Functional magnetic resonance imaging

Functional magnetic resonance imaging
[[File:|250px|alt=|]]
Pronunciation
Synonyms
Reference Range
Calculator
Purpose
Test of
Based on
ICD-10-PCS
ICD-9-CM
MeSH
OPS-301 Code
Other Codes
MedlinePlus
eMedicine
LOINC
HCPCS-L2

Functional magnetic resonance imaging (fMRI) is a neuroimaging procedure that measures and maps the brain's activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area of the brain is in use, blood flow to that region also increases. The primary form of fMRI uses the blood-oxygen-level-dependent (BOLD) contrast, which is sensitive to changes in the oxygenation of blood.

History

The development of fMRI in the 1990s was a significant breakthrough in the field of neuroscience. It evolved from earlier MRI scanning technology, incorporating the understanding that blood flow and neuronal activity are linked.

Principles

fMRI works by detecting the changes in blood oxygenation and flow that occur in response to neural activity. When a brain area is more active, it consumes more oxygen, and to meet this increased demand, blood flow increases to the active area. fMRI can thus capture images of the changing blood flow related to energy use by brain cells.

Applications

fMRI is used in both research and clinical settings:

• In research, fMRI is used to assess brain function, supporting studies on brain mapping and the understanding of various neurological and psychological phenomena.
• Clinically, fMRI helps surgeons plan surgeries in critical brain areas, aids in the assessment of brain damage, and is used in the diagnosis of disorders like Alzheimer's disease and schizophrenia.

Procedure

During an fMRI scan, the patient lies on a table that slides into a large tunnel-shaped scanner. They must remain still during the scan. Typically, the scan sequences are synchronized with tasks that the subject performs, which can involve answering questions, looking at images, or listening to sounds.

Advantages and Limitations

Advantages

• Non-invasive and does not involve radiation, making it safe for repeated use.
• Provides both anatomical and functional information, making it invaluable for research and clinical purposes.

Limitations

• Expensive and requires specialized equipment and personnel.
• The presence of metal in the body can be a contraindication.
• Limited temporal resolution compared to other methods like electroencephalography (EEG).

Future Directions

Ongoing research in fMRI technology aims to improve the spatial and temporal resolution of the scans. Advances in machine learning and data analysis are also enhancing the interpretation of fMRI data, leading to more precise brain mapping.