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MRI Mapping of Cerebrovascular Reactivity via Gas Inhalation Challenges
Published on: December 17, 2014
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.
Abstract:
Blood oxygenation-level dependent cerebrovascular reactivity (BOLD-CVR) has gained attention in recent years as an effective way to investigate CVR, a measure of the hemodynamic state of the brain, with high spatial and temporal resolution. An association between impaired CVR and diverse pathologies has been observed, especially in ischemic cerebrovascular diseases and brain gliomas. The ability to obtain this information intraoperatively is novel and has not been widely tested. We report our first experience with this intraoperative technique in vascular and oncologic neurosurgical patients, discuss the results of its feasibility, and the possible developments of the intraoperative employment of BOLD-CVR.
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