Björn Lampinen1, Filip Szczepankiewicz1, Mikael Novén2, Carl-Fredrik Westin3, Elisabet Englund4, Johan Mårtensson5, and Markus Nilsson6
1Clinical Sciences Lund, Medical Radiation Physics, Lund University, Lund, Sweden, 2Centre for Languages and Literature, Lund University, Lund, Sweden, 3Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 4Clinical Sciences Lund, Oncology and Pathology, Lund University, Lund, Sweden, 5Department of Psychology, Faculty of Social Science, Lund University, Lund, Sweden, 6Clinical Sciences Lund, Radiology, Lund University, Lund, Sweden
Synopsis
Microscopic anisotropy was measured in vivo using a novel
tensor-valued diffusion encoding approach. In gray matter, the microscopic
anisotropy was generally low, but its variation corresponded well to known
differences in myelination. We hypothesize that myelinated axons cause
microscopic diffusion anisotropy but that the contribution from dendrites is
negligible. This hypothesis is supported by comparisons with independent myelin
assessments using T1W/T2W-ratios, T2-mapping, and myelin stains from histology.
We also demonstrate that the “neurite density index” detected by NODDI
is less sensitive to these changes, and why NODDI cannot map the neurite
density accurately.
Introduction
Gray matter (GM) contains anisotropic
structures such as dendrites and axons (i.e. neurites)1. Diffusion
MRI (dMRI) may enable non-invasive assessment of their density using methods
such as neurite orientation dispersion and density imaging (NODDI)2
or the recently-developed CODIVIDE method for detection of microscopic
anisotropy3. In a comparison, NODDI yielded higher estimates of the
“neurite density” in gray matter than what was supported by the level of
microscopic anisotropy detected by CODIVIDE3. Here, we investigate
whether this result implies that diffusion anisotropy in GM mainly reflects the
density of myelinated axons, and that the contribution from dendrites is
negligible.Theory
Conventional dMRI is limited to
so-called linear tensor encoding (LTE), which entangles microscopic anisotropy
and orientation dispersion4. CODIVIDE solves this problem
by employing a joint analysis
of data acquired with LTE and spherical tensor encoding (STE) to estimate the
tissue fraction with ‘stick’-like diffusion tensors (fTL), the free-water fraction (fFW), and the tissue mean diffusivity (dI;T). NODDI, which relies on
LTE data alone, employs stronger model assumptions to estimate the neurite
density (fIC), and the
free-water fraction (fFW). Those assumptions enforce a
connection between fIC and
the tissue mean diffusivity, which is likely invalid3. As
a result, the fIC may be
biased whenever anisotropy and diffusivity vary independently.
Methods
Data were acquired in 20 volunteers at a Siemens MAGNETOM Prisma 3T
system using TR/TE = 4000/106 ms/ms, voxel size = 2×2×4 mm3, and
b-values between 0.1 and 2.0 ms/μm2,
distributed over up to 32 directions, using a prototype that enables both LTE and
STE. Acquisition time was 9 minutes.
T1-weighted images were also acquired. All participants gave
written informed consent. CODIVIDE was fitted jointly to LTE
and STE data, while NODDI was fitted to LTE data only, using the
multidimensional diffusion MRI toolbox (https://github.com/markus-nilsson/md-dmri).
Two thalamic regions featuring low and high myelin
were defined from the medial thalamus (MT) and the lateral thalamus (LT), using
the Harvard-Oxford subcortical atlas and an MNI-registered white matter (WM) probability
map5 (Fig. 1). For visual
comparison, we obtained a coronal brain section stained for myelin from the anterior
thalamic level. Eight bilateral cortical ROIs with
low or high myelin according to ref6 were also defined, using Freesurfer
(Fig. 1). Values of fTL
and fIC were obtained in each
ROI. For comparison with another independent myelin assessment, we compared values
of fTL and fIC obtained in ref3
to values of the myelin water fraction (MWF)7.
To elucidate the performance of CODIVIDE and
NODDI when microscopic anisotropy changes independently of mean diffusivity, we
simulated LTE and STE data from a model system composed of randomly ordered linear
(‘stick’) and isotropic (‘ball’) diffusion tensors with equal mean diffusivity.
The anisotropy of the system was varied by changing the
fraction of linear tensors between 0 and 1, keeping the mean diffusivity
constant.Results
Figure 2 shows thalamic LTE and STE signal-versus-b curves. The divergence of the curves
at high b-values is proportional to
the amount of microscopic anisotropy8. Figure 3 shows myelin staining,
and maps of microscopic anisotropy from CODIVIDE (fTL) and NODDI (fIC,).
The medial thalamus had low myelin (white arrows), while the lateral had high myelin
(red arrows). This difference was reflected in the fTL map, while the fIC
map exhibited a more homogeneous contrast. Figure 4 shows that low myelin
regions (black) were distinguishable from high myelin regions (red) in both parameters,
but fIC exhibited higher
values and less heterogeneity, compared to fTL.
In the linear regression (Fig. 5a and b), both fTL and fIC
correlated strongly with the MWF, but intercepts and slopes differed. The
simulation (Fig. 5c) revealed a positive bias in estimated microscopic
anisotropy for NODDI but not for CODIVIDE.Discussion and conclusions
CODIVIDE detected a microscopically
anisotropic signal fraction that corresponded well to known myelination variations. The regression in Fig.
5a showed an intercept of zero for CODIVIDE, which suggests that myelin is
necessary for microscopic diffusion anisotropy. Also, the fTL
values were lower than estimated total neurite volumes1. We
interpret this as evidence for a low dendritic contribution to diffusion
anisotropy, potentially due to short segment lengths or fast exchange9.
The NODDI fIC parameter
also exhibited myelin sensitivity in GM. However, its model constraints induced
a positive bias in low anisotropy regions and limited NODDI’s specificity for
anisotropy3 (Fig. 5). In conclusion, we suggest that microscopic diffusion
anisotropy is a proxy for myelinated axons, and can be accurately mapped using a
variable shape of the b-tensor.Acknowledgements
No acknowledgement found.References
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