Pascal Tétreault1, Diana Valdés Cabrera1, Robert Stobbe1, Corey Baron1, and Christian Beaulieu1
1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada
Synopsis
This
study compared short diffusion time (4 ms) oscillating gradient spin echo (OGSE) relative
to regular long diffusion time (40 ms) pulsed gradient spin echo (PGSE) DTI in
healthy individuals over a 40 year age span (n=12, 24 to 67 years old) to
identify unique microstructure organization and reveal potential age related
changes in three portions of the corpus callosum. Diffusivity and anisotropy
were shown to depend on the diffusion time, mostly in the splenium, and these
changed with age possibly reflecting alterations of restrictive dimensions such
as the loss of specific axon diameters with aging.
PURPOSE
Oscillating
gradient spin echo (OGSE) waveforms enable much shorter diffusion times (Δeff = 4 ms) than the typical pulsed gradient spin
echo (PGSE, Δeff = 40 ms). Thus OGSE is sensitive to water
diffusion restriction/hindrance over smaller length scales. We have previously
shown that diffusion parameters derived from OGSE differ relative to PGSE in
the white matter of young adults1. Large population studies have
shown increases of mean diffusivity (MD) and decreases of fractional anisotropy
(FA) with aging in adulthood2, but this has been measured with the
usual long diffusion times. The purpose here was to evaluate whether short
diffusion time OGSE DTI could capture unique age-related variability in sub-regions
of the corpus callosum of healthy individuals.METHODS
OGSE
50 Hz (Δeff = 4 ms) and PGSE (Δeff = 40 ms) DTI was acquired in 12 healthy volunteers
aged 24-67 years (7 males) on a Varian Inova 4.7T MRI using: scan time of either
5 min each for 20 axial slices over 5 cm centered on the corpus callosum (n=7)
or 10 min each for 40 slices over 10 cm (n=5); 2D single-shot EPI with R=2
GRAPPA (4 element receive coils); TR=12.5 s; TE=110 ms; FOV=24 cm; 2x2x2.5 mm3;
6 averages; b=300 s/mm2; 6 gradient directions. The diffusion tensor
data was processed using ExploreDTI. The OGSE FA map was non-linearly registered
to the FMRIB58 1mm FA atlas using FSL, which was then applied to OGSE and PGSE
FA, MD, axial diffusivity (AD) and radial diffusivity (RD) maps. AD, RD, MD,
and FA were measured in the genu, body and splenium of corpus callosum using ROIs
from the JHU atlas. All FA and diffusion parameters obtained with either OGSE
or PGSE were first compared using a paired t-test in the three sub-regions of
the corpus callosum. Differences between
OGSE and PGSE were evaluated across the three regions with a one-way ANOVA with
Tukey post-hoc test. The raw values for OGSE and PGSE were also assessed for
linear correlations versus age (p<0.05).RESULTS
Diffusivity
parameters (MD, RD, AD) were significantly higher with the short diffusion time
OGSE when compared to the long diffusion time PGSE for all corpus callosum
subregions ranging from 4% to 16% with the highest increase seen in the
splenium. FA was lower for OGSE compared to PGSE in the body (0.607 ± 0.035 vs 0.633 ± 0.032, p<0.001) and in the splenium (0.650 ± 0.034 vs 0.684 ± 0.034, p<0.001) (Figure
1 for FA). Over a 40 year-span, FA decreased with age in genu (OGSE, R=-0.60,
p=0.038), body (OGSE, R=-.0.64, p=0.024 and PGSE, R=-.0.61, p=0.031), and
splenium (PGSE, R=-0.70, p=0.012), RD increased with age in genu (OGSE, R=0.60,
p=0.040), body (OGSE, R=0.57, p=0.051, and PGSE, R=0.65, p=0.024), and splenium
(PGSE, R=0.68, p=0.014) and MD increased with age in splenium (PGSE, R=0.61,
p=0.035) (Figure 2 for FA).DISCUSSION AND CONCLUSIONS
The comparison of short
diffusion time OGSE DTI to long diffusion time PGSE DTI reveals corpus callosum
sub-regional variability showing that the splenium has the most robust
OGSE/PGSE differences, thus suggesting unique micro-structural composition.
These observations seem to support histological studies3,4 and MRI5
study that previously have shown discontinuity in the axonal size across the
corpus callosum, where the splenium appears to have a higher proportion of
larger axons. Regular long diffusion time DTI has in the past yielded greater
changes in routine DTI parameters (e.g. FA) with age in frontal white matter
regions such as the genu2. The fact that OGSE increases in radial diffusivity to a greater extent
with age than PGSE in the genu indicates that water molecules are experiencing
less barriers at the short diffusion time, more so in the older subjects. This could
reflect the dominance of larger restrictive spaces at older age due to perhaps
the loss of smaller axons. OGSE DTI using shorter diffusion times than other
approaches appears to provide new insight into brain changes with aging and
could validate histological findings of age/fiber size associations in corpus
callosum sub-regions6 as well as providing a new tool for clinical
applications.Acknowledgements
Canadian Institutes of Health Research (CIHR)References
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