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Abstract #0041

Neurovascular uncoupling in resting state fMRI demonstrated in patients with primary brain gliomas

Shruti Agarwal1, Haris I. Sair1, Noushin Yahyavi-Firouz-Abadi1, Raag Airan1, and Jay J. Pillai1

1Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

One of the most important potential limitations of presurgical mapping using blood oxygen level dependent functional magnetic resonance imaging (BOLD fMRI) is the phenomenon of neurovascular uncoupling (NVU). NVU can lead to erroneous interpretation of clinical fMRI examinations. The effects of brain tumor-related NVU on task-based BOLD fMRI have been previously published. The purpose of this study is to demonstrate that the problem of brain tumor-related NVU is a significant issue with respect to resting state BOLD fMRI similar to task-based BOLD fMRI, in which signal detectability can be compromised by breakdown of normal neurovascular coupling.

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