Hernan Jara1, Osamu Sakai1, Stephan W Anderson1, and Jorge A Soto1
1Boston University, Boston, MA, United States
Synopsis
Purpose: To
test the high spatial resolution limits of the white matter fibrography (WMF)
technique within the scan time constrains of clinical MRI of about ten minutes
total scan time and to optimize the image processing algorithms for rendering
the white matter (WM) connectome at the highest level of anatomic detail. Methods: Healthy volunteer was scanned
with the quadra-FSE pulse at high spatial resolution in 10min. Results: WMF connectome was constructed
using ultra-high b-value (34,000s/mm2) synthetic MRI. Conclusion: High spatial resolution
direct rendering of the human brain connectome can be accomplished with a 10min
scan.
Purpose
Correlation-time diffusion (DCT) MRI (1) is an alternative
diffusion coefficient mapping technique
that stems from multi-spectral (MS) qMRI and is highly insensitive to physiologic
motion and magnetic susceptibility artifacts because it uses fast spin echo
(FSE) pulse sequences. It has been shown recently (2) that the full-brain connectome
can be rendered using Synthetic-MRI via DCT-weighting
in the high synthetic b-value regime (b>4,000s/mm2); this method was
referred to as WM Fibrography in order to distinguish it from diffusion tensor
imaging (DTI) WM Tractography, which uses the diffusion encoding via pulsed
field gradient (PFG) (Fig. 1) and echo planar imaging (EPI). The
purpose of this work was to test the high spatial resolution limits of the WMF
technique within the scan time constrains of clinical MRI of about ten minutes
total scan time and to optimize the image processing algorithms for rendering
the white matter (WM) connectome at the highest level of anatomic detail.Methods
A healthy volunteer (52yo
male) was scanned at 3.0T (Discovery MR750w, GE Healthcare, Waukesha, WI) using
the quadra-FSE pulse sequence (Fig. 2). This is the concatenation of two
dual-echo (DE-) FSE scans differing solely in TR. The acquired images (80 axial
slices, 4 images per slice, and 10min total scan time without parallel imaging
and NEX=1) were processed with multi-spectral qMRI algorithms programed in
Mathcad (version 2001i, PTC, Needham, MA) at the full acquired spatial
resolution (0.47 x 0.47 x 2mm3). Spatially coregistered maps of qPD, qT1, qT2, and qDCT were generated for all slices and used as input for
the synthetic-MRI algorithm, which has provisions for generating synthetic
weightings for all qMRI parameters above. In addition, the algorithm
incorporates brain segmentation using a dual clustering algorithm in order to
explore the ultrahigh b-value regime; this is necessary in order to avoid the
extremely bright subcutaneous fat, which results from its very slow diffusion
coefficient (Fig.
3, right column).Results
The qMRI maps were
used to generate diffusion-weighted synthetic MR images at b- values ranging
the 0-to-50,000s/mm2. Synthetic diffusion weighted images showed a
fine, irregular, and clearly defined micro-texture in WM for b>4,000s/mm2.
Synthetic DCT-weighted images
(Fig.
3, b=34,000s/mm2) were read as a 3D stack in ImageJ (https://imagej.nih.gov/ij/) and resampled
to isotropic resolution via bicubic interpolation along the slice-selection
direction. The full-brain connectome was rendered using the 3D-viewer plugin (3) in ImageJ leading to the connectome depictions wherein the anatomy of
the WM circuitry is visualized directly (Fig. 4). The approximate b value of 34,000s/mm2
was found to provide an optimal compromise between WM texture visualization and
SNR.Discussion
White matter
tractography (WMT) which derives from the pulsed-field-gradient diffusion-MRI
(PFG-dMRI) experiment is the current standard methodology for creating
three-dimensional blueprints of the brain’s full circuitry (connectome). Current
MRI technologies allow the acquisition of WMT data at a spatial resolution of about
2mm cubic voxels in clinically feasible times (8-15min). Furthermore, WMT
techniques estimate indirectly
the connectivity patterns between different brain regions from the continuity
in the local estimates of fiber direction at each voxel. In contradistinction,
WMF provides direct fiber visualization
via rendering. WMF does not use PFG diffusion encoding and therefore uses
maximally all the imaging gradient power solely for high spatial frequency encoding.
WMF has therefore the potential of achieving very high spatial resolution using
dedicated ultra-powerful gradient systems as described in the recent literature
(4).Conclusion
WMF is a promising complementary alternative to WMT for
studying the microarchitecture of white matter, which can generate undistorted high
spatial resolution connectomes in clinically feasible (<10min) scan times
using standard clinical MRI hardware. All computer algorithms used can be fully
automatized and therefore WMF has the potential of being incorporated into
routine clinical practice. The use of the quadra-FSE pulse sequences further
enhances clinical value because the directly acquired images (T1w, T2w, and
PDw) are directly usable for diagnostic interpretation. This work could have
implications for the assessment of WM disease and for improving preoperative surgical
planning.Acknowledgements
No acknowledgement found.References
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diffusion coefficient brain mapping: combined effects of magnetization transfer
and water micro-kinetics on T1 relaxation. Proceedings ISMRM (Toronto, Canada)
2008.
2. Jara H, Sakai O, Anderson
SW, Soto JA. MR Fibrography: an application of correlation time diffusion
synthetic MRI (1.5T and 3.0T). Proceeding RSNA (Chicago) 2016.
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Longair M, Heisenberg M. A high-level 3D visualization API for Java and ImageJ.
BMC Bioinformatics 2010; 11(1):274.
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T, et al. The Human Connectome project and beyond: Initial applications of 300
mT/m gradients. NeuroImage 2013;80:234-245.