Measuring cerebrovascular reactivity: the dynamic response to a step hypercapnic stimulus

J Cereb Blood Flow Metab. 2015 Nov;35(11):1746-56. doi: 10.1038/jcbfm.2015.114. Epub 2015 Jul 1.

Abstract

We define cerebral vascular reactivity (CVR) as the ratio of the change in blood oxygen level-dependent (BOLD) magnetic resonance imaging (MRI) signal (S) to an increase in blood partial pressure of CO2 (PCO2): % Δ S/Δ PCO2 mm Hg. Our aim was to further characterize CVR into dynamic and static components and then study 46 healthy subjects collated into a reference atlas and 20 patients with unilateral carotid artery stenosis. We applied an abrupt boxcar change in PCO2 and monitored S. We convolved the PCO2 with a set of first-order exponential functions whose time constant τ was increased in 2-second intervals between 2 and 100 seconds. The τ corresponding to the best fit between S and the convolved PCO2 was used to score the speed of response. Additionally, the slope of the regression between S and the convolved PCO2 represents the steady-state CVR (ssCVR). We found that both prolongations of τ and reductions in ssCVR (compared with the reference atlas) were associated with the reductions in CVR on the side of the lesion. τ and ssCVR are respectively the dynamic and static components of measured CVR.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Algorithms
  • Brain Mapping
  • Carbon Dioxide / blood
  • Carotid Stenosis / blood
  • Carotid Stenosis / physiopathology
  • Cerebrovascular Circulation*
  • Cerebrovascular Disorders / blood
  • Cerebrovascular Disorders / physiopathology
  • Female
  • Functional Laterality
  • Humans
  • Hypercapnia / physiopathology*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Oxygen / blood

Substances

  • Carbon Dioxide
  • Oxygen