuppressed water peak. The purpose of this study was to implement this approach with the MEGA-PRESS sequence, widely considered to be the standard sequence for quantitative measurement of GABA at field strengths of 3 T and lower, to observe how changes in both glutamate (measured as Glx) and GABA levels may relate to changes due to the BOLD effect. MR-spectra and fMRI were acquired from the occipital cortex (OCC) of 20 healthy participants whilst undergoing intrascanner visual stimulation in the form of a red and black radial checkerboard, alternating at 8 Hz, in 90 s blocks comprising 30 s of visual stimulation followed by 60 s of rest. Results show very strong agreement between the changes in the linewidth of the unsuppressed water signal and the canonical haemodynamic response function as well as a strong, negative, but not statistically significant, correlation with the Glx signal as measured from the OFF spectra in MEGA-PRESS pairs. Findings from this experiment suggest that the unsuppressed water signal provides a reliable measure of the BOLD effect and that correlations with associated changes in GABA and Glx levels may also be measured. However, discrepancies between metabolite levels as measured from the difference and OFF spectra raise questions regarding the reliability of the respective methods.

Highlights

  • Performing magnetic resonance spectroscopy (MRS) in a timeresolved or functional manner makes it an ideal complement to functional magnetic resonance imaging in that it has the potential to allow patterns of neural activity to be related to associated biochemical events

  • In order to investigate how changes in the linewidth of the unsuppressed water signal relate to the haemodynamic response function (HRF), and how they may be used as a proxy measure of neural activity in the same manner as blood oxygen level dependent (BOLD)-functional magnetic resonance imaging (fMRI), a response curve was constructed as a time course of the response for each

  • The purpose of this study was to determine whether a MEGAPRESS sequence, modified to include spectral frames without water suppression, could be used to perform simultaneous measurement of the BOLD effect and associated metabolic changes

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Summary

INTRODUCTION

Performing magnetic resonance spectroscopy (MRS) in a timeresolved or functional manner makes it an ideal complement to functional magnetic resonance imaging (fMRI) in that it has the potential to allow patterns of neural activity to be related to associated biochemical events Due to their roles as the principal excitatory and inhibitory neurotransmitters in the human brain, functional MRS studies have largely focused on dynamic changes in glutamate, or a composite signal of glutamate and glutamine denoted “Glx,” and γ-aminobutyric acid (GABA) levels. The purpose of this study was to implement this approach with a GABA specific MEGA-PRESS sequence at 3 T, effectively permitting simultaneous functional imaging of the BOLD effect and changes in both Glx and GABA levels with the linewidth of the unsuppressed water signal as an indirect measure of the BOLD effect. Assessment of activity through BOLD related linewidth changes predicts a significant difference in the linewidth of the unsuppressed water signal between spectra acquired during stimulation and at rest

Participants
O GABA Glx NAA Glx OFF NAA OFF Cr Cho Lac Glc
RESULTS
DISCUSSION
Findings
ETHICS STATEMENT
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