Evan Calabrese1, Gary Cofer1, Nandan Lad1, and G. Allan Johnson1
1Duke University, Durham, NC, United States
Synopsis
Diffusion MR imaging of the human
spinal cord has become increasingly important in both clinical diagnostics, and
research science.1 As MRI methods improve, there is a need to understand the
limits of diffusion MRI in the human spinal cord. Here, we present a microscopic
resolution diffusion MRI dataset of the entire postmortem human spinal cord,
generated from a multi-segment acquisition, using an automated image-processing
pipeline. These data provide unique insights for spinal cord research, future
diagnostic imaging applications, and for postmortem pathologic evaluation of
spinal cord specimens.
Purpose
To
investigate the use of microscopic resolution diffusion MR imaging in the whole
human spinal cord and explore its potential applications for both clinical diagnostics
and scientific research.Methods
An
entire human spinal cord (pyramidal decussation to cauda equina) was obtained
from an adult male at autopsy. The cord was immersion fixed in 10% formalin,
then rehydrated in PBS doped with 2.5 mM gadoteridol following previously
published methods.2 Both anatomic and
diffusion-weighted MR images of the entire cord were acquired in 7 separate
overlapping segments using a 7T Agilent small animal MRI system. Between each
acquisition, the cord was advanced through the magnet bore using a custom
fabricated gantry insert with precisely machined locking distance marks. Images
were reconstructed, corrected for gradient non-linearity, and digitally
combined using a custom-developed, fully-automated image-processing pipeline.
Diffusion data processing and tractography were performed in DSI Studio.3Results
The final composite dataset
consists
of 50-μm isotropic resolution T2*-weighted anatomic images, and 100-μm
isotropic resolution 30-direction diffusion images (b=4000 s/mm2)
over a 2 x 2 x 47 cm FOV (Fig. 1). Standard Diffusion Tensor Imaging (DTI)-derived scalar images were generated (Fig. 2), and data
were processed for Generalized Q-sampling Imaging (GQI) multi-fiber tractography (Fig. 3-4).3 These data reveal clinically important anatomy not commonly seen on
conventional spinal cord MRI, including dorsal and ventral spinal nerve roots
(e.g. Fig. 3), individual ventral horn motor nuclei (e.g. Fig 1, d), the
central canal (Fig. 1, a), and the anterior white commissure (Fig. 1, e and f).
The data also include a spinal cord lesion with signal characteristics typical
of subacute to chronic spinal cord injury with associated gliosis (Fig. 5).Discussion
These
data provide a unique opportunity to explore the diffusion MRI characteristics
of the whole human spinal cord at microscopic resolution. The importance of
these data are 2-fold: 1) they provide insight into the upper limits of what
may one day be available for diagnostic MRI of the spinal cord, and 2) they
demonstrate the level of anatomic detail that can be identified in spinal cord
specimens for research and postmortem pathologic assessment. Current
applications of this work include: 1) mapping of fiber anatomy for
neurosurgical procedures such as dorsal root rhizotomy, 4 2) modeling of fiber activation/inhibition for neuro-stimulators
and other neuroprostheses, 5 and 3) pathologic evaluation of spinal cord
specimens at autopsy.6Conclusion
We
present a postmortem diffusion MRI dataset of the entire human spinal cord at
microscopic resolution, made possible by multi-segment acquisition and
automated image composition. The data and methods presented here have
applications for clinical and pathologic diagnostics, as well as research.Acknowledgements
Funding was provided by NIH/NIBIB
grant P41 EB015897 and 1S10OD010683-1.References
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