Harish Palnitkar1, Matthew C Murphy1, Yi Sui1, Kevin J Glaser1, Armando Manduca1, John Huston 3rd1, Richard L Ehman1, and Arvin Arani1
1Department of Radiology, Mayo Clinic, Rochester, MN, United States
Synopsis
Keywords: Elastography, Elastography, Functional MR Elastography
The response of BOLD fMRI to changes in both
visual contrast frequency and contrast intensity have been well documented.
Recently, an increase in the stiffness of activated regions of the visual
cortex due to a controlled variation of block duration has been demonstrated
with fMRE elastograms. The current study aims to investigate the relationship
between BOLD fMRI and fMRE due to a controlled variation of both contrast
intensity and contrast frequency of a visual stimulation. This study demonstrates
that the fMRE-measured stiffness change varies linearly with the underlying
neural activity, which can be modulated by stimulus parameterization.
Introduction
Investigating the relationship
between functional MRE (fMRE) and fMRI in response to an external stimuli has
recently become possible1-10. Lan et
al.11 reported a 6-11% increase in the stiffness of select
regions of the visual cortex in response to visual stimulus. Regions of
activation were found to be similar between fMRI and fMRE, however no significant
spatial correlations were reported between the two methods. Unlike fMRI12-15, the response of fMRE to visual stimulus
flickering frequency and contrast intensity is unknown. Therefore, the current work aims
to measure the stiffness response as a function of underlying neural activity
due to a controlled variation of both flickering frequency and intensity of contrast
during controlled visual stimulus.Method
With institutional
review board approval and written informed consent, 6 subjects underwent a
fMRI/fMRE exam. The clinical fMRI and simultaneous fMRE/fMRI data acquisition
parameters are summarized in Table 1. A visual checkerboard pattern was
displayed at the time of data acquisition as shown in Figure 1. Four paradigms
of contrast and flickering frequency were tested: i) 100% contrast with fast flipping
(0.1 s), ii) 50% contrast with fast flipping (0.1 s), iii) 100% contrast with slow
flipping (0.5 s) and iv) 50% contrast with slow flipping (0.5 s). Complex-valued time series data acquired during each scan
was separated into magnitude and phase components (Figure 1d) and a general linear
model (GLM) was used to model activation maps by fitting experimental data to a
standard hemodynamic response function (HRF) for BOLD fMRI and with a modified
HRF with time to peak modified from 12 s to 8s for the fMRE elastograms.Results
Typical experimental outputs of regional activation maps for 2
participants with a statistical threshold of p < 0.001 are shown in
Figure 2. BOLD fMRI from fMRE magnitude data, fMRE elastograms, and clinical
GRE fMRI activation maps are shown in Figure 2 rows 2, 3, and 4 respectively. The
regions of activation for fMRI BOLD (row 2) and fMRE elastograms in row 3 do
not overlap despite coming from the same data set. A comparison between percentage signal change associated
with fMRI BOLD and the percentage of fMRE stiffness increase as a function of
contrast and frequency of visual stimulus (p < 0.001) is shown in
Figure 3. Both fMRI (% signal) and fMRE (% stiffness)
increased with the contrast and frequency of the stimulus (Figure 3a). In
regions of activation, stiffness increased by ~5% while the BOLD signal change
was observed to increase ~1%. The number of active voxels included in the
regions of interest for BOLD fMRI and fMRE stiffness are plotted as a function
of contrast intensity and frequency of flicker in figures 3(b) and 3(c),
respectively. Many more active voxels were observed with fMRI BOLD than with fMRE
stiffness. A linear mixed effect model analysis with fixed effects for both
frequency of stimulus and contrast intensity showed that fMRE signal was significantly
impacted by both the frequency of the stimulus (p < 0.0001) and the contrast
intensity (p < 0.001).Discussion
This study
demonstrates the sensitivity of fMRE to changes in stiffness resulting from both
the intensity and frequency of flickering of a visual stimulus. A 5-6% increase
in the stiffness of activated regions in the visual cortex (100% contrast, fast
flickering) is reported. A comparison of activation regions between fMRI (BOLD)
and fMRE elastograms shows very little overlap between the regions of
activation. The regions of activation shown in fMRE elastograms are much
smaller in comparison to BOLD fMRI, which most likely suggests that our fMRE data
is at the lower limits of the SNR needed to detect this signal. Future work
will be aimed at improving fMRE SNR.Conclusion
Functional MRE signal
response in the visual cortex increases with both frequency and contrast
intensity of the visual stimulus. Future studies are needed to explore the
relatively small overlap of regions of fMRI BOLD and fMRE stiffness responses.Acknowledgements
No acknowledgement found.References
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