Intraoperative BOLD-fMRI Cerebrovascular Reactivity Assessment

Giovanni Muscas1,2,3, Christiaan Hendrik Bas van Niftrik1,3, Martina Sebök1,3

  • 1Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland.

Insights

Intraoperative blood oxygenation-level dependent cerebrovascular reactivity (BOLD-CVR) monitoring offers a novel way to assess brain hemodynamics during surgery. This study explores its feasibility in neurosurgical patients, paving the way for advanced intraoperative CVR assessment.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Hemodynamics

Background:

  • Cerebrovascular reactivity (CVR) is crucial for brain health, with impairments linked to diseases like stroke and gliomas.
  • Blood oxygenation-level dependent (BOLD) techniques offer high-resolution CVR assessment.
  • Intraoperative CVR monitoring is an emerging field with limited investigation.

Purpose of the Study:

  • To evaluate the feasibility of intraoperative BOLD-CVR monitoring in neurosurgical patients.
  • To explore the potential applications and future developments of this novel technique.

Main Methods:

  • Implementation of intraoperative BOLD-CVR monitoring.
  • Application in vascular and oncologic neurosurgical cases.
  • Feasibility assessment and result discussion.

Main Results:

  • Successful application of intraoperative BOLD-CVR in initial neurosurgical cases.
  • Demonstrated feasibility of the technique for real-time hemodynamic assessment.
  • Identified potential for further development and clinical integration.

Conclusions:

  • Intraoperative BOLD-CVR is a feasible technique for assessing brain hemodynamics during neurosurgery.
  • This method holds promise for improving patient outcomes in vascular and oncologic neurosurgery.
  • Further research is warranted to optimize and expand the use of intraoperative BOLD-CVR.