Recently, the susceptibility source separation method, χ-separation, was suggested to separate paramagnetic and diamagnetic susceptibility distributions in the brain, potentially providing quantitative information of paramagnetic iron and diamagnetic myelin. However, the ill-posed nature of dipole-inversion has hindered accurate estimation and direct comparison with histology. Here, we extended the model for multi-orientation GRE, resolving the ill-posedness. The new model is applied to in-vivo and ex-vivo, revealing exquisite details of susceptibility distribution. When the results are compared to iron and myelin histology, great similarities are observed, suggesting the potentials of χ-separation for non-invasively acquiring three-dimensional histological information of iron and myelin.
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Fig. 1. Positive and negative susceptibility maps from a single orientation (a, d) show streaking artifacts, which are observed in the single-orientation QSM map (g; blue and red arrows; same location with same sign). The multi-orientation measurements significantly reduce the artifacts in both 𝜒-separation and QSM maps (b, e, h). Compared to the conventional single-orientation results, the multi-orientation positive and negative susceptibility maps (b, e) show greater similarity to the iron and myelin histology images (c, f) from the literature18.
Fig. 2. Positive (a, c) and negative (b, d) susceptibility maps delineate iron-rich brain nuclei (e.g., basal ganglia, U-fiber, and subthalamic nucleus of pulvinar) and white matter fiber bundles (e.g., optic radiation, splenium, and internal capsule). When the χtot (=χpos+χneg) maps (e, f) are compared to the multi-orientation QSM map (g), the multi-orientation 𝜒-separation (f) shows almost the same susceptibility distribution with little error (i), substantially different from the single head orientation result (h).
Fig. 3. (a) Bland-Altman plot comparing multi-orientation total susceptibility from 𝜒-separation and QSM in 11 ROIs of the six subjects. The plot confirms a highly quantitative correspondence between the multi-orientation 𝜒-separation map and the multi-orientation QSM map, reporting small bias (= -3 ± 8 ppb; see susceptibility values in the table below for comparison). (b) Mean ± STD of the 𝜒-separation and QSM values in all ROI.
Fig. 4. Maps of multi-orientation (MO) 𝜒-separation, single-orientation (SO) 𝜒-separation, and thresholded QSM maps. The boundaries of the MO 𝜒neg map (red lines) highly match not only for WM/GM boundaries in the T1w image (Slice #2-4) but also for previous reports of iron and myelin histology in SN, IC, and SWM12–15. On the other hand, the SO 𝜒neg map shows inhomogeneous intensity in WM (orange arrows) mostly due to streaking artifacts and susceptibility anisotropy. The negative part of QSM map has mismatches in WM/GM boundary in the T1w images, and iron and myelin histology12–15.
Fig. 5. The 350-μm-isotropic resolution multi-orientation 𝜒-separation results of the postmortem human thalamus specimen (a, b), where iron and myelin co-exist. When the negative susceptibility maps are converted to optical density using Beer-Lambert law and the results (c) are compared with myelin histology from literature16 (d), they display exquisite details of myelin distribution and clearly delineate subthalamic nuclei (red outlines; Schaltenbrand et al. atlas16).