Cerebral Blood Volume Measurements - Gd_DTPA vs. VASO - and Their Relationship with Cerebral Blood Flow in Activated Human Visual Cortex.

Abstract

Measurements of task-induced changes in cerebral blood volume (CBV) have been demonstrated using VAscular Space Occupancy (VASO) techniques (noninvasive and newly developed) and a contrast agent-based (Gd- DTPA) method (invasive but well-established) with functional magnetic resonance imaging (fMRI). We compared the two methods in determining CBV changes during multi-frequency visual stimulation (4 and 8 Hz). Specifically, we aimed to assess the impact of repetition time (TR) on CBV changes determination using VASO. With additional measurements of cerebral blood flow (CBF), the flow-volume coupling relationship (α value) and cerebral metabolic rate of oxygen were further determined. The results showed that i) using VASO, short TR (2s) caused overestimation of CBV changes, while long TR (6s) generated consistent CBV results, by comparison to the GD-DTPA method; ii) overestimation of CBV changes caused underestimated CMRO(2) changes, but did not alter the frequency-related pattern, i.e., CMRO(2) changes at 4 Hz were greater than those at 8 Hz regardless of the TR; and iii) the tasked-induced CBF-CBV coupling was stimulus frequency-dependent, i.e., α = 0.35-0.38 at 4 Hz and α = 0.51-0.53 at 8 Hz. Our data demonstrated that, with carefully chosen TRs, CBV measurements can be achieved non-invasively with VASO techniques.