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Updated: Jan 29, 2026

Functional Transcranial Doppler Ultrasound for Monitoring Cerebral Blood Flow
Published on: March 15, 2021
How reliable is cerebral blood flow to map changes in neuronal activity?
Clotilde Lecrux1, Miled Bourourou1, Edith Hamel1
1Laboratory of Cerebrovascular Research, Montreal Neurological Institute, McGill University, Montréal, QC H3A 2B4, Canada.
Neurovascular coupling links brain activity to blood flow, crucial for diagnostics. This review explores how different brain pathways and states affect this vital connection, highlighting its complexity.
Area of Science:
- Neuroscience
- Neuroimaging
- Physiology
Background:
- Functional MRI maps brain activity via hemodynamic signals, essential for diagnosing neurological disorders like stroke and dementia.
- Neurovascular coupling ensures neuronal function by matching blood supply to metabolic demand, involving complex interactions between neurons, astrocytes, and microvessels.
Purpose of the Study:
- To review and compare neurovascular coupling mechanisms across different activated brain pathways (sensory vs. neuromodulatory).
- To investigate the impact of varying brain states (sleep, wakefulness, attention) and pathological conditions on neurovascular coupling reliability.
- To examine how vascular alterations affect neurovascular coupling.
Main Methods:
- Review of existing literature on neurovascular coupling.
- Comparison of signaling pathways involved in sensory (glutamate) and neuromodulatory (acetylcholine, noradrenaline) pathway activation.
- Analysis of neurovascular coupling across different physiological and pathological brain states.
Main Results:
- Neurovascular coupling involves common signaling pathways but also exhibits unique cascades depending on the activated pathway.
- Brain states such as sleep, wakefulness, and attention, as well as pathological conditions, can affect neurovascular coupling mechanisms.
- Alterations in brain vasculature can compromise the reliability of neurovascular coupling.
Conclusions:
- Neurovascular coupling is complex and pathway-dependent, with variations observed across different brain states and conditions.
- Further research is necessary to fully understand the alterations in neurovascular coupling in various brain states and pathological contexts.
- Reliability of neurovascular coupling is critical for accurate neuroimaging interpretation in health and disease.
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