Jake Hamilton1,2, Naila Rahman1,2, Kathy Xu3, Arthur Brown3,4, and Corey Baron1,2
1Department of Medical Biophysics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada, 2Centre for Functional and Metabolic Mapping (CFMM), Robarts Research Institute, University of Western Ontario, London, ON, Canada, 3Translational Neuroscience Group, Robarts Research Institute, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada, 4Department of Anatomy and Cell Biology, University of Western Ontario, London, ON, Canada
Synopsis
Keywords: Traumatic brain injury, Microstructure, mild Traumatic Brain Injury (mTBI); Concussion
Probing the diffusion
time dependence of diffusional kurtosis within brain microstructure is being
recognized as a valuable method to study various neurological pathologies,
however, its use in the study of repeated mild traumatic brain injury (mTBI)
has not been explored. In this work, we investigated differences in the
time-dependence of diffusional kurtosis in injured and sham mice using
oscillating gradient spin echo (OGSE) diffusion kurtosis imaging (DKI). The
results of this work show promising differences in kurtosis within the
hippocampus of injured and sham mice, illustrating the sensitivity of OGSE DKI in
detecting long-lasting pathological microstructural changes following brain
injury.
Introduction
Diffusion MRI (dMRI) is a powerful tool for studying
brain pathology on a spatial scale not visible to conventional MRI. Oscillating gradient spin echo (OGSE) dMRI allows
us to probe at much shorter effective diffusion times than possible with
traditional pulsed gradient spin echo (PGSE) dMRI. By varying the gradient
oscillation frequency used during a single acquisition sequence, we can probe
tissue microstructure at various spatial scales, exploiting the diffusion time
dependency in the brain. Also, diffusion kurtosis imaging (DKI) extends from
the traditional diffusion tensor model in a separate manner from OGSE by
quantifying the non-gaussian behavior of water diffusion. Previous work has
shown frequency dependent kurtosis changes in hypoxic ischemic insult1, however, whether OGSE kurtosis is
sensitive to microstructural changes that occur following mild traumatic brain
injury (mTBI) has not been explored. The aim of this study is to determine if
OGSE DKI is sensitive to long-term neurobiological changes that occur following
repeated mTBI. Methods
Subjects: 8
mice (6 male and 2 females, age range of 5-6 months at baseline) carrying
humanized versions of amyloid precursor and tau proteins were scanned 1-2 weeks
prior to injury and again 6 months after injury. 4 of these mice (3 male and 1
female) underwent mTBI using a controlled cortical impactor on 3 consecutive
days, with remaining mice serving as a control group.
MRI
Acquisition: dMRI and
T2-weighted images were acquired on a 9.4 Tesla Bruker small animal scanner.
The dMRI protocol included PGSE (i.e., 0 Hz) and OGSE with frequencies of 60
and 120 Hz, using b-values of 28 (6 averages), 1025 (10 directions) and 2450
(10 directions) s/mm2. The
dMRI protocol was acquired in one integrated scan using single-shot
echo-planar-imaging (EPI) with parameters: in-plane resolution 200x200 μm2, slice thickness 500 μm, TE/TR = 35.5/15000 ms, total scan time of 66 minutes.
Anatomical images were acquired during each imaging session using a T2-weighted
TurboRARE sequence with parameters: in-plane resolution
100x100 μm2, slice thickness
500 μm, TE/TR = 30/5500 ms, total
scan time of 10 minutes.
dMRI Data Analysis: Complex-valued averages were combined
using in-house MATLAB code which included partial Fourier reconstruction,
correction for frequency drift, and denoising2, similar to earlier work3. Kurtosis maps from each imaging session
were generated using in-house MATLAB code. A multi-slice hippocampus region-of-interest
(ROI) was drawn manually on a T2 template created with Advanced Normalization
Tools (ANTs) software4, to which all kurtosis maps were
registered to. Mean kurtosis (MK) was quantified at each frequency by applying
the ROI to the corresponding kurtosis map. ΔMK for each mouse and timepoint
was calculated by subtracting the MK within the ROI at 0 Hz by MK at 120 Hz. Results
Figure 1 shows MK maps
from one representative mouse brain along with the anatomical template. When averaging
MK measurements within the hippocampus from all mice at both timepoints, we found
a decrease in MK when using higher OGSE frequencies (f=0 Hz: mean (M)=1.02 +/- 0.02 SEM, f=60 Hz: M=0.94 +/-
0.01, f=120 Hz: M=0.93 +/- 0.02) (Figure 2). In the sham group, we see increased
MK at 6 months relative to baseline at all frequencies (f=0 Hz: ΔMs=0.0741, f=60 Hz: ΔMs=0.0620, f=120 Hz: ΔMs=0.0719). In the concussion group, we also see
increased MK at 6 months relative to baseline (f=0 Hz: ΔMc=0.0265, f=60 Hz: ΔMc=0.0208, f=120 Hz: ΔMc=0.0163), however, these increases were
smaller relative to the sham group (Figure 3). Using ΔMK calculated for each mouse at both timepoints, we
see a matching increase in MK in both groups at 6 months relative to baseline
(Figure 4). Discussion
This preliminary study
shows evidence for differences in OGSE kurtosis between concussed and sham
groups. While low cohort sizes are currently a limitation, the study is ongoing
to increase sample sizes. The trend of decreasing MK at higher OGSE frequencies
has been found by many previous studies1,5,6. We show a trend of increased MK at 6 months in the sham group, while
showing a smaller increase in MK in the concussed group. Previous PGSE DKI
studies show a similar trend of decreased MK in concussion compared to sham
groups in the months post-injury7-9. We suspect that increased kurtosis in
the sham group is due to increased myelination and dendritic arborization known
to occur in healthy development due to learning and memory consolidation in the
hippocampus10,11. Notably, previous DKI studies have suggested
that both myelination12 and dendritic arborizations13 result in increased kurtosis. Based
on the trend of decreased kurtosis in the concussion group relative to control
found here and in previous work7-9, we speculate that repeated mTBI may
induce long-term impairment of myelination and arborization processes. However,
because multiple neurobiological changes can impact the dMRI contrast, we
cannot exclude other pathological mechanisms leading to the trend we observe. Regardless,
we show here that diffusion time dependent DKI may be sensitive to long-term
changes that occur due to repeated mTBI. Conclusion
In this research,
the use of OGSE DKI was demonstrated for the study of long-term changes
following repeated mTBI. Examining the diffusion time dependency of kurtosis
measurements will give further insight into neurobiological changes that occur
following mTBI, allowing for pathological sequelae to be further elucidated.Acknowledgements
This project is partially supported by US Department of
Defense under congress-directed medical research program (CDMRP), Peer Reviewed
Alzheimer’s Research Program (PRARP) by award# W81XWH-20-1-0323. References
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