Evaluating the dependence of ADC-fMRI on haemodynamics in breath-hold and resting-state conditions
Open accessAbstract
Apparent diffusion coefficient (ADC)-fMRI offers a promising functional contrast, capable of mapping neuronal activity directly in both grey and white matter. However, previous studies have shown that diffusion-weighted fMRI (dfMRI), from which ADC-fMRI derives, is influenced by blood-oxygen level dependent (BOLD) effects, leading to a concern that the dfMRI contrast is still rooted in neurovascular rather than neuromorphological coupling. Mitigation strategies have been proposed to remove vascular contributions while retaining neuromorphological coupling, by: i) analysing ADC timecourses calculated from two interleaved diffusion-weightings, known as ADC-fMRI; ii) using b-values of at least 200 s mm−2; and iii) using a sequence compensated for cross-terms with fluctuating background field gradients associated with blood oxygenation. Respiration-induced haemodynamic fluctuations, which are dissociated from neural activity, are an excellent test-bed for the robustness of ADC-fMRI to vascular contributions. In this study, we investigate the association between end-tidal CO2 and ADC-fMRI, in comparison with dfMRI and BOLD, in both breath-hold and resting-state paradigms in the human brain. We confirm a strong dependence of the BOLD signal on respiration, and a pattern of delayed haemodynamic response in white matter. While dfMRI mitigates much of the vascular contribution, it retains some association with respiration, as expected. Conversely, ADC-fMRI is mostly unaffected by vascular contribution, exhibiting minimal correlation between expired CO2 and ADC timeseries, as well as low inter- and intra-subject reproducibility in correlation maps. These findings validate ADC-fMRI as a predominantly non-vascular contrast sensitive to microstructural dynamics, enabling whole-brain functional imaging unconstrained by vascular confounds.
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DfMRI may offer greater spatial and temporal precision than BOLD, including potential sensitivity in white matter, where BOLD fMRI is challenging.
“DfMRI may, therefore, offer greater spatial and temporal precision than BOLD, including potential sensitivity in white matter, where BOLD fMRI is challenging (de Riedmatten, Spencer, Nguyen-Duc, et al., 2025; Nguyen-Duc et al., 2025; Spencer et al., 2025).”
From 40 Years of diffusion MRI in the brain: From history to emerging frontiers (2026) · cites this paper as de Riedmatten, Spencer, Nguyen-Duc, et al., 2025
The Discussion reports an earlier diffusion-response onset than the BOLD response and describes BOLD’s delayed haemodynamic response in white matter. It also says dfMRI may balance sensitivity to microstructural changes with good temporal resolution. But the paper does not establish greater spatial or temporal precision for dfMRI than BOLD; it explicitly says ADC-fMRI currently does not match BOLD’s temporal resolution. (LLM, conf=0.82)
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Cited by
Sorted by citations
40 Years of diffusion MRI in the brain: From history to emerging frontiers
Le Bihan, D. (2026) · Imaging Neuroscience · doi:10.1162/imag.a.1365
- Authors
- de Riedmatten, I., Spencer, A. P. C., Nguyen-Duc, J., Pérot, J.-B., Szczepankiewicz, F., Esteban, O., & Jelescu, I. O.
- Affiliations
- Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland
- Centre Hospitalier Universitaire Vaudois (CH)
- Lund University (SE)
- Corresponding author
- Spencer, Arthur P.C.
- ORCID
- Venue
- Imaging Neuroscience
- Publisher
- MIT Press
- Published
- 2025
- Volume
- 3
- ISSN
- 2837-6056 (ISSN-L)
- PMC
- PMC12630321
- OpenAlex
- W4416738434
- Cited by
- 4
- References
- 7
- Citations by year
- 2026: 3 · 2025: 1
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Imaging Neuroscience (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS (submittedVersion, cc-by)
- IRIS (submittedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Funders
- Swiss Secretariat for Research and Innovation (‘FIREPATH’ MB22.00032)
- SNSF (194260)
- Swedish Cancer Society (22 0592 JIA)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Keywords
- apparent diffusion coefficient, BOLD signal, hemodynamic response, respiration, end-tidal carbon dioxide, breath-holding, resting state, white matter, functional neuroimaging, reproducibility
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