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Updated: Aug 24, 2025

A Free-breathing fMRI Method to Study Human Olfactory Function
Published on: July 30, 2017
Functional Imaging in Olfactory Disorders
V Van Regemorter1,2, Ph Rombaux1,3, L Dricot1
1Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium.
Purpose Of Review:
The aim was to synthesize key findings regarding the use of functional MRI (fMRI) to assess olfactory dysfunction (OD), and thus, to evaluate whether fMRI could be a reliable clinical diagnostic tool.
Recent Findings:
In response to olfactory stimulation, patients with quantitative OD display reduced activation in olfactory-related brain regions but also stronger activation in non-olfactory brain areas. Parosmic patients also seem to show both weaker and higher brain signals. As to trigeminal chemosensory system, fMRI suggests that central processing may be declined in patients with OD. Functional connectivity studies report a possible correlation between altered neuronal connections within brain networks and olfactory performances.
Summary:
fMRI emerges as a valuable and promising objective method in OD evaluation. Yet, its high inter-individual variability still precludes its routine clinical use for diagnostic purpose. Future research should focus on optimizing stimulation paradigms and analysis methods.
Insights
Functional MRI (fMRI) shows promise for diagnosing olfactory dysfunction (OD) by revealing altered brain activity. However, variability currently limits its routine clinical application for OD assessment.
Area of Science:
- Neuroscience
- Medical Imaging
- Otolaryngology
Background:
- Olfactory dysfunction (OD) significantly impacts quality of life.
- Current diagnostic methods for OD are often subjective.
- Objective biomarkers for OD are needed.
Purpose of the Study:
- To synthesize findings on functional MRI (fMRI) for assessing olfactory dysfunction (OD).
- To evaluate the potential of fMRI as a reliable clinical diagnostic tool for OD.
Main Methods:
- Review of studies utilizing fMRI to investigate brain responses to olfactory stimulation in individuals with OD.
- Analysis of functional connectivity alterations in patients with OD.
- Assessment of trigeminal chemosensory system processing via fMRI.
Main Results:
- Patients with quantitative OD show altered activation in olfactory and non-olfactory brain regions.
- Parosmic patients exhibit complex patterns of reduced and heightened brain signals.
- fMRI suggests potential decline in central trigeminal chemosensory processing in OD.
- Altered functional connectivity correlates with olfactory performance.
Conclusions:
- fMRI is a promising objective tool for evaluating OD.
- High inter-individual variability in fMRI results currently hinders routine clinical diagnostic use.
- Future research should optimize fMRI stimulation and analysis methods for OD.
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