Rafael Neto Henriques1, Sune Nørhøj Jespersen2,3, and Noam Shemesh1
1Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal, 2Center of Functionally Integrative Neuroscience (CFIN) and MINDLab, Clinical Institute, Aarhus University, Aarhus, Denmark, 3Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark
Synopsis
Multidimensional
diffusion encoding (MDE) has been gaining attention for its potential to describe
tissue microstructure with enhanced specificity by resolving kurtosis sources,
albeit with significant assumptions (no time dependence, no intra-compartmental
kurtosis). Correlation Tensor Imaging (CTI) has been introduced as a novel
methodology capable of resolving kurtosis sources without relying on a-priori
assumptions. Here, we harnessed CTI to validate the accuracy of tensor-valued MDE
metrics and assess the importance of intra-compartmental kurtosis (Kintra) in
tissues. Our results reveal that Kintra is non-negligible and skews the
estimates of tensor-valued MDE approaches, even in the absence of detectable diffusion time
dependence.
Introduction
Diffusional
Kurtosis Imaging (DKI) quantifies the degree of non-Gaussian diffusion1,
leading to improved sensitivity towards microstructural alterations in both health
and disease2,3. Multidimensional diffusion encoding (MDE) aims to
improve DKI’s specificity by resolving kurtosis into different sources4-6
that are inherently conflated in single diffusion encoding (SDE) measurements.
For instance, the tensor-valued information of MDE acquisitions was proposed to
decouple sources of anisotropic and isotropic kurtosis ($$$K_{aniso}$$$ and $$$K_{iso}$$$)4,5. However,
a critical assumption is that the underlying system can be represented by a sum
of Gaussian diffusion components, ignoring 1) diffusion time-dependence7-9
and 2) non-Gaussian diffusion effects due to the restricted diffusion or structural disorder (i.e., intra-compartmental kurtosis $$$K_{intra}$$$)6,10,11.
Correlation Tensor Imaging
(CTI)6 has been recently introduced to more generally resolve
different kurtosis sources using signals acquired with double diffusion
encoding (DDE) acquisitions12,13. At long mixing times, CTI reliably
measures $$$K_{aniso}$$$, $$$K_{iso}$$$ and $$$K_{intra}$$$ without relying on the Gaussian assumption (at
the expense of longer acquisition times)6.
Here, the above approaches are compared for the first-time using simulations
and experiments, revealing that non-negligible $$$K_{intra}$$$ biases tensor-valued MDE estimates. Moreover, CTI is used to identifying the regimes in which MDE tensor-valued kurtosis estimates are still accurate.Theory
General CTI
approach: At the long mixing time regime, powder-averaged DDE signals
can be expressed by:
$$\log\left(\frac{\bar{S}(b_1,b_2,\theta)}{S_0}\right)=-(b_1+b_2)D+\frac{1}{6}(b_1^2+b_2^2)D^2K_t\\+\frac{1}{6}b_1b_2\cos^2(\theta)D^2K_{aniso}+\frac{1}{6}b_1b_2D^2(2K_{iso}-K_{aniso})$$(1)
where $$$b_1$$$ and $$$b_1$$$ are the b-values associated with the two DDE gradients, $$$\theta$$$ is the angle between them, $$$D$$$ is the mean diffusivity, and the total kurtosis $$$K_t$$$ is the sum of its sources ($$$K_t=K_{aniso}+K_{iso}+K_{intra}$$$). To resolve the kurtosis sources from Eq. 1, three different
types of experiments are required (Fig.1) which are repeated for at least two
non-zero total b-values ($$$b_t=b_1+b_2$$$) and several powder-averaging
orientations6.
Tensor-valued
approach: Under the Gaussian diffusion assumption and axial
encoding, powder-average MDE signals can be expressed as5,14:$$\log\left(\frac{\bar{S}(b_t,b_\Delta)}{S_0}\right)=-b_tD+\frac{1}{6}b_t^2D^2K_ {iso}+\frac{1}{6}b_t^2b_{\Delta}^2D^2K_{aniso}$$(2)
where $$$b_{\Delta}$$$ describes the b-tensor shape. To resolve $$$K_{aniso}$$$ and $$$K_{iso}$$$ from Eq. 2, data for at least two $$$b_{\Delta}$$$ and two $$$b_t$$$ values are required. In this study, tensor-valued (TV) estimates are obtained from
the same data as for CTI, since they are associated with two different $$$b_{\Delta}$$$ values (Fig.1). TV estimates are first obtained for all data of
the three experiments in Fig.1 (TV(all) estimates). Note that the experiment
B1 in Fig.1 has a different encoding profile than the experiments B2 and B3. To
assess the robustness of kurtosis estimates from data acquired for a single enconding
profile type, TV estimates are also computed using the selected data from
experiments B2 and B3 (TV(sel) estimates).Methods
Simulations: Synthetic
signals were produced for four systems with known ground truth kurtosis sources
(Fig.2): 1) isotropic Gaussian components; 2) randomly oriented anisotropic
Gaussian components; 3) single non-Gaussian diffusion component; and 4) all
components combined. All simulations parameters were matched to the experimetnal
MRI acquisition parameters.
MRI
experiments: Animal experiments were preapproved by the competent institutional
and national authorities (European Directive 2010/63). Data was acquired from N=3
female Long Evans rats (19-22 weeks old) under anesthesia (~2.5% Isoflurane) on
a 9.4T Bruker Biospec scanner equipped with an 86 mm quadrature transmission coil and 4-element array
reception cryocoil. Acquisitions were performed for
the experiments described in Fig.1 and repeated for $$$b_t$$$=1.25, 2, 2.5ms/μm2 together with 24 b=0 acquisitions per
experiment. Other parameters: $$$\Delta=\tau_m$$$=12ms, $$$\delta$$$=3.5ms,
TR/TE=3000/50.9ms, in-plane resolution = 200×200μm2,
slice thickness = 0.9mm.Results
Simulations: Both CTI and tensor-valued approaches correctly estimate the
different kurtosis sources for systems comprising only Gaussian components
(Fig.2A-B). However, when intra-compartmental kurtosis is introduced, tensor-valued $$$K_{aniso}$$$ and $$$K_{iso}$$$ estimates are biased and overestimated (Fig.2C-D), while the CTI approach accurately resolves the
kurtosis sources.
Experiments: Fig.3 shows the raw powder-averaged signal decays for the three
DDE experiments ($$$b_t=2.5$$$ms/μm2) of
a representative slice. Although corresponding to acquisitions of identical b-tensor
shapes, $$$\bar{S}(b_t,0,0^o)$$$ and $$$\bar{S}(b_t/2,b_t/2,0^o)$$$ signals present different intensities. Their log differences indicate
the presence of positive $$$K_{intra}$$$ sources (Fig.3F). CTI and tensor-valued kurtosis estimates for this
representative slice are shown in Fig.4, verifying positive CTI-$$$K_{intra}$$$ estimates from
both grey and white matter.
The scatter plots in Fig.5 confirm that most of the tensor-valued kurtosis
estimates are overestimated when $$$K_{intra}\neq0$$$, except for $$$K_{aniso}$$$ from TV(sel) which match the $$$K_{aniso}$$$ estimates from CTI.Discussion
Previous studies showed that kurtosis estimates from tensor-valued
can be biased by effects of diffusion time-dependence7-9. Here,
these effects are removed by using DDE acquisitions in the long mixing time
regime and with fixed $$$\Delta$$$. Even under this ideal condition, we show that tensor-valued estimates can
still be confounded by neglected $$$K_{intra}$$$ effects.
Our results confirm that CTI can decouple $$$K_{aniso}$$$ and $$$K_{iso}$$$ estimates from $$$K_{intra}$$$, and that $$$K_{intra}$$$ is non-negligible, at least in rat brain in vivo. Moreover, we show that CTI can be useful to explore the
biases of tensor-valued-based measures and explore its regimes of validity. Here
we used CTI to: 1) validate the tensor-valued $$$K_{aniso}$$$ estimates when these are extracted from data acquired with constant gradient
profiles (Fig.5B1); and 2) show that $$$K_{iso}$$$ estimates from these experiments are a combination of both isotropic and intra-compartmental
kurtosis sources ($$$K_{iso}^{TV(sel)}=K_{iso}^{CTI}+K_{intra}^{CTI}/2$$$, Fig.5B3). In the future,
our results will be expanded to assess the biases of tensor-valued kurtosis
estimates from faster continuous waveform acquisitions14-15. Acknowledgements
This
study was funded by the European Research Council (ERC) (agreement No. 679058). We
acknowledge the vivarium of the Champalimaud Centre for the Unknown, a facility of
CONGENTO financed by Lisboa Regional Operational Programme (Lisboa 2020), project
LISBOA01-0145-FEDER-022170.References
1. Jensen JH, Helpern JA, Ramani A, et al. Diffusional Kurtosis Imaging: The Quantification
of Non-Gaussian Water Diffusion by Means of Magnetic Resonance Imaging, Magn.
Reson. Med. 2005; 53: 1432–1440
2. Falangola
MF, Jensen JH, Babb JS, et al. Age-related non-Gaussian diffusion patterns in the prefrontal brain. J.
Magn. Reson. Imaging 2008; 28: 1345–1350. doi:10.1002/jmri.21604
3. Cheung
JS, Wang E, Lo EH, Sun PZ. Stratification of heterogeneous diffusion MRI ischemic lesion with
kurtosis imaging: evaluation of mean diffusion and kurtosis MRI mismatch in an
animal model of transient focal ischemia. Stroke 2012; 43: 2252–4. doi:
10.1161/STROKEAHA.112.661926
4. Westin
CF, Knutsson H, Pasternak O, et al. Q-space trajectory imaging for
multidimensional diffusion MRI of the human brain. Neuroimage 2016; 135:
345–362. doi: 10.1016/j.neuroimage.2016.02.039
5. Szczepankiewicz F, van Westen D, Englund E, et al. The link between
diffusion MRI and tumor heterogeneity: mapping cell eccentricity and density by
diffusional variance decomposition (DIVIDE). NeuroImage. 2016;142: 522–532.
doi: 10.1016/j.neuroimage.2016.07.038
6. Henriques RN, Jespersen SN, Shemesh N. Correlation tensor magnetic
resonance imaging. Neuroimage 2020; 211: 116605. doi:
10.1016/j.neuroimage.2020.116605
7. Jespersen SN, Olesen JL, Ianus A, Shemesh N. Effects of nongaussian
diffusion on “isotropic diffusion” measurements: an ex-vivo microimaging and
simulation study. J. Magn. Reson. 2019; 300: 84–94. Doi: 10.1016/j.jmr.2019.01.007
8. Szczepankiewicz
F, Lasic S, Nilsson C, et al. Is spherical diffusion encoding rotation
invariant? An investigation of diffusion time dependence in the healthy brain.
Proc. Intl. Soc. Mag. Reson. Med. 2019.
9. Lundell H, Nilsson M, Dyrby TB, et al. Multidimensional diffusion MRI with
spectrally modulated gradients reveals unprecedented microstructural detail.
Sci. Rep. 2019; 9: 9026.
10. Dhital B,
Kellner E, Kiselev VG, Reisert M. The absence of a restricted water pool in
brain white matter. Neuroimage 2018; 182: 398-406.
11. Lee HH,
Papaioannou A, Kim SL, et al. A time-dependent diffusion MRI signature of axon
caliber variations and beading. Communications biology. 2020; 3(1):1-13.
12. Cory DG,
Garroway AN, Miller JB. Applications of spin transport as a probe of local
geometry. Polym Prepr 1990; 31: 149.
13. Henriques
RN, Polombo M, Jespersen SN, et al. Double diffusion encoding and applications
for biomedical imaging. J. Neurosci.
Methods 2020 (In Press). doi: 10.1016/j.jneumeth.2020.108989
14. Nilsson M,
Szczepankiewicz F, Brabec J, et al., Tensor‐valued diffusion MRI in under 3
minutes: an initial survey of microscopic anisotropy and tissue heterogeneity
in intracranial tumors. Magn. Reson. Med. 2020; 83: 608-620. doi:
10-1002/mrm.27959
15. Lundell H,
Lasic S. Diffusion encoding with General gradient waveforms. In: Topgaard, D.
(Ed.), Advanced Diffusion Encoding Methods in MRI. Royal Society of Chemistry
2020.