We assessed the relationship between microstructural measures derived from diffusion tensor imaging (DTI) and shear moduli estimated from magnetic resonance elastography (MRE). We also compared the predictive power of fractional anisotropy, storage and loss moduli, estimation using nonlinear inversion (NLI) to model age in humans. Our results suggest some statistical relationship between MRE measures, particularly the loss modulus, and microstructure (FA, RD). The decrease in FA with age is accompanied by an increase in viscosity, especially in association fibers (Superior Longitudinal Fasciculus). The regional MRE measure provides more predictive power than the best regional FA.
Introduction
Viscoelastic properties of the brain can be measured indirectly in-vivo, with promising aging biomarker potential. It has been shown that brain tissue mechanics are affected by both healthy aging and dementia. However, to date little consensus exists regarding the direction and trajectory of such changes, due in part to underpowered studies and the variety of reconstruction (inversion) methods. In this study, we assess the relationship between DTI and MRE measures, as well as regional viscoelastic changes due to age.Methods
The experiment from a previous study5 was repeated on seven young (24-32 years old) and seven older (55-76 years old) males. The MR experiment included: high-resolution anatomical MPRAGE, diffusion tensor imaging (DTI), anterior-posterior (AP) excitation MRE, and left-right (LR) excitation MRE. The MRE displacement employed a 3D multislab, multishot spiral MRE sequence for generating 3D, full vector field complex displacement data at 50 Hz with 2 x 2 x 2 mm^3 isotropic spatial resolution7. For the anterior-posterior (AP) excitation, the soft head pad was placed at the posterior of the head, standard used in many previous studies8-10. For the left-right (LR) excitation, the liver pad was placed on the right side of the subject's head. Padding was placed between the subject's head and the side of the coil and between the liver pad and the coil for mechanical coupling and to reduce head movement. Nonlinear inversion (NLI) estimated heterogeneous, isotropic viscoelastic properties11. Additionally, matched field-of-view and resolution (relative to MRE) diffusion tensor imaging (DTI) and T1-weighted MPRAGE structural image at 0.9 x 0.9 x 0.9 mm3 isotropic resolution (TR/TI/TE = 2000/900/2.2 ms) were acquired. Using the ENIGMA-DTI protocol, we computed the study FA skeleton (TBSS) projecting onto it additional DTI and MRE measures: Radial Diffusivity, storage (elastic) and loss (viscous) moduli (SM, LM). Finally, all skeletonized measures were regionally averaged using the MNI JHU white matter (WM) atlas12 (Figure 1). We performed linear regression (a) within each region to model RD and FA as a function of LM and SM, and (b) using each regional measure to predict age group.Results & Discussion
FA and RD were correlated with SM at nominal significance (p < 0.05) in the internal capsule, cingulum. FA was additionally correlated with SM in the superior fronto-occipital fasciculus (SFO). FA and RD were correlated with LM at nominal significance in the external capsule and superior longitudinal fasciculus (SLF). FA was additionally correlated with LM in the cingulum and fornix. Only the FA-LM association in SLF passed false discovery rate correction. Figure 2 and Table 2 show all results. Age group differences reached nominal significance for FA in the corona radiata (anterior), cingulum, and SFO. Among the MRE measures, only LM reached p<0.05, with age-related increases in the corona radiate (posterior) and SLF. It is notable that although LM and FA are strongly associated in SLF, and SLF LM predicts age more accurately than any FA measure, FA in SLF is no significantly associated with age.