Abstract: Paramagnetic deoxyhemoglobin invenous bloodisanaturally occurring contrast agent formagnetic resonance imaging (MRI). Byaccentuating theeffects ofthis agentthrough theuseofgradient-echo techniques inhigh fields, wedemonstrate invivo images ofbrain microvasculature withimagecontrast reflecting theblood oxygen level. This bloodoxygenation level-dependent (BOLD)contrast follows bloodoxygen changes induced byanesthetics, byinsulin- induced hypoglycemia, andbyinhaled gasmixtures that alter metabolic demandorbloodflow. Theresults suggest that BOLDcontrast canbeusedtoprovide invivo real-time maps ofblood oxygenation inthebrain undernormal physiological conditions. BOLDcontrast addsanadditional feature tomag- netic resonance imaging andcomplements other techniques that areattempting toprovide positron emission tomography- like measurements related toregional neural activity. Magnetic resonance imaging (MRI)isawidely accepted modality forproviding anatomical information. Current re- search (1)involves extending MRImethods toprovide in- formation about biological function, inaddition tothecon- comitant anatomical information. Inaddition tolocalized spectroscopy (2)andchemical shift imaging (3)thatare applicable tomanychemical species, MRIofwaterprotons hasbeenfunctionally extended toNMR angiography (4), perfusion imaging (5,6),andperfusion imaging enhanced by exogenous contrast agents (7). Since waterisbyfarthe predominant molecule intissue, andsince itssignal domi- nates theinformation content inproton images, onewould ideally like toexploit changes inthewatersignal that arise fromphysiological events. Except forcasesofwatermove- ment,suchasblood flow, these changes arenormally very small. Ithaspreviously beendemonstrated (8,9)that thepres- enceofdeoxyhemoglobin inblood changes theproton signal fromwatermolecules surrounding ablood vessel ingradient- echoMRI,producing bloodoxygenation level-dependent (BOLD)contrast. BOLD contrast hasitsorigin inthefact that whennormally diamagnetic oxyhemoglobin gives upits oxygen, theresulting deoxyhemoglobin isparamagnetic. The presence ofparamagnetic molecules inblood produces a difference inmagnetic susceptibility between theblood ves- selandthesurrounding tissue. Thissusceptibility difference is"felt" bothbythewatermolecules intheblood andby those inthesurrounding tissue, theeffect extending signifi- cantly beyond thevessel wall. Thisincrease inthenumber of spins affected bydeoxyhemoglobin isaformofamplification. Whenthesusceptibility-i nduced local field differences exist within animaging voxel, there isaresultant distribution of shifts inwaterresonance frequencies. Inthegradient-echo method, aphase dispersion ofwaterproton signals ispro- ducedattheechotime. Thisdispersion reduces thesignal intensity andthevoxelappears darkintheimage. These intensity losses, which athighmagnetic fields (-4T)extend significantly beyond theboundary oftheblood vessel, arethe source ofBOLD contrast. Thisformofcontrast isnot observed inspin-echo images. Through simulations (9), we haveshownthat vessels assmall as50,umindiameter canbe detected inimages with apixel size of100pum. We havealso demonstrated that thesize ofthesusceptibility-i nduced local field depends on(i) theconcentration ofparamagnetic deox- yhemoglobin and(ii) theorientation ofthevessel relative to themainmagnetic field (8,9). SinceBOLD contrast depends onthestate ofblood oxygenation, physiological events thatchangetheoxy/ deoxyhemoglobin ratio should lendthemselves tononinva- sive detection through theaccentuation ofBOLDcontrast in gradient-echo proton images athighmagnetic fields. We report herethatthis isindeed thecaseanddemonstrate changes inBOLD-contrast microimages ofbrain produced by changes ininhaled gasmixture under urethane anesthesia, by insulin-induced hypoglycemia under diazepam sedation, and bychanges inthelevel ofhalothane anesthesia. Theobserved changes inBOLD contrast correlate withtheanticipated changes inblood oxygen level produced byaltered metabolic loadorblood flow(10).