Feng Yang1,2, YueMin Zhu2, Gabrielle Michalowicz3, Yves Usson3, Laurent Fanton2, Magalie Viallon2,4, Patrick Clarysse2, Pierre-Simon Jouk3, and Pierre Croisille2,4
1Department of Computer Science, School of Computer and Information Technology, Beijing Jiaotong University, Beijing, People's Republic of China, 2Univ.Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, F-69621, LYON, France, Villeurbanne, France, 3Equipe DYCTIM, Laboratoire TIMC-IMAG, UMR5525 CNRS, Université Grenoble Alpes, La Tronche, France, France, 4Jean-Monnet University, Saint-Etienne, France, Saint-Etienne, France
Synopsis
To validate to what extent
the fiber orientations derived from diffusion MRI (dMRI) reveal anatomical
reality, polarized light imaging (PLI) allowing the fiber orientations of the
human heart to be physically measured with high spatial resolution was used. The
dMRI and PLI orientation measurements of the same hearts are then compared using
a multimodal registration-based framework. Experimental results show that dMRI
and PLI have similar variation patterns of elevation or azimuth angles, except
that dMRI introduced a decrease of about 24º in transmural elevation angle range. No significant differences were observed on azimuth
angle in both modalities.
Introduction
The structure of
myocardial fibers plays a fundamental role in the heart’s function and its
change was shown to be directly linked to heart diseases (1). To study the myocardial fiber structure in a
whole human heart, three main techniques has been reported in previous literatures: histological technique (2), diffusion magnetic Resonance Imaging (dMRI) (3) and Polarized Light Imaging (PLI) (4). PLI is currently considered as the
ground-truth of the myocardial cell architecture of ex vivo human hearts owing to its high spatial resolution (90×90×500μm3) and three-dimensional
nature from imaging an entire human heart. In contrast, dMRI, which can be used
for both ex vivo and in vivo hearts, is the most promising
imaging technique for the routine clinical examination of human myocardial
fiber structure. However, dMRI does not measure directly the orientations of
myocardial fibers, and to what extent the fiber structure obtained from dMRI reveals
the anatomical reality has not been quantitatively validated. In this study, we
perform quantitative comparisons on fiber elevation and azimuth angles by using
PLI data as the ground-truth.Materials and Methods
Nine ex vivo human fetal hearts
were first selected for dMRI acquisition on a 3T clinical scanner (MAGNETOM
Verio, Siemens AG, Healthcare Sector, Erlangen, Germany) with the spatial
resolution of 1.38×1.38×2mm3 and then for PLI acquisition which
is destructive and non-backward. The acquired DTI data were in terms of b0
images and DW images of 32 or 192 directions, while the principal direction of
myosin filaments from PLI was obtained in the form of
azimuth and elevation angle maps with the spatial resolution of 90×90×500 μm3.
Since the original dMRI and PLI data do not have the
same spatial resolution and size, it is necessary to register them in order to perform
comparisons at the same positions. Our proposed registration-based dMRI
validation by PLI ground-truth consists of the following 3 steps: i) Multimodal registration including affine and nonrigid
registrations was achieved on elevation angle volumes to register dMRI myocardium to ground-truth PLI
myocardium, ii) Transformations including affine and
nonrigid registrations were applied to diffusion tensor fields from dMRI data,
based on which the registered elevation and azimuth angle volumes were obtained, iii) Normalization of the myocardium was performed in a similar
manner to that in (5) to
compare the hearts from the two imaging modalities in the same reference
coordinates. Quantitative comparisons were carried out on both elevation
angles and azimuth angles. Three types of transmural
positions are chosen: epicardium of the free wall or right endocardium (Epi) of
the septum, endocardium (Endo) of the left ventricle (LV) and zero-crossing
contour (Zero-crossing). Zero-crossing contour is formed of the points at which
the elevation angle changes sign from positive to negative or contrariwise in
the radial direction of myocardium.
Results
Quantitative comparisons
have been performed on both elevation angle and azimuth angle. Fig.1 shows
elevation angles along the transmural position in equatorial slices of the nine
human fetal hearts. Three types of transmural positions are chosen: epicardium of
the free wall or right endocardium of the septum (Epi), endocardium of the LV (Endo)
and zero-crossing contour (Zero-crossing). Zero-crossing contour is formed of
the points at which the elevation angle changes sign from positive to negative
or contrariwise in the radial direction of myocardium. It is observed that the
transmural elevation angle at Endo decreased about 11.32º±9.44º, while it
increased at Epi about 12.98º±8.08º. That is, the dMRI induces a decrease about
24.31º±14.78º on the transmural elevation angle range. In Fig.2 are plotted the
profiles of azimuth angles along the zero-crossing contour and the corresponding
3th-order
Legendre polynomial piecewise fitting for downsampled PLI and
registered dMRI. It is seen that azimuth angle values from 180° to 0° are periodically visited twice
clearly in the LV myocardium for both downsampled PLI and registered dMRI, but
the latter has a noisier profile then the former. The 3th-order
Legendre polynomial piecewise fitting generates two linear-like descending
curves with the visiting range from 160° to 20° for both modalities, but the
registered dMRI has less obvious second visiting. Similar comparison results on
azimuth angles are observed in the nine hearts.Conclusion
Similar variation pattern on elevation and azimuth angles were found
from both dMRI and PLI modalities. This enforces dMRI as a valid imaging
technique to characterize fiber orientations of the human heart. However, dMRI introduced a decrease of about 24º in transmural elevation angle range. No significant differences were
observed on azimuth angle
in both modalities.Acknowledgements
No acknowledgement found.References
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