Yu-Chia Cheng1, Teng-Chieh Cheng2, Wen-Chau Wu3, Teng-Yi Huang4, Chao-Chun Lin5, Chia-Wei Lin5, Wu-Chung Shen5, and Yi-Jui Liu2
1Master 's Program of Biomedical Informatics and Biomedical Engineering of Feng Chia University, Taichung City 407, Taiwan, 2Department of Automatic Control Engineering, Feng Chia University, Taichung City 407, Taiwan, 3Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan, 4Department of Electrical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan, 5Department of Radiology, China Medical University Hospital, Taichung City 407, Taiwan
Synopsis
The purpose of this study is to explore the
alterations of brain functional connectivity among different hypercapnia using resting-state
functional magnetic resonance imaging (rs-fMRI). 10 healthy males were enrolled
in this study. A high-resolution T1WI image and BOLD-EPI were performed by a 3
Tesla MR scanner. The CO2 gas mixture (air, 3%, 5% and 7%) was given at the different
hypercanpic for each experiment. Our results show that the brain functional
connectivity in resting state is changed in hypercapnia. FC is gradual reduction
as the increased CO2 fraction in the most primary functional networks, expect
the executive control network.
Introduction
Resting-state
functional MRI (rfMRI) studies that low-frequency fluctuations of spontaneous
neuronal activity in the brain can be measured based on blood oxygenation
level-dependent (BOLD) signal by gradient echo EPI. Among the papers of
resting-state networks, the default-mode network (DMN) is highly reproducible [1].
Furthermore, more networks of interest were identified based on a correlational
matching procedure with previously published, publically available, resting-state
templates (Smith et al., 2009). However, BOLD signals could be altered solely
by hypercapnia and it might cause misinterpretation of fMRI studies with concurrent
hypercapnia [2]. Carbon dioxide (CO2) is a potent vasodilator that could increase
the cerebral blood flow prominently [3]. Because BOLD signal coming from the cerebral
blood flow change, the neuron-activity related BOLD signals will be interfered
by the BOLD signals coming from the inhaled CO2 (hBOLD) [4]. We hypothesize
that the influence in hypercapnia might be different for the connectivity of resting-state
networks and hypercapnia grades. Therefore, in our study, we explored the change
of functional connectivity of resting-state networks in different CO2
concentration. Materials and Methods
Experiment design: Ten healthy volunteers (males,
mean age 23) given informed consent took MRI scans with inhalation of various
CO2 concentrations. All images were performed by a 3 Tesla MR scanner (GE Signa
HDx, GE Healthcare, Milwaukee,Wis). A high-resolution T1WI images for
coregistration were scanned by a 3D IR SPGR (TR/TI/TE 7.84/450/2.98, FOV: 256
mm, 256x256, 1 mm thickness). BOLD signals were measured by the EPI scan, and total
34 slices (FOV: 192 mm,
64x64, 3 mm thickness) covering
the whole brain were acquired. Each experiment consisted of 80 scans with a
sampling time of 2.5 seconds. The first 5 dummy scans were discarded. The CO2
gas mixture (air, 3%, 5% and 7%) was given at the hypercanpic phase during 6
min for each experiment. BOLD-EPI scan was started after 3 min from gas
delivery for steady-state hypercapnia. Data Analysis: Image data were preprocessed
using FSL and SPM8 package. First, the GE-EPI images were slice-timing
correction and realigned for motion correction. Then, signal fluctuations were
removed by nuisance regression induced by head motion, respiration, cardiac pulsation,
and scanner drift. Finally, fMRI was co-registered on FSL BBreg and normalized
to the MNI space with the non-linear registration from FSL. The Functional
Connectivity (FC) was calculated by a combined independent component analysis
(ICA) and dual regression
Procedure[5]. Excluding cerebellum network,
nine of 10 explicit activation networks at rest state which were identified in
previous study [6] were used as the primary functional networks in this study. For
the group analysis, the voxel-by-voxel statistical significance of FC value was
analyzed using the one-sample t test (p<0.0001). The activated voxels inside
the nine primary functional networks were counted to calculate the activated
volumes for different CO2 concentrations (air, 3%, 5% and 7%).Result
Figure 1 showed the
connectivity maps obtained through group analysis for different CO2 concentrations,
only default mode network and executive control network shown here. The
activated voxels were defined by the T value over 3. The activated volumes ratios
in different CO2 concentration were calculated using dividing by the activated
volume in air experiment, and Figure 2 depicted the activated volumes ratios at
nine primary functional networks. The activated volumes ratios were reduced
along with raised CO2 fraction in the most functional networks, except the executive
control network. Therefore, the active volumes ratios of different CO2
concentration in the detailed brain area of executive control network were
evaluated and showed on Figure 3.Conclusion
Our
results show that the brain functional connectivity in resting state is changed
in hypercapnia. FC is slight change in 3% CO2 fractions and gradual reduction
as the increased CO2 fraction in the most primary functional networks. However,
in the executive control network, it was suddenly raised in 7% CO2
concentration with close performance in air condition. The executive control
network is strongly to several cognition paradigms, as well as
action–inhibition, emotion, and perception–somesthesis–pain [6]. The reasons might
be related with that the subjects didn’t feel well in suffering from inhaling 7%
CO2 concentration for 6 min duration. Our results show that the BOLD variations
by hypercapnia are different with local brain area and hypercapnia grades.Acknowledgements
The study was supported partly from the Ministry of Science and Technology, R. O. C. under the Grant No. MOST 105-2221-E-035 -049 -MY2.References
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