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Why is Clinical fMRI in a Resting State?
Erin E O'Connor1, Thomas A Zeffiro1
1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, MD, United States.
Frontiers in Neurology
|May 10, 2019
Summary
Resting state functional MRI (rs-fMRI) is widely used in research but faces limited clinical adoption. Barriers include data analysis, reliability, and training, hindering its integration into patient care.
Area of Science:
- Neuroimaging
- Clinical Neuroradiology
- Functional MRI
Background:
- Resting state fMRI (rs-fMRI) is prevalent in neuroimaging research.
- Clinical application of rs-fMRI remains limited compared to research use.
Purpose of the Study:
- To assess neuroradiologists' experience with rs-fMRI.
- To identify barriers hindering clinical rs-fMRI implementation.
- To gather suggestions for facilitating clinical rs-fMRI use.
Main Methods:
- An electronic survey distributed to neuroradiology professionals.
- Data collection on demographics, work environment, and rs-fMRI experience using Likert scales.
Main Results:
- High equipment availability (90%) and ease of data collection (82%) for rs-fMRI.
- Significant research interest (59% past use, 72% future plans) but lower clinical plans (40%).
- Identified barriers: denoising, single-subject analysis, map reliability, regulatory, reimbursement, and training.
Conclusions:
- Despite high enthusiasm, clinical rs-fMRI use is restricted.
- Addressing identified barriers in research and development is crucial for clinical integration.
- rs-fMRI holds potential for clinical neuroradiology practice with further advancements.
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