2003
DOI: 10.1038/nrn1246
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Alterations in the BOLD fMRI signal with ageing and disease: a challenge for neuroimaging

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Cited by 739 publications
(594 citation statements)
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References 107 publications
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“…In regard to the use of fMRI to study aging, peak stimulus-related BOLD responses are similar in young and older adults, [26][27][28] although some work has shown that the magnitude of the BOLD response can be reduced in older adults, at least in some brain regions 29 . In addition, it is important to keep in mind that there are alterations in the cerebral vasculature with age, and these have the potential to influence the BOLD signal in as yet unknown ways 30,31 . Alhough much remains to be done to understand the impact of aging on the physiology underlying the BOLD signal, the relatively small age differences noted in the properties of these signals and recent work suggesting a small vascular contribution to BOLD signals in older adults during cognitive tasks 32 encourage the continued use of this technique to study cognitive aging.…”
Section: Introductionmentioning
confidence: 99%
“…In regard to the use of fMRI to study aging, peak stimulus-related BOLD responses are similar in young and older adults, [26][27][28] although some work has shown that the magnitude of the BOLD response can be reduced in older adults, at least in some brain regions 29 . In addition, it is important to keep in mind that there are alterations in the cerebral vasculature with age, and these have the potential to influence the BOLD signal in as yet unknown ways 30,31 . Alhough much remains to be done to understand the impact of aging on the physiology underlying the BOLD signal, the relatively small age differences noted in the properties of these signals and recent work suggesting a small vascular contribution to BOLD signals in older adults during cognitive tasks 32 encourage the continued use of this technique to study cognitive aging.…”
Section: Introductionmentioning
confidence: 99%
“…The recent finding of decreased BOLD response in presymptomatic carriers of familial AD mutation but increased BOLD response in APOE e4 carriers (albeit only four subjects) challenges the argument that increased BOLD is related to cognitive compensation (e.g., recruitment of additional neural resources indicating greater cognitive effort required to maintain performance at an equivalent level to healthy peers) and raises the possibility of an unidentified effect of the APOE allelic variant on cerebral vascular reactivity (Ringman et al, 2011). Since the BOLD signal reflects local changes in deoxyhemoglobin content, which in turn exhibits a complex dependence on changes in cerebral blood flow (CBF), cerebral blood volume, and the cerebral metabolic rate of oxygen consumption (Buxton et al, 2004), group differences in the BOLD response may also reflect variations in cerebrovascular functioning that become more pronounced with age or disease and can be confused with alterations in neural activity (D'Esposito et al, 2003). Therefore, direct assessment of CBF through perfusion imaging offers considerable promise as a noninvasive technique for detecting such early and oftentimes subtle functional brain changes that occur in preclinical or prodromal stages.…”
Section: Introductionmentioning
confidence: 99%
“…There is increasing recognition that, by its structural implication in neuro-vascular coupling, underlying vascular architecture is a key player in hemodynamically based functional imaging techniques (including fMRI and PET) (Harrison et al, 2002;d'Esposito et al, 2003;Logothetis and Wandell, 2004;Lauwers et al, 2008;Weber et al, 2008). In particular, the spatial resolution and specificity of such techniques are bound to the density of blood capillary vasculature and blood flow regulating structures (Harel et al, 2006).…”
Section: Introductionmentioning
confidence: 99%