Jin Gao1,2, Zachery Morrissey3, Alex Leow3, Orly Lazarov4, Danilo Erricolo1, Richard Magin5, and Weiguo Li2,5
1Electrical and Computer Engineering, University of Illinois at Chicago, Chicago, IL, United States, 2Research Resources Center, University of Illinois at Chicago, Chicago, IL, United States, 3Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, United States, 4Department of Anatomy and Cell Biology, University of Illinois at Chicago, Chicago, IL, United States, 5Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States
Synopsis
Alzheimer’s disease (AD) has a tremendous impact in terms of social and
economic cost. White matter damage in the progression of AD and the associated
cognitive symptoms and pathophysiology are of crucial interest. Diffusion MRI
offers unique insights into the pathophysiology of AD in vivo. This feasibility
study aims to assess and visualize the white matter changes using an ultrahigh
b-value diffusion MRI.
INTRODUCTION:
Alzheimer’s disease (AD) is the most common form of dementia that is
estimated to affect 44 million people worldwide.1 Diffusion MRI
characteristics, for example diffusion tensor imaging, offers unique insights
into the pathophysiology and provides sensitive measurements of microstructure changes related to
white matter degeneration of AD in vivo.2 Recent studies reported strong
signals from white matter can persist in diffusion weighted images (DWI) at
ultra-high b-values.3 However, the classical
mono-exponential model fails to precisely depict diffusion weighted signal
decay at high b values ( s/mm2).4,5 The objective of this preliminary study is to investigate
diffusion signal decay behaviors at ultra-high b-values in an amyloid precursor
protein (APP) knock-in mouse model of AD.METHODS:
All
the experiments were approved by the Institutional Animal Care and Use
Committee. Four 18-month old female mice—two APP knock-in and two wildtype
C57/Bl6 (WT) controls6—were used for MRI scans. All MRI
data were acquired with 31 cm bore 9.4 T Agilent MRI scanner. A diffusion
weighted spin echo sequence was applied with following acquisition parameters:
TR/TE = 2000/22 ms, δ/ Δ = 4/12.2 ms, slice thickness =1.0 mm, FOV = 12.8 mm × 16
mm, matrix = 64 × 64, NEX = 16, 8 b-values: (0, 1000, 2100, 3000, 4050, 5030,
6100, 8060) s/mm2 with diffusion gradient direction perpendicular to
slice encoding direction.
Image
post-processing was performed in MATLAB (MathWorks). Normalized signal
intensities were calculated from regions of interest (ROIs) that were manually
drawn on corpus callosum (CC), anterior commissure (AC), and hippocampus in DW
images for each mouse brain in both groups. A continuous-time random walk
(CTRW) model was applied to evaluate the DW data, $$\overrightarrow{y}=E_{\alpha}(-(\overrightarrow{b}D)^{\alpha})$$ where D is
diffusion coefficients, bD is
raised to α power. In this model, a Mittag-Leffler function (Eα) was
employed to represent restricted diffusion.7,8 RESULTS:
Fig. 1 shows two slices of
representative DWIs from one wild type control mouse and one APP knock-in
mouse. Signal intensities in regions such as corpus callosum (CC), and anterior
commissure (AC) persisted at DWIs with high b values of over 8000 s/mm2
in both APP and WT mice (Fig. 1). Diffusion signal decay with b values
indicated a non-linear behavior between b-values and log-scaled normalized
signal intensities (Fig. 2). Lower intensities were found for the APP mouse at
all the high b-values when compared to those of the WT control (Fig. 2). From
CTRW model, increased α values were found in CC in the APP mouse (shown by
arrows in Fig. 3A) and decrease of D values were found in both CC and AC (Fig.
3B). In addition, α maps showed decreased intensities in the hippocampus area
in the APP mouse when compared to the WT control mouse (Fig. 4). DISCUSSION:
The APP knock-in model was
considered as a useful tool to study pathological changes in AD induced by αβ amyloidosis that affects both gray matter and
white matter. Microstructure changes in white matter might actively contribute
to the progression of the disease. Our preliminary study showed differences in
CTRW model parameters extracted from AC and CC bundles in the APP knock-in mice.
Decreased α values indicated increased tissue heterogeneity that could be
caused by degeneration of these nerve bundles. In addition, decreased α values
found in hippocampus might indicate degeneration of the fornix bundle
connecting the hippocampus, which could provide information for diagnosing and
staging AD in human.CONCLUSION:
CTRW parameters extracted
from ultrahigh b-value diffusion MRI provide potential to detect microstructure
changes in AD. Further studies are necessary to validate this method with histology
and combine other quantitative MRI to investigate multiple aspects pathophysiological
changes in AD at the same time.Acknowledgements
No acknowledgement found.References
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