Markus Janko1,2, Patrick Rose1,2, Vanessa Ines Schoeffling1, Oliver Korczynski1, Katharina Ponto3, Esther Hoffmann3, Marc Brockmann1, Wolfgang Kleinekofort2, and Andrea Kronfeld1
1Neuroradiology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany, 2Applied Physics & Medical Engineering, Hochschule RheinMain, Rüsselsheim, Germany, 3Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
Synopsis
A successful
use of anatomical templates in the evaluation of functional neuroimaging-studies
is only possible, if anatomical and functional intra-individual data can be
registered with sufficient accuracy. We wanted to investigate the possibility
to register structural on common and RESOLVE diffusion-images of the optic
nerve. Three volunteers were examined and the structural images were registered to
the two diffusion-datasets. Two observers defined seeds for tractography of the
optic nerve on the structural and on the diffusion images. Tractography worked with
seeds defined on the structural images registered to RESOLVE. Therefore RESOLVE
is suitable for the use in template-based studies.
Introduction
The
evaluation of neuroimaging data of the brain is often based on the use of
standardized templates to save time, make results more objective or do group
analyses. It is especially helpful when evaluating functional or diffusion data
because of their low resolution and image quality. Templates enable the use of
predefined seeds [1] or whole tracks-regions [2] for tractography.
Unfortunately the common templates do not include the optic nerve. Published
experiences of matching the optic nerve to a template do not exist to our
knowledge.
One step
prior to template registration, a registration between structural and
functional data has to take place. This is a crucial step that influences the
whole outcome of the registration process. In preparation to the development
and the use of a template including the optic nerve, we wanted to determine,
whether the prepended step of registering structural images to often distorted
diffusion data is possible. We compare our approach for a common diffusion
weighted sequence and for a readout-segmented, multi-shot echo planar imaging
((EPI) RESOLVE), which has shown to be less sensitive to distortion artefacts
in brain imaging [3,4].Methods
Imaging was
performed on a 3.0 T MR-scanner (Magnetom Skyra, Siemens, Germany) using a
64-channel head-coil. Three healthy volunteers underwent diffusion-MRI using a
common and a RESOLVE pulse-sequence covering the optic tract. (2.5mm³ isometric
voxel, b=800 and 1600 s/mm², 30 directions, 16 slices). For the common
EPI-based diffusion pulse-sequence this resulted in an acquisition-time of 3:02
min and for RESOLVE (R-factor = 3) in 10:27 min. Moreover a structural
dataset was acquired in the same position and orientation with higher
resolution (3D volumetric interpolated breath-hold sequence (VIBE), voxel size
1x0.8x0.8 mm³, TR 6.42 ms, TE 3.69 ms).
All
datasets were preprocessed using an in-house rebuild of the tractoflow pipeline
(intended for global brain diffusion preprocessing) for use on defined slabs,
including the bulbi, the osseous orbita and the intracranial part of the optic
nerve. ([5], MRTRIX3 [6], ANTS [7],
FSL [8] and scilpy (Sherbrooke Connectivity Imaging Lab) including correction
for distortions). For registration of the structural images to the respective
diffusion images a 6-parameter rigid body transformation was used (FSL FLIRT [9] via MRTRIX3).
Two experienced neuro-radiologists placed regions of interest (ROI) in a scheme
taken from Haykal et al [10] (Fig. 1) in each registered structural image as
well as in the two diffusion datasets.
Tracts were
generated via MRTRIX3 using the probabilistic iFOD2 algorithm. The ROI closest
to the bulbus served as seeding points and all tracts had to include the other two ROI on each side, concluding in the chiasma. Tractography parameters were
fixed according to our preliminary experiments in tracking the optic nerve (max
angle 15, diameter of sphere-ROI 2.5mm, unidirectional), while the cutoff-value
varied over three iterations of the experiment (0.05, 0.075, 0.1). This was
inspired by Takemuras approach of ensemble tractography [11] and utilized to
get an early pre-metric insight into connection/tract quality. A tract-goal was
set for 4000 selected streamlines, the number of seeding points was limited to
2 million. Tracking was counted as successful if the algorithm selected
more than 50 tracks. All Tractograms were inspected and checked for plausibility.Results
The
registration of spatial and diffusion images successfully finished in all
cases. The number of successful tractographies can be received from Tab. 1. Examples for successful and (partial) unsuccessful tractrographies are shown in Fig. 2.
The
feedback of ROI-placement by the neuroradiologists was very positive for all
structural volumes, while in both DWI images, especially the intracranial ROI,
as well as the chiasma-ROI were described as extremely challenging up to mere “guesswork”.
Results for
all cutoff-values were consistent: the highest success-rate was recorded for
ROI drawn on structural RESOLVE-registered images followed by those on the RESOLVE-images.
Structurally-drawn common-registered ROI however did slightly worse than those
drawn directly on the common diffusion-weighted images.Discussion
Fig.2
illustrates the neuroradiologist's feedback and combines it with supposed
underlying reasons for our results. Fig.2A/ B are both based on RESOLVE-data
and showed near perfect tracking results, given the provided parameters. This
validates a combined success of the preprocessing steps on the RESOLVE-data
which in turn facilitated a successful registration. On the other hand, the distortion correction on the common diffusion-weighted images, especially the
intracranial segment and around the chiasma, was less successful as can be seen in
Fig.2C by the deviating course of the tracks, compared to the structural
information. This in turn doomed the
common-registered positioning to fail. The ability of the ROI drawn on the
structural data to serve as seed-points for tracking of RESOLVE-data with comparable
success to the ROI drawn on the RESOLVE-data itself proves, that the
preprocessing steps and the registration of structural and diffusion data of the
optic nerve is possible for RESOLVE but not for common diffusion-imaging
techniques.
Eventually,
the use of a 12-parameter affine transformation would have led to better
results for the common diffusion data, even if it is not usual to use a
12-parameter affine transformation for intra-subject registration.Conclusion
RESOLVE is a suitable registration target for structural images. Template-development seems to be viable and will be the next focus on our project's agenda.Acknowledgements
No acknowledgement found.References
1. Li, M., et al., The trajectory of the medial longitudinal
fasciculus in the human brain: A diffusion imaging-based tractography study.
Hum Brain Mapp, 2021.
2. Archer, D.B.,
D.E. Vaillancourt, and S.A. Coombes, A
Template and Probabilistic Atlas of the Human Sensorimotor Tracts using
Diffusion MRI. Cereb Cortex, 2018. 28(5):
p. 1685-1699.
3. Porter, D.A. and
R.M. Heidemann, High resolution
diffusion-weighted imaging using readout-segmented echo-planar imaging,
parallel imaging and a two-dimensional navigator-based reacquisition. Magn
Reson Med, 2009. 62(2): p. 468-75.
4. Koyasu, S. et al., The clinical utility of
reduced-distortion readout-segmented echo-planar imaging in the head and
neck region: initial experience.
Eur Radiol, 2014. 24, 3088–3096.
5. Theaud, G., et
al., TractoFlow: A robust, efficient and
reproducible diffusion MRI pipeline leveraging Nextflow & Singularity.
Neuroimage, 2020. 218: p. 116889.
6. Tournier, J.D.,
et al., MRtrix3: A fast, flexible and
open software framework for medical image processing and visualisation.
Neuroimage, 2019. 202: p. 116137.
7. Avants, B.B., et
al., A reproducible evaluation of ANTs
similarity metric performance in brain image registration. Neuroimage,
2011. 54(3): p. 2033-44.
8. Jenkinson, M., et
al., Fsl. Neuroimage, 2012. 62(2): p. 782-90.
9. Jenkinson, M., et
al., Improved optimization for the robust
and accurate linear registration and motion correction of brain images.
Neuroimage, 2002. 17(2): p. 825-41.
10. Haykal, S., N.M.
Jansonius, and F.W. Cornelissen, Investigating
changes in axonal density and morphology of glaucomatous optic nerves using
fixel-based analysis. Eur J Radiol, 2020. 133: p. 109356.
11. Takemura, H., et
al., Ensemble Tractography. PLoS
Comput Biol, 2016. 12(2): p.
e1004692.