Neuroendocrine influences on dynamic cerebrovascular function and implications for functional MRI

To fully profile how ovarian hormones interact with cerebrovascular function, it is vital to consider, not just resting physiology, but also dynamic aspects of cerebrovasculature that support neural activity. This study uses hypercapnic cerebrovascular reactivity (CVR) and the visually-evoked haemodynamic response function (HRF) to investigate the influence of menstrual-related changes in oestradiol and progesterone on dynamic aspects of the cerebrovascular system.

20 menstruating females (age mean[SD]=23.01[4.01]years) completed a 3T MRI scanning session during the early follicular, late follicular, and mid-luteal phases of their menstrual cycle. Circulating hormones were measured via blood samples. Simultaneous blood oxygen level dependant (BOLD)-CVR and cerebral blood flow (CBF)-CVR data were collected using a pseudocontinuous arterial spin labelling (pCASL) acquisition using a dual-excitation (DEXI) readout during periods of hypercapnia (5% CO ₂ ). The HRF was estimated using a whole brain EPI scan during high-contrast radial checkerboard presentation.

Both oestradiol and additional progesterone variance were associated with increased CVR (both BOLD-CVR and CBF-CVR; p<0.001) and altered HRF shape (p<0.005). No statistically significant regional effects were found.

A secondary experiment investigated the impact of using either canonical or individually mapped HRF in a standard fMRI processing pipeline; namely, population receptive field (pRF) mapping. Results across phases suggest that neither hormone was associated with pRF size when modelled using a canonical HRF (both p>0.05). However, a significant neuroendocrine influence on pRF sizes was discovered when using individually measured HRFs (p<0.001).

This study found evidence that dynamic cerebrovascular functions are sensitive to menstrual-related ovarian hormones, which may be a potential mechanism underlying menstrual symptomatology and has implications for fMRI studies that assume intact neurovascular coupling processes in women, regardless of menstrual staging, to make inferences about neural activity.