Cerebrovascular reactivity (CVR) is an emerging metric for quantifying vascular health. During a BOLD fMRI acquisition, breath-holding is a simple approach for increasing blood CO2 levels, thereby driving the vasodilatory CVR response. However, breath-holding is associated with increased head motion artifacts, which can confound our estimates of CVR. We demonstrate that multi-echo BOLD fMRI acquisitions, in conjunction with denoising with multi-echo independent component analysis approaches, enable better differentiation of true vasodilatory responses and improve the reliability of CVR estimates across multiple sessions in highly sampled individuals.
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