Mara Cercignani1,2, Giovanni Giulietti3, Nick Dowell4, Matthew Gabel4, Rebecca Broad4, P Nigel Leigh4, Neil Harrison4, and Marco Bozzali3
1Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, Brighton, United Kingdom, 2Neuroimaging Laboratory, Santa Lucia Foundation, Rome, Italy, 3Santa Lucia Foundation, Rome, Italy, 4Brighton and Sussex Medical School, Brighton, United Kingdom
Synopsis
This paper investigates the variability of the g-ratio (the ratio of the inner to the outer diameter of a myelinated axon) as a function of age and gender in the healthy population. By combining magnetization transfer and diffusion MRI, the mean g-ratio of 20 white matter tracts was estimated, revealing no gender differences, and a systematic increase with age. Righ vs left hemisphere differences were also detected.PURPOSE
It
has been recently demonstrated that the average voxel g-ratio, i.e., the ratio
of the inner to the outer diameter of a myelinated axon, can be estimated
in-vivo using a combination of magnetization transfer (MT-) and diffusion (d-)
MRI [1]. The g-ratio is an index of axonal myelination, related to the
physiology and function of an axon, and therefore is a potentially useful
biomarker in a number of neurological conditions. Before characterising changes
in the g-ratio caused by disease, however, it would be useful to have access to
some normative data. The aim of this work is to explore the anatomical distribution
of the g-ratio within the human brain, and its variability in the healthy population
as a function of age and gender.
METHODS
Data from 36 right-handed healthy participants (M/F=16/20,
mean age=44.2 years, range: 20-76 years) were acquired on a 1.5T MRI scanner,
including multi-shell diffusion-weighted data (10 b=0 volumes, 9 directions
with b=300 smm-2 30 directions with b=800 smm-2, and 60
diffusion directions with b=2400 smm-2), optimised for neurite orientation
dispersion and density imaging (NODDI, [2]), and a quantitative MT protocol
based on balanced steady-state free precession (bSSFP), as described in [3]. A
T1-mapping sequence was also acquired. Total acquisition time was approximately
half an hour. Quantitative MT data were analysed using in-house software,
yielding a voxel-wise estimation of the macromolecular pool size ratio, F. dMRI
data were analysed using the NODDI toolbox [2], to yield maps of the volume of
the intra-cellular water compartment (Vic) and the isotropic
component (Viso). Quantitative MT and NODDI data were non-linearly
co-registered using the Advanced Normalization Tools (ANTs) 1.9.x to bring all maps into
the same space. g-ratio maps were computed as previously described [1,4] then
warped into MNI space. The JHU white-matter tractography atlas, available with
FSL, was then used to extract unbiased masks of 20 white matter tracts
(thresholded at 20% and binarized). The mean tract g-ratios were estimated for
every participant, and effects of gender, age and hemisphere explored.
RESULTS
The g-ratio was significantly correlated with
age for each of the tracts studied (Spearman correlation coefficient,
p<0.01) but no gender effect was observed. When plotting the mean g-ratio
against age, most tracts showed a quadratic dependency, with g-ratio increasing
between 20 and 60 years of age, and then reaching a plateau (see Fig 1 for an
example, in the cortico-spinal tract). The only tract that did not show this
trend was the superior longitudinal fasciculus (SLF) (Fig 2). Significant (p<0.05)
inter-hemisphere differences were observed for most tracts with the exception
of the SLF, the hippocampal part of the cingulum bundle, and the inferior
longitudinal fasciculus. After Bonferroni correction, the laterality effect was
still significant for the anterior thalamic radiation, the cingulum bundle and
the uncinated fasciculus, with higher values in the right hemisphere compared
to the left. Laterality seems to be maintained throughout the life span (Fig 3).
DISCUSSION
Our data indicate that the g-ratio varies
throughout the life span following an inverted U-curve. The most likely
interpretation is a subtle but consistent reduction in myelin throughout
adulthood, until, around the age of 60, the density of axons begins to
decrease, leading to an overall stabilisation of the g-ratio. While higher
g-ratio in adolescent boys compared to girls has been suggested [5], we did not
observe any gender effect in adults. The evidence of a laterality effect in
some of the studied tracts is intriguing and deserves further investigation.
Acknowledgements
No acknowledgement found.References
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