(fMRI) Functional
magnetic resonance imaging is a technique used to determine the dynamic
brain function, often based on
echo planar imaging, but can also be performed by using
contrast agents and observing their first pass effects through
brain tissue. Functional
magnetic resonance imaging allows insights in a dysfunctional
brain as well as into the basic workings of the
brain.
The in functional
brain MRI most frequently used effect to assess
brain function is the
blood oxygenation level dependent contrast (
BOLD) effect, in which
differential changes in
brain perfusion and their resultant effect on the regional distribution of oxy- to deoxyhaemoglobin are observable because of the different 'intrinsic
contrast media' effects of the two
haemoglobin forms. Increased
brain activity causes an increased demand for oxygen, and the vascular system actually overcompensates for this, increasing the amount of oxygenated
haemoglobin. Because deoxygenated
haemoglobin attenuates the MR signal, the vascular response leads to a signal increase that is related to the neural activity.
Functional imaging relates body function or thought to specific locations where the neural activity is taking place. The
brain is scanned at low
resolution but at a fast rate (typically once every 2-3 seconds). Structural
MRI together with fMRI provides an anatomical
baseline and best
spatial resolution.
Interactions can also be seen from the motor cortex to the cerebellum or basal ganglia in the case of a movement disorder such as ataxia. For example: by a finger movement the briefly increase in the blood circulation of the appropriate part of the
brain controlling that movement, can be measured.