Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal

Cardiorespiratory signals have long been treated as ''noise'' in functional magnetic resonance imaging (fMRI) research, with the goal of minimizing their impact to isolate neural activity. However, there is a growing recognition that these signals, once seen as confounding variab...

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Main Authors: Mahathi Kandimalla, Seokbeen Lim, Jay Thakkar, Sannidhi Dewan, Daehun Kang, Myung-Ho In, Hang Joon Jo, Dong Pyo Jang, Zuzana Nedelska, Maria I. Lapid, Yunhong Shu, Cheon-Pyung, Petrice M. Cogswell, Val J. Lowe, Jeyeon Lee, Hoon-Ki Min
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:NeuroImage
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Online Access:http://www.sciencedirect.com/science/article/pii/S105381192400497X
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author Mahathi Kandimalla
Seokbeen Lim
Jay Thakkar
Sannidhi Dewan
Daehun Kang
Myung-Ho In
Hang Joon Jo
Dong Pyo Jang
Zuzana Nedelska
Maria I. Lapid
Yunhong Shu
Cheon-Pyung
Petrice M. Cogswell
Val J. Lowe
Jeyeon Lee
Hoon-Ki Min
author_facet Mahathi Kandimalla
Seokbeen Lim
Jay Thakkar
Sannidhi Dewan
Daehun Kang
Myung-Ho In
Hang Joon Jo
Dong Pyo Jang
Zuzana Nedelska
Maria I. Lapid
Yunhong Shu
Cheon-Pyung
Petrice M. Cogswell
Val J. Lowe
Jeyeon Lee
Hoon-Ki Min
author_sort Mahathi Kandimalla
collection DOAJ
description Cardiorespiratory signals have long been treated as ''noise'' in functional magnetic resonance imaging (fMRI) research, with the goal of minimizing their impact to isolate neural activity. However, there is a growing recognition that these signals, once seen as confounding variables, provide valuable insights into brain function and overall health. This shift reflects the dynamic interaction between the cardiovascular, respiratory, and neural systems, which together support brain activity. In this review, we explore the role of cardiorespiratory dynamics—such as heart rate variability (HRV), respiratory sinus arrhythmia (RSA), and changes in blood flow, oxygenation, and carbon dioxide levels—embedded within fMRI signals. These physiological signals reflect critical aspects of neurovascular coupling and are influenced by factors such as physiological stress, breathing patterns, and age-related changes. We also discuss the complexities of distinguishing these signals from neuronal activity in fMRI data, given their significant contribution to signal variability and interactions with cerebrospinal fluid (CSF). Recognizing the influence of these cardiorespiratory dynamics is crucial for improving the interpretation of fMRI data, shedding light on heart-brain and respiratory-brain connections, and enhancing our understanding of circulation, oxygen delivery, and waste elimination within the brain.
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spelling doaj-art-e501976f0421403ab42763bac9a9f4982025-01-23T05:26:21ZengElsevierNeuroImage1095-95722025-02-01306121000Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signalMahathi Kandimalla0Seokbeen Lim1Jay Thakkar2Sannidhi Dewan3Daehun Kang4Myung-Ho In5Hang Joon Jo6Dong Pyo Jang7Zuzana Nedelska8Maria I. Lapid9Yunhong Shu10 Cheon-Pyung11Petrice M. Cogswell12Val J. Lowe13Jeyeon Lee14Hoon-Ki Min15Department of Radiology, Mayo Clinic, Rochester, MN, USADepartment of Radiology, Mayo Clinic, Rochester, MN, USADepartment of Radiology, Jefferson Health, Philadelphia, PA, USADepartment of Radiology, Jefferson Health, Philadelphia, PA, USADepartment of Radiology, Mayo Clinic, Rochester, MN, USADepartment of Radiology, Mayo Clinic, Rochester, MN, USADepartment of Biomedical Engineering, Hanyang University, Seoul, Republic of KoreaDepartment of Biomedical Engineering, Hanyang University, Seoul, Republic of KoreaDepartment of Neurology, Charles University, Prague, Czech RepublicDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USADepartment of Radiology, Mayo Clinic, Rochester, MN, USASeokmun Hoheup Center, Suwon, Republic of KoreaDepartment of Radiology, Mayo Clinic, Rochester, MN, USADepartment of Radiology, Mayo Clinic, Rochester, MN, USADepartment of Radiology, Mayo Clinic, Rochester, MN, USA; Department of Biomedical Engineering, Hanyang University, Seoul, Republic of Korea; Corresponding authors at: 200 1st Street SW, Rochester MN 55905 USA.Department of Radiology, Mayo Clinic, Rochester, MN, USA; Corresponding authors at: 200 1st Street SW, Rochester MN 55905 USA.Cardiorespiratory signals have long been treated as ''noise'' in functional magnetic resonance imaging (fMRI) research, with the goal of minimizing their impact to isolate neural activity. However, there is a growing recognition that these signals, once seen as confounding variables, provide valuable insights into brain function and overall health. This shift reflects the dynamic interaction between the cardiovascular, respiratory, and neural systems, which together support brain activity. In this review, we explore the role of cardiorespiratory dynamics—such as heart rate variability (HRV), respiratory sinus arrhythmia (RSA), and changes in blood flow, oxygenation, and carbon dioxide levels—embedded within fMRI signals. These physiological signals reflect critical aspects of neurovascular coupling and are influenced by factors such as physiological stress, breathing patterns, and age-related changes. We also discuss the complexities of distinguishing these signals from neuronal activity in fMRI data, given their significant contribution to signal variability and interactions with cerebrospinal fluid (CSF). Recognizing the influence of these cardiorespiratory dynamics is crucial for improving the interpretation of fMRI data, shedding light on heart-brain and respiratory-brain connections, and enhancing our understanding of circulation, oxygen delivery, and waste elimination within the brain.http://www.sciencedirect.com/science/article/pii/S105381192400497XCardiopulmonaryCardiorespiratory dynamicsIntegrative physiologyfMRI (Functional Magnetic Resonance Imaging)BOLD (Blood Oxygen Level-Dependent)rsfMRI (Resting-State fMRI)
spellingShingle Mahathi Kandimalla
Seokbeen Lim
Jay Thakkar
Sannidhi Dewan
Daehun Kang
Myung-Ho In
Hang Joon Jo
Dong Pyo Jang
Zuzana Nedelska
Maria I. Lapid
Yunhong Shu
Cheon-Pyung
Petrice M. Cogswell
Val J. Lowe
Jeyeon Lee
Hoon-Ki Min
Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal
NeuroImage
Cardiopulmonary
Cardiorespiratory dynamics
Integrative physiology
fMRI (Functional Magnetic Resonance Imaging)
BOLD (Blood Oxygen Level-Dependent)
rsfMRI (Resting-State fMRI)
title Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal
title_full Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal
title_fullStr Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal
title_full_unstemmed Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal
title_short Cardiorespiratory dynamics in the brain: Review on the significance of cardiovascular and respiratory correlates in functional MRI signal
title_sort cardiorespiratory dynamics in the brain review on the significance of cardiovascular and respiratory correlates in functional mri signal
topic Cardiopulmonary
Cardiorespiratory dynamics
Integrative physiology
fMRI (Functional Magnetic Resonance Imaging)
BOLD (Blood Oxygen Level-Dependent)
rsfMRI (Resting-State fMRI)
url http://www.sciencedirect.com/science/article/pii/S105381192400497X
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