Recent work has suggested that diffusion-weighted functional magnetic resonance imaging (FMRI) with strong diffusion weighting (high b value) detects neuronal swelling that is directly related to neuronal firing. This would constitute a much more direct measure of brain activity than current methods and represent a major advance in neuroimaging. However, it has not been firmly established that the observed signal changes do not reflect residual vascular effects, which are known to exist at low b value. This study measures the vascular component of diffusion FMRI directly by using hypercapnia, which induces blood flow changes in the absence of a change in neuronal firing. Hypercapnia elicits a similar diffusion FMRI response to a visual stimulus including a rise in percent signal change with increasing b value, which was reported for visual activation. Analysis of the response timing found no evidence for an early response at high b value, which has been reported as evidence for a nonhemodynamic response. These results suggest that a large component of the diffusion FMRI signal at high b value is vascular rather than neuronal.brain activation ͉ diffusion MRI ͉ functional MRI ͉ neuronal swelling F unctional neuroimaging has enabled major advances in the study of normal and pathological brain function. However, the methods that provide the greatest coverage and spatial resolution, including positron emission tomography (1, 2) and magnetic resonance imaging (MRI) (3, 4), are indirect measures of neuronal activity based on metabolically driven changes in blood flow. These hemodynamic measures suffer from spatial and temporal confounds (5, 6), are nonlinearly related to neuronal firing (7,8), and depend on baseline hemodynamics that are uncoupled from the activity of interest (9, 10). An imaging method that detects neuronal activity more directly while achieving whole-brain coverage would therefore represent a significant advance for neuroscience.One alternative method is diffusion-weighted functional MRI (DFMRI), which attenuates the MRI signal in a manner that depends on the amount of motion (diffusion and flow) in the underlying tissue. In general, this attenuation is described by a factor exp(ϪbD), where D is the apparent diffusion coefficient of the local tissue, and b is an acquisition parameter that describes the strength of diffusion contrast. At low b value, true diffusive motion is more difficult to detect, and the ''apparent diffusion'' is dominated by local blood flow (11)(12)(13)(14). In general, diffusion weighting is directional, so that attenuation depends on the diffusion and flow parameters along the applied direction. Different signal sources have been proposed in DFMRI depending on the b value. Early work used low b value, which is thought to reflect tissue perfusion (11-16). Recent work suggested that DFMRI at high b value detects cellular swelling that is a direct consequence of neural firing (17, 18), which would constitute a more direct measure of neuronal activity.A recent study at high b valu...