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    Why is clinical fMRI in a resting state?

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    Author
    O'Connor, E.E.
    Zeffiro, T.A.
    Date
    2019
    Journal
    Frontiers in Neurology
    Publisher
    Frontiers Media S.A.
    Type
    article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.3389/fneur.2019.00420
    Abstract
    While resting state fMRI (rs-fMRI) has gained widespread application in neuroimaging clinical research, its penetration into clinical medicine has been more limited. We surveyed a neuroradiology professional group to ascertain their experience with rs-fMRI, identify perceived barriers to using rs-fMRI clinically and elicit suggestions about ways to facilitate its use in clinical practice. The electronic survey also collected information about demographics and work environment using Likert scales. We found that 90% of the respondents had adequate equipment to conduct rs-fMRI and 82% found rs-fMRI data easy to collect. Fifty-nine percent have used rs-fMRI in their past research and 72% reported plans to use rs-fMRI for research in the next year. Nevertheless, only 40% plan to use rs-fMRI in clinical practice in the next year and 82% agreed that their clinical fMRI use is largely confined to pre-surgical planning applications. To explore the reasons for the persistent low utilization of rs-fMRI in clinical applications, we identified barriers to clinical rs-fMRI use related to the availability of robust denoising procedures, single-subject analysis techniques, demonstration of functional connectivity map reliability, regulatory clearance, reimbursement, and neuroradiologist training opportunities. In conclusion, while rs-fMRI use in clinical neuroradiology practice is limited, enthusiasm appears to be quite high and there are several possible avenues in which further research and development may facilitate its penetration into clinical practice. Copyright Copyright 2019 O'Connor and Zeffiro.
    Keyword
    ASFNR
    CPT code
    FDA
    Individuals
    Network
    Rs-fMRI
    Survey
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066844412&doi=10.3389%2ffneur.2019.00420&partnerID=40&md5=228c7e28774ba15fbd4a7bd4f95dcca7; http://hdl.handle.net/10713/10188
    ae974a485f413a2113503eed53cd6c53
    10.3389/fneur.2019.00420
    Scopus Count
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