“…One challenge for assessment is the absence of a gold-standard measurement technique to determine blood flow in the nervous system. Studies have used a variety of techniques ( Table 1 ), including intravital microscopy ( 49 ), hydrogen clearance (HC) ( 13 , 80 – 82 ), laser Doppler flowmetry ( 42 , 48 , 83 – 85 ), ultrasound ( 86 – 88 ), and numerous magnetic resonance imaging (MRI) sequences, including arterial spin labeling ( 89 , 90 ), dynamic contrast enhancement (DCE) ( 91 , 92 ), phase contrast ( 93 , 94 ), blood oxygenation level–dependent (BOLD) ( 95 , 96 ), and intravoxel incoherent motion (IVIM) ( 97 ). HC measures hydrogen gas washout via electrode probe, whereas laser Doppler and ultrasound work by measuring frequency shift from reflected light or sound from moving red blood cells; these all require close proximity or direct contact of the probe head with the nerve.…”