Synopsis
Childhood and adolescence is an extended period of
postnatal maturation characterized by dynamic changes in white matter
microstructure. Multi-shell diffusion MRI (dMRI) models, such as neurite
orientation dispersion and density imaging (NODDI) and white matter tract
integrity (WMTI) provide an invaluable measure for the study of child
development with tissue compartment estimates. NODDI and WMTI are based on
similar frameworks, however they differ in several model assumptions. This study
provides a comparison of NODDI and WMTI intra-axonal volume fraction model
fittings in a cohort of children ages 0 -18 years in order to determine which
model best reflects neurodevelopmental features.
Introduction
Typical postnatal brain maturation during critical developmental periods
leads to changes in synaptic plasticity reflected by microstructural remodeling
of tissue through axonal and synaptic sprouting, synaptogenesis, and changes in
myelin formation [1][2]. While current in
vivo diffusion MRI (dMRI) methods, like diffusion tensor imaging (DTI),
have successfully characterized the gross structure of major white matter
tracts [3-5], these measures lack specificity for developmentally relevant microstructural
changes. Neurite orientation dispersion and density imaging [6] (NODDI) and
white matter tract integrity [7] (WMTI) are 2 multi-shell diffusion approaches
that model the intra-axonal space as zero-radius impermeable cylinders and the
extra-axonal space with anisotropic Gaussian diffusion. NODDI and WMTI differ,
however, in some critical assumptions: (1) NODDI models an additional free
diffusion compartment, (2) WMTI estimates intra- and extra-axonal
diffusivities, while NODDI assumes a priori
diffusivity values, and (3) the NODDI model accounts for orientation dispersion,
while WMTI can model fiber dispersion up to 30 degrees [8]. The purpose of this
study is to determine how major white matter tracts develop using the
intra-axonal volume fractions obtained with NODDI and WMTI. The models will be
compared with one another to determine the conditions that may favor one model
over another in a developmental framework. Methods
MRI scans of 148 typically developing children recruited through the
Cincinnati MR Imaging of NeuroDevelopment (C-MIND) consortium (http://research.cchmc.org/c-mind) will be included in
this study (0.6 – 18.8 years; 78 F; 8.9 ± 5 years). Data was collected on a 3T
Philips Achieva scanner. Two DWI were acquired with the following
parameters: 2 mm isotropic voxels,
112 x 109 acquisition matrix, and 61 noncollinear diffusion sensitizing gradient
directions with b = 1000 s/mm2 or b=3000 s/mm2. Nine
bilateral major white matter tracts (Figure 1) were extracted using methods described in
[9] using probabilistic streamline tractography implemented with [10]. Average
NODDI intracellular volume fraction (FICVF) and WMTI axonal water fraction
(AWF) were computed for each tract, and per-voxel model fitting was performed
to determine the amount of signal variance accounted for by the model.
Age-related changes in parameters were fit with Brody growth models: $$$p = α(1-β*e^{-k*age})$$$ where p is the intra-axonal volume fraction parameter, α is the asymptote, β is the
intercept, and k is the growth rate. Results
Overall, NODDI FICVF was significantly higher than WMTI AWF (Figure 1).
Consistent with developmental patterns observed in [8], qualitative assessment
of age-related changes in intra-axonal volume fractions show similar growth
curve shape between NODDI and WMTI (Figure 2). NODDI, however, consistently
estimates that the asymptote is reached at much later ages than WMTI (Figure 1).
NODDI and FICVF and WMTI AWF show high correlation (Figure 3), which varies
from tract to tract. Regions of high orientation dispersion, such as the
cingulum, exhibit lower correlation between AWF and FICVF (R2=0.67),
which regions of low orientation dispersion, such as the corticospinal tract,
exhibit higher correlation between AWF and FICVF (R2=0.86). Discussion
Our results show that NODDI FICVF and WMTI AWF are sensitive to
developmental changes in major white matter tracts and exhibit similar
age-related growth curve trends, however tract-specific heterogeneity was observed.
Differences in the relative intra-axonal volume fraction between NODDI and WMTI
likely arises due to model-specific assumptions. For example, WMTI models only
2 compartments – intra-axonal and extra-axonal – and assumes per-voxel fiber
orientations exhibit low dispersion; therefore, this model will not perform
well in regions of crossing fibers or complex orientations, as observed with
the cingulum in our results. Alternately, NODDI estimates may be complicated by
the assumption of fixed a priori
diffusivity values, which may or may not be valid in a developmentally immature
dataset. In order to determine which model better reflects neurodevelopmental
features, a per-voxel fitting will be employed to estimate the reliability of
each model.Conclusion
NODDI and WMTI provide invaluable tools to probe specific
microstructural changes in development, and their parameters are believed to
reflect neurite density. While both models arise from a common framework,
significant differences exist in their assumptions. This study compares NODDI
and WMTI model implementation in a developmental dataset in order to determine
the neurodevelopmental contexts that favor one model over another. Differences
in regional free diffusion, intracellular diffusivities, and fiber orientations
will influence the validity of NODDI and WMTI. Therefore, a complete comparison
of these models and their performance in different regions will assist clinical
and research practitioners in selecting models that will best address their questions.Acknowledgements
This
project is supported by the National Institutes of Health Grants R21NS091586, R00HD065832, R01MH094343, P41EB015922, and U54EB020406. The content is solely the
responsibility of the authors and does not necessarily represent the official
views of the NIH.
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