Investigation of Blood-Flow Changes During Cognitive Task Activation using CASL

Functional perfusion imaging (p-fMRI) was applied for the first time to a cognitive paradigm that produces activations in a number of brain regions. An adapted single-trial version of the color-word Stroop interference task was used as a paradigm. This experiment is known to produce robust activations in the lateral prefrontal, the fronto-median, and parietal cortices. Perfusion contrast was created by continuous arterial spin labeling (CASL) of the blood in the left common carotid artery, and was applied for all repetitions of the functional run in a quasi-continuous fashion, i.e., it was interrupted only during image acquisition. For imaging, a spin-echo (SE) echo planar imaging (EPI) sequence with a 64×36 acquisition matrix was used. A short echo time of TE=13 ms was employed in order to suppress blood oxygen level dependent (BOLD) signals. For comparison, BOLD contrast was detected using conventional gradient-echo (GE) or SE-EPI. Positive activations in BOLD imaging appear in p-fMRI as negative signal changes corresponding to an enhanced transport of inverted water spins into the region of interest (i.e., increased cerebral blood flow [CBF]). Negative BOLD responses (areas of deactivation) appear as positive signal changes in p-fMRI indicating areas with decreased CBF. p-fMRI was capable of reproducing most of the GE-BOLD-fMRI activations and deactivations as signal changes of opposite sign. The localization of the local maxima of p-fMRI agreed reasonably with SE-BOLD-fMRI and GE-BOLD-fMRI. Significant shifts between the covered areas of each contrast were also detected. In certain areas, p-fMRI yielded a low sensitivity compared to BOLD-fMRI. The quantification of CBF changes during cognitive task activation is demonstrated for several well-separated cortical areas. The observation of a decreased CBF during the Stroop task in the parietomedian cortex confirms previous PET results which showed decreases of CBF in well-separated cortical regions related to a decrease in neuronal activity.