Given the increasing popularity and wealth of DWI data in the field of neuroimaging, there is a critical need for the development of publically available resources that enable widespread application of a set of template fibers for atlas based along-tract analysis supporting an adequate and reliable analysis of DTI in newborns in both practice and in clinical research settings. To address this gap, we developed a Neonate DTI atlas that represents a typically developing human brain during the first few weeks of life. To the best of our knowledge, we are the first to develop a population atlas with this magnitude of quality and sample size, as well as with a comprehensive set of template fibers for semi-automatic tract based analysis. The DTI atlas and the tracts will be made available through NITRC.
The DTI atlas was constructed from 144 newborns drawn from a larger, uniquely extensive dataset of nearly 1000 subjects 3 prospective longitudinal neuroimaging studies. The 144 newborns (gestational age at birth between 30 and 42 weeks (37.11 ± 2.6)) were scanned using 3T Siemens model scanner. The atlas included equally representative samples from all three imaging protocols available (Table 1). 85% of the atlas was healthy, while the other 15% had the following conditions (Table 2).
The optimal framework for atlas construction and white matter tractography inherently depends on 1. comprehensive diffusion imaging quality control, 2. accurate atlas building procedures and 3. time intensive interactive tractography in the atlas using hypothesis-driven criterion for white matter tract dissection.
Pre-processing: See Figure 1. This comprehensive assessment process is approximately 30 min. for each subject, is performed to ensure the data was free from most prevalent issues in infant DWI sequences: artifacts both slice-wise and gradient-wise, related to both intensity as well as introduced by subject motion and scanner table vibration.
Atlas Construction: DTI-Reg performs a deformable registration of the DTI datasets using a pairwise registration method. A sequence of processing steps, specifically affine followed by deformable registration, provides significantly better registration results between two DTI datasets. Since the method generates an atlas which is significantly more representative of the healthy newborn population than the traditional study specific template, better white matter fiber tractography results can be expected from tracts generated in the atlas space.
White matter fasciculi were derived from an atlas-based tractography approach using 3D Slicer. Major fiber bundles were separated into “tract segments” based on trajectories to predefined cortical surface targets that correspond to putative functionally related regions. In all, a total of 47 “tract segments” were obtained from the neonatal atlas for further analysis.
As a result of our work, we have provided the research community with the resources and framework to reliably and efficiently apply quantitative tract based analysis in the newborn human brain. This atlas based set of template fibers customized to the neonatal population will provide a common analytic framework for quantification of DTI measurement across studies.
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REFERENCED OPEN SOURCE SOFTWARE 3D Slicer: http://www.slicer.org DTIPrep: http://www.nitrc.org/projects/dtiprep/ itk-SNAP: http://www.itksnap.org/pmwiki/pmwiki.php DTIAtlasBuilder: http://www.nitrc.org/projects/dtiatlasbuilder/ MriWatcher: http://www.nitrc.org/projects/mriwatcher/ DTI-Reg: http://www.nitrc.org/projects/dtireg/ ANTS: http://www.picsl.upenn.edu/ANTS/ FiberViewerLight: http://www.nitrc.org/projects/fvlight/ DTIAtlasFiberAnalyzer: http://www.nitrc.org/projects/dti_tract_stat FADTTS: http://www.nitrc.org/projects/fadtts/