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Table 2 MR method and parameters, vascular challenge, stimulus effect and regions of interest

From: Magnetic resonance imaging for assessment of cerebrovascular reactivity and its relationship to cognition: a systematic review

Study

MR method

Vascular challenge

Stimulus effect—CVR values

Stimulus effect—etCO2 values (mmHg)

Brain regions analysed

Calviere et al. [34]

DSC EPI

1.5T

TE: 30 ms

15 mg/kg injection of acetazolamide

Frontal CVR

DCS

− 13.5 ± 13.2% BOLD/mmHg

No DCS

20.2 ± 21.3% BOLD/mmHg

Temporoparietal CVR

DCS

− 7.2 ± 22.2% BOLD/mmHg

No DCS

12.7 ± 25.1% BOLD/mmHg

N/A

ROIs: Frontal, temporoparietal

Cantin et al. [13]

BOLD EPI 1.5T

TR: 3000 ms

TE: 45 ms

voxel size

4 × 4 × 4 mm3

32 axial slices

Carbogen (7% CO2 in 93% O2)

Air (1 min) − carbogen (2 min) − air (1 min) × 3,

Duration 12 min

MCI

0.36 ± 0.12%

BOLD/mmHg

AD

0.36 ± 0.13%

BOLD/mmHg

HC

0.62 ± 0.20%

BOLD/mmHg

Baseline

MCI 39.9 ± 7.3

AD 34.6 ± 5.6 HC 42.3 ± 5.5

ΔetCO2

MCI 13.8 ± 8.9

AD 12.3 ± 5

HC 8.9 ± 3.3

ROIs: frontal, parietal, temporal and occipital lobes, cingulum, insula, striatum and thalamus

Chung et al. [32]

CASL w FAIR 3T

Scanning parameters not reported

Vasodilation with CO2 rebreathing, reactivity slope from rebreathing to hyperventilation.

CVR values reported are from the vasodilation measure

T2DM

Baseline

1.1 ± 0.7 ml/100 g/min

2-year follow up

1.0 ± 1.0 ml/100 g/min

HC

Baseline

0.69 ± 0.43 ml/100 g/min

2-year follow up

0.39 ± 1.50 ml/100 g/min

Not reported

ROIs: Global, frontal, temporal, parietal, occipital and insula

Gauthier et al. [33]

pCASL w FAIR 3T

simultaneous CBF and BOLD

BOLD CVR data reported

TR: 3000 ms

TE1: 10 ms

TE2: 30 ms

voxel size 4 × 4 mm2

11 slices of 7 mm (1 mm slice gap)

Computer controlled gas delivery system

2 × 2 min blocks of hypercapnia with 2 min of air before and after each block.

Older adults

0.25 ± 0.08%BOLD/mmHg

Younger adults

0.25 ± 0.06%

BOLD/mmHg

etCO2 targeted to 40 mmHg at baseline, 45 mmHg during hypercapnia

etO2 targeted to 100 mmHg throughout

ROI: frontal lobe

Glodzik et al. [37]

PASL w FAIR 3T

TR: 3400 ms

TE: 17 ms

TI: 1200 ms

voxel size 1.2 × 1.2 × 6 mm3

CO2 rebreathing

MCI

Global cortical

0.31 ± 1.2 ml/100 g/min

Averaged hippocampus

− 0.05 ± 1.7 ml/100 g/min

HC

Global cortical

± 1.5 ml/100 g/min

Averaged hippocampus

1.4 ± 2.7 ml/100 g/min

Baseline

MCI 38.7 ± 5.9

HC 39.2 ± 3.1

ΔetCO2

MCI 6.2 ± 1.4

HC 7.1 ± 1.8

ROIs: Global cortical, hippocampus

Metzger et al. [36]

BOLD EPI

3T

TR:3000 ms

TE: 20 ms

voxel size

3 × 3 × 3.2 mm3

44 slices

8% CO2 enriched-gas (BACTAL®)

Air (1 min)–BACTAL® (2 min)–air (2 min)–BACTAL® (2 min)–air (2 min)–BACTAL® (2 min)–air (1 min)

Global median CVR

Patients CI

0.151 ± 0.06% BOLD/mmHg

Patients CN

0.212 ± 0.06%

BOLD/mmHg

HC

0.207 ± 0.06%

BOLD/mmHg

Not monitored, mean etCO2 obtained from a standard population

Global median grey matter

ROIs: frontal, parietal, occipital, temporal, insula, striatum, thalamus, cingulum

Richiardi et al. [31]

BOLD EPI 3T

TR: 2970 ms

TEs: 12.3, 29.5, 46.8, and 64 ms

voxel size 3.44 × 3.44 × 3.5 mm3

34 axial slices

7% CO2 in medical air administered via a nasal canula

Air (1 min)–CO2 (2 min)–air (2 min)–CO2 (2 min)–air (2 min)

Duration 9 min

Not reported

Not monitored

Lobe level (7 lobes) and regional level analysis (88 regions)

Tchistiakova et al. [10]

BOLD

3T

TR: 2000 ms

TE: 30 ms

32 axial slices

Successive breath holds

6 breath holds lasting 15 s each following 3 s expiration period with intermittent 30 s periods of normal breathing

CVR calculated as %change in BOLD signal, not corrected for etCO2

Not reported

Not monitored

Voxel-wise CVR map

Only ROIs that differed between groups specified: left pericalcarine cortex, right inferior parietal, lateral occipital and precuneus, and bilateral cuneus, lingual gyri and superior parietal lobes

Thomas et al. [35]

BOLD

3T

Scanning parameters not reported

5% CO2 in medical air, administered through a mouthpiece, nose-clip fitted

CO2 (1 min)–air (1 min) repeated three times

MCI

0.174 ± 0.04% BOLD/mmHg

HC

0.170 ± 0.03%

BOLD/mmHg

Not reported

Whole brain grey matter

Yezhuvath et al. [30]

BOLD EPI 3T

TR: 3000 ms

TE: 30 ms

Voxel size 1.7 × 1.7 mm2

25 axial slices

5% CO2 in medical air alternating between gas and room air every minute

Duration 7 min

Not reported

Baseline AD 33.9 ± 3.5

HC 33.7 ± 5.3

ΔetCO2

AD 11.9 ± 1.9

HC 12.2 ± 1.4

Voxel-wise map and ROI analysis

ROIs: occipital lobe, temporal lobe, frontal lobe, parietal lobe, insular cortex and subcortical grey matter

  1. HC healthy controls, AD Alzheimer’s disease, MCI mild cognitive impairment, MMSE Mini-mental State Examination, BOLD EPI blood oxygen-level dependent echo planar imaging, DSC EPI dynamic susceptibility contrast-enhanced echo planar imaging, DCS dysexecutive cognitive syndrome, PASL pulsed arterial spin labeling, pCASL pseudo-continuous arterial spin labeling, T2DM Type 2 diabetes mellitus, CI cognitively impaired, CN cognitively normal, etCO 2 end-tidal partial pressure of CO2, etO 2 end-tidal partial pressure of O2