Sjoerd B Vos1,2, Andrew Melbourne1, John S Duncan2,3, and Sebastien Ourselin1
1Translational Imaging Group, University College London, London, United Kingdom, 2MRI Unit, Epilepsy Society, Chalfont St Peter, United Kingdom, 3Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, United Kingdom
Synopsis
Intracellular volume fraction (ICVF) is a
valuable biomarker of neurological disease. As one of two factors in g-ratio
estimates it could potentially reveal axonal function from structural MRI
measurements. Reliable ICVF estimation is critical for both purposes. With various
diffusion models in existence for ICVF estimation, we compared the obtained
ICVF values and their reproducibility in voxels with 1, 2, and 3 fibre
populations between three diffusion modelling approaches. Absolute ICVF values
vary significantly between models as well as between voxels with different
fibre complexity.Introduction
Intracellular volume fraction (ICVF) estimates from diffusion MRI (dMRI)
based biophysical models can be a valuable biomarker for pathologies which
cause neuronal damage or degradation [1]. As one of the main factors in the
recently proposed in vivo g-ratio estimation [2], which could conceptually be
linked to axonal conduction velocity and thus axonal function, the extracted
intracellular volume fraction estimates must be accurate and reproducible. With
recent biophysical diffusion models being devised for specific purposes, we
examine the in vivo agreement of publicly available methods (CHARMED, DKI, and
NODDI [3-6]) in single and multi-fibre populations throughout the brain.
Methods
Test-retest multi-shell dMRI data was acquired on a 3 T GE MR750 with 11
b=0-images and shells at b=300, 700, and 2500 s/mm
2 with 8, 32, and
64 DWIs per shell, respectively. FOV of 24×24 cm was acquired with a 96×96 matrix and 50 slices of 2.5 mm thick. SENSE=2, TE/TR=71.7/5200 ms,
and scan time of 9m58s. A 3D-T1-weighted IR-FSPGR was also acquired (1 mm
isotropic resolution, TE/TR/TI: 3.1/7.4/400 ms).
To determine regions of single and multiple fibre populations,
constrained spherical deconvolution (CSD) was performed in ExploreDTI [7] with
L
MAX=8 and to get the
number of fibre populations (as in [8]).
CHARMED was fit using default parameters which include two restricted
(axonal) compartments (16 fitted parameters), initialising ICVF to 0.3 (as in [3]).
Kurtosis tensors were fit in ExploreDTI and the axonal water fraction (AWF [5])
was extracted (21 fitted parameters). NODDI was fit on all data with default
parameters, allowing a single dispersing fibre population (5 fitted parameters).
ICVF extracted from NODDI was corrected for the isotropic volume fraction
(similar to [9]).
ICVF were examined separately for regions of one, two, and three fibre
populations for DKI, NODDI, and CHARMED. Coefficients of variation (CV) were
defined as the absolute difference between the test-retest scans divided by the
mean of test-retest.
Geodesic Information Flows [10] was used to obtain a white matter (WM)
segmentation from the 3D-T1 and all ICVF values were investigated only within
the WM.
Results
Example
ICVF maps are shown in Fig. 1. A clear difference can be observed between
different methods, with NODDI notably giving a larger ICVF estimate than the
other three methods. Regional variations are also clear, with particularly the
splenium of the corpus callosum showing, on average, a higher ICVF than the
rest of the brain. Quantification of ICVF between single and crossing fibre
voxel shows very different patterns between methods (Fig. 2 and Table 1).
CHARMED and DKI show distinctly different histogram modes and medians for ICVF between
one, two, and three-fibre voxels whereas NODDI shows no variation with fibre
complexity.
Fig. 3 and
Table 2 show the repeatability of ICVF estimation measured by the coefficient
of variation (CV). Here, CHARMED stand out in having a markedly higher CV than
NODDI and DKI.
Discussion
There is
pronounced variation in intracellular volume fraction estimates between
available methods. Most notably, NODDI estimates ICVF values to be 30-40%
larger than CHARMED and DKI-derived values. Determining which of these methods
reflects the in vivo ICVF most accurately is difficult, as no ground truth
exists. Simulations can provide some indications, e.g., Campbell et al [11]
found that NODDI ICVF estimates are comparable between single and crossing
fibre voxels but such simulations are limited to rather straightforward
crossings [12] that do not necessarily reflect the entirety of complex fibre
configurations. In the absence of a ground truth, reproducibility of the ICVF
estimation is critical, and NODDI and DKI seem to provide superior reproducibility
over CHARMED. Interestingly, both CHARMED and DKI demonstrate a difference in
ICVF values between 1, 2, and 3-fibre voxels whereas NODDI does not. Given that
NODDI is in essence a single-fibre model whereas CHARMED and DKI are not, this
difference between the methods might be attributable to the ability to
incorporate crossings. Whether this ICVF-dependence on fibre complexity
reflects the microstructure is unknown, but one could imagine that packing
efficiency is lower for more complex configurations as observed in CHARMED and
DKI.
Use of
these different methods for g-ratio calculations are therefore likely to vary significantly,
and care must be taken when comparing ICVF or g-ratio results across studies.
Acknowledgements
SBV is funded by the National Institute for
Health Research UCLH Biomedical Research Centre High Impact Initiative. We are
grateful to the Wolfson Foundation and the Epilepsy Society for supporting the
Epilepsy Society MRI scanner. The authors are grateful to Shani Ben Amitay for
advice in using CHARMED.References
[1] Winston et
al., Epilepsy Research2014; [2] Stikov et al., NeuroImage 2015; [3] Assaf et
al., MRM 2004; [4] Jensen et al., MRM 2005; [5] Fieremans et al., NeuroImage
2011; [6] Zhang et al., NeuroImage 2012; [7] Leemans et al., ISMRM 2009 p3537; [8]
Jeurissen et al., HBM 2013; [9] Jelescu et al., NeuroImage 2015; [10] Cardoso
et al., IEEE TMI 2015; [11]Campbell et
al., ISMRM 2014 p393; [12] Ramirez-Manzanares et al., Medical Physics 2011.