Synopsis
Diffusion
fMRI (DfMRI) has been shown to reflect neuronal activation more directly than
BOLD fMRI, showing neuronal responses even when neurovascular coupling is
abolished. We compared resting state ADC and BOLD fMRI time courses under
different anesthesia conditions. While BOLD fMRI showed a widespread signal increase
with isofluorane and a decrease with medetomidine, the ADC increased
significantly with both agents in specific regions, notably in the wakefulness/sleep network. The
amount of ADC increase was correlated with the dose of anesthetic agent, suggesting the
suitability of DfMRI to investigate brain resting state or pharmacological
challenges quantitatively and without vascular confounding effects. Background and Purpose
BOLD
fMRI has been extensively used to investigate brain resting state or
pharmacological challenges in various physiological or pathological situations
1.
However, BOLD fMRI which relies on the neurovascular coupling hypothesis and
does not directly reflects neuronal activity may fail in some conditions which
prevent neurovascular coupling
2. It is also sensitive to global or
local variations in cerebral blood flow which are not necessarily related to
underlying neuronal activity. On the other hand, diffusion fMRI
3 has
been shown to be more directly linked to neuronal activation showing neuronal
responses even when neurovascular coupling is abolished
4. We have
investigated the potential of DfMRI to provide a quantitative assessment of resting
state brain activity in various anesthetic conditions.
Methods
Experiments
were conducted in anesthetized Wistar rats at 7T with a volume coil (PharmaScan,
Bruker). After an initial anesthesia under 2.0% isofluorane anesthesia
conditions were changed and whole brain DfMRI images were acquired continuously
for 10 min (40 volumes) under isoflurane (Iso; 1.5, 2.0, and 2.5%; n=10) or medetomidine (Med; 0.1 and 0.3 mg/kg/h, i.v.;
n=8) (Fig.1) with the following parameters: diffusion-sensitized double SE-EPI sequence; TR/TE=2500/32
ms, FOV=2.5×2.5
cm2, Matrix=100×100, 10 slices, 1.5 mm thickness,
b-values=1000 and 1800 mm
2/s along 3 directions; [X=1,Y=0,Z=0], [0,1,0],
and [0,0,1]. BOLD images were acquired with the same parameters except for; 240
volumes (10 min) and b-values=10 mm
2/s along [1,1,1], under same
dosages of Iso and Med conditions (n=4, respectively). Breathing, CO
2
concentration and rectal temperature of the rats were monitored and artificially
controlled during scanning. Water apparent diffusion coefficient (ADC) maps
were calculated for each time point as ADC=ln(S
1000/S
1800)/800
to remove any residual IVIM or T2/T2* effects and averaged over the 3
directions. Pre-processing (realignment, normalization to an average rat
template, and smoothing) and statistical analysis of two-way repeated ANOVA (p<0.001,
uncorrected) were performed with SPM8 over the whole time courses and dosage
conditions for Iso and Med, respectively.
Results and Discussion
The
BOLD images showed a widespread, not specific signal increase in Iso and
decrease in Med (Fig.2A, B). The increase in BOLD
under Iso is likely caused by an overall blood vessel vasodilation
5 and
the decrease under Med by an overall vasoconstriction
5.
On the contrary, the ADC absolute value increased significantly both with Iso
and Med in specific brain regions (Fig. 2C, D). Overall this ADC increase was
very stable with time under each anesthetic condition, compared with temporal BOLD
change (Fig.3). The regions exhibiting the ADC increase common to both Med and
Iso were the cerebral cortex, the limbic region, the midbrain and a network of
regions (CM, PO, pHT, vmHT, DR, and PAG) known
to be associated with wakefulness/sleep conditions
6,7. Additional regions with
increased ADC were also observed for Iso (Fig.4). Those loci are consistent with the known enhancement
by isofluorane of GABAergic inhibitory systems on the whole brain
8, while
medetomidine is an α2 adrenergic agonist which enhances neural inhibitory systems through norepinephrine at
selective brain region
5. Importantly, the amount of
ADC increase was correlated with the dose of anesthetic drugs (Fig.4, Table 1)
which are known to induce a dose-dependent decrease in neural activity
5,8,
especially in the wakefulness/sleep network. Based on earlier reports that water diffusion
decreases during neural evoked responses, possibly in relation to the
associated swelling of
cellular element
3,4,9, those results suggest that the water
diffusion increase observed under anesthetic conditions might reflect neural deactivation
and, possibly, an associate retraction of
cellular elements
10.
Conclusion
Water
apparent diffusion coefficient was shown to increase in specific regions on the
rat brain under anesthetic conditions, especially in a network of regions
involved in wakefulness and sleep.
The amount of diffusion increase was correlated to the dose of the anesthetic
drugs, likely reflecting a decrease neuronal activity. In contrast, BOLD
signals showed non-specific, widespread relative changes of opposite signs for Iso
and Med. Those results suggest that DfMRI might be suitable to investigate
brain resting state or pharmacological challenges in various physiological or
pathological conditions quantitatively and without interference with vascular
confounding effects.
Acknowledgements
We thank Boucif Djemai for support with general
animal handling. We thank the Louis-Jeantet and Louis D. Foundations for their generous support.References
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