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Study Finds fMRI BOLD Misreads Brain Activity in About 40% of Cases

Direct measurements of oxygen use in over 40 adults revealed mismatches that vary by task or region, prompting calls to add quantitative metabolism imaging.

Overview

  • Researchers at TUM and FAU report in Nature Neuroscience that BOLD signal changes can oppose underlying neuronal oxygen consumption in a substantial fraction of measurements.
  • The team simultaneously tracked oxygen consumption with a quantitative MRI method while participants performed standard cognitive tasks such as mental arithmetic and memory recall.
  • In multiple regions, increased BOLD coincided with reduced metabolic demand, while decreased BOLD appeared alongside heightened oxygen use, indicating dissociations from assumed neurovascular coupling.
  • Analyses suggest some areas meet extra energy needs by extracting more oxygen from an unchanged blood supply rather than increasing perfusion, creating misleading blood-flow–based readouts.
  • Authors say interpretations of prior fMRI studies, including work on depression, Alzheimer’s and aging, require reassessment, and they recommend pairing conventional scans with quantitative metabolic measures.