%0 Journal Article %T Reduced blood oxygenation level dependent connectivity is related to hypoperfusion in Alzheimer¡¯s disease %A Alexander Drzezga %A Christian Sorg %A Christine Preibisch %A Claus Zimmer %A Ebba Beller %A Igor Yakushev %A Isabelle Riederer %A Jens G£¿ttler %A Karl Peter Bohn %A Lorenzo Pasquini %A Panagiotis Alexopoulos %A Stephan Kaczmarz %A Timo Grimmer %J Journal of Cerebral Blood Flow & Metabolism %@ 1559-7016 %D 2019 %R 10.1177/0271678X18759182 %X Functional connectivity of blood oxygenation level dependent signal fluctuations (BOLD-FC) is decreased in Alzheimer¡¯s disease (AD), and suggested to reflect reduced coherence in neural population activity; however, as both neuronal and vascular-hemodynamic processes underlie BOLD signals, impaired perfusion might also contribute to reduced BOLD-FC; 42 AD patients and 27 controls underwent simultaneous PET/MR imaging. Resting-state functional MRI assessed BOLD co-activity to quantify BOLD-FC, pulsed arterial spin labeling (pASL) assessed cerebral blood flow (CBF) as proxy for vascular hemodynamics, and 18F-fluorodeoxyglucose PET assessed glucose metabolism (GluMet) to index neuronal activity. Patients¡¯ BOLD-FC, CBF, and GluMet were reduced within the same precuneal parietal regions. BOLD-FC was positively associated with mean CBF, specifically in patients and controlled for GluMet levels, suggesting that BOLD-FC reductions correlate with pASL-derived hypoperfusion in AD, independently from 18F-fluorodeoxyglucose PET-derived hypometabolism. Data indicate that impaired vascular hemodynamic processes contribute to reduced BOLD connectivity in AD %K Alzheimer¡¯s disease %K resting-state fMRI %K blood oxygenation level dependent-functional connectivity %K arterial spin labeling %K 18F-fluorodeoxyglucose-positron emission tomography %U https://journals.sagepub.com/doi/full/10.1177/0271678X18759182