Álvaro Planchuelo-Gómez1,2, James Gholam1, Joshua Ametepe1, Francesco Padormo3, Leandro Beltrachini1, Mara Cercignani1, and Derek K Jones1
1CUBRIC, Cardiff University, Cardiff, United Kingdom, 2Imaging Processing Laboratory, Universidad de Valladolid, Valladolid, Spain, 3Hyperfine, Inc., Guildford, CT, United States
Synopsis
Keywords: Low-Field MRI, Brain Connectivity, Connectomics
Motivation: Neuroscience MRI research, including assessment of structural connectomics, has been largely limited to high-resource settings.
Goal(s): To democratise assessment of brain connectivity by demonstrating the first ever diffusion-weighted imaging (DWI)-based connectomics at 64 mT.
Approach: 15-direction DWI data were acquired at 64 mT. Whole-brain tractograms were recovered after deep learning based denoising and constrained spherical deconvolution. Whole-brain adjacency matrices and graph-theory parameters were extracted, and their test-retest agreement and variability assessed. For one subject, results were compared to high-field MRI.
Results: Global graph-theory parameters (e.g., small-worldness) showed high test-retest agreement. However, inter-hemispheric connectivity was overestimated at 64 mT compared to high-field results.
Impact: Our unique combinations of low-field (64
mT) diffusion-weighted imaging, denoising, spherical deconvolution and
connectomics opens up new research opportunities, allowing the assessment of
structural connectivity and network neuroscience studies of under-served
populations where this has never previously been possible.
Introduction
To democratise MRI, low-field scanners are a
game-changer, being significantly cheaper than high-field systems, requiring
less resources and expertise to run and maintain.1 However, diffusion-weighted MRI (dMRI) quality
is modest at low field.2,3
Connectomics has arisen as a key technique to
model the structural brain connections, but requires the ability to resolve
complex fibre architectures. Nevertheless, to date, only Diffusion Tensor
Imaging have been reported at low field, using a 6-gradient direction encoding
scheme to recover specific tracts.4
The objective here is to advance this field, by
enhancing dMRI quality, recovering complex architecture, and extracting
whole-brain structural connectivity matrices.Methods
Data
Three male healthy participants (ages=24, 28,
and 31 years old) were each scanned twice on a 64 mT Hyperfine Swoop system
(Guildford, CT, USA).
Diffusion-weighted
images (DWIs) were acquired using a modified version of the product
diffusion-weighted fast spin echo sequence along 15 gradient directions (b=900 s/mm2)
plus one b=0 volume; TR=1000ms, TE=77ms, matrix size=60$$$\times$$$72, voxel size=3$$$\times$$$3$$$\times$$$3mm,
66 axial slices. Undersampling factor=1.2 and
0.7 for the b=0 and DWIs, respectively. Acquisition time=74 minutes. The
sampling vectors were optimised as described elsewhere.5
T1- and T2-weighted images were also obtained with
approximately 1.6$$$\times$$$1.6mm in-plane resolution, slice thickness=5mm. Acquisition
time=12.5 minutes.
MRI processing
Super-resolved T1-weighted volumes (1$$$\times$$$1$$$\times$$$1mm)
were obtained from the T1- and T2-weighted data using SynthSR (FreeSurfer,
v7.3.2).6 Next, the FreeSurfer automatic pipeline
was applied to segment grey matter regions according to the Desikan-Killiany
atlas.7 Five-tissue-type (5TT) images were extracted using “5ttgen”.8 The 5TT images and subject-specific
atlas were linearly registered to the
b=0 volume using FLIRT (FSL’s linear image registration tool),9 initialised with the registration from
the T1-weighted volume.
DDM2 was used to denoise the dMRI data.10 Then, the DWIs were linearly
registered to the b=0 volume, with b-vector rotation. The response function and fibre orientation distribution
were estimated with the Tournier algorithm and constrained spherical
deconvolution, respectively.11,12
Probabilistic anatomically-constrained tractography was performed using
iFOD2, and filtered using SIFT2, reconstructing 2,000,000 streamlines.13,14 Streamline-count was used as the
edge-weight for structural connectivity matrices obtained with “tck2connectome”.15 Figure 1 summarises the pipeline.
Analysis of the structural connectivity
Test-retest agreement was assessed with the intraclass correlation
coefficient (ICC), employing a mixed-effects model. Inter- and intra-subject
variability were evaluated with the coefficient of variation. As global
connectivity graph-theory parameters, the clustering coefficient,
characteristic path length, small-world index, and global efficiency were
extracted with the Brain Connectivity Toolbox.16
The connectivity matrix and graph-theory parameters were compared with
values extracted from high-field single-shell data from one participant (details
elsewhere17). Additionally, the matrices based on Yeo’s
functional 7-network parcellation were qualitatively compared.18Results
Figure 2 compares the original and denoised DWI,
showing significant signal-to-noise ratio (SNR) improvement and excellent
preservation of anatomical details.
Figure 3A shows the connectivity matrices
obtained at 64 mT. The test-retest agreement for most individual connections
was moderate-to-low, and the intra-subject variability was generally higher
than the intersubject variability, especially for inter-hemispheric connections
(Figure 3B-D). This, despite the denoising, is likely attributable to the low
SNR of the data.
However, the inter- and intrasubject
variability of all global graph-theory parameters was acceptable (<10%,
Figure 4E). Low-field measures of efficiency and small-worldness were lower
than at high-field, related to a higher characteristic path length (Figure 4A-D).
Figure 5 shows the comparison of Yeo’s
7-network functional parcellation-based matrices. The intra-hemispheric
connections with the highest number of streamlines at high-field were similarly
replicated at low-field. The inter- and intra-hemispheric connections with a
medium-low number of streamlines had higher variability, but most relationships
between connections were preserved.Discussion
We developed a processing pipeline to improve
low-field DWI quality obtained at 64 mT, preserving anatomical details, and obtain
structural connectivity matrices. At low field, the connections with the
highest number of streamlines mostly reproduced those at higher field. However,
the inter-hemispheric connections were overestimated and presented a higher
variability, although the global graph-theory parameters showed acceptable
inter- and intra-subject variability.
Discrepancy between high- and low-field MRI matrices
may be related to the acquisition, e.g., low spatial resolution, few gradient
directions, or high participant motion due to the prolonged scan times, and
technical aspects such as inaccuracy of the delineation of the boundaries
between diverse tissues or grey matter regions, or shortcomings in image
registration. Image segmentation and registration procedures tailored to
low-field MRI data may help improve the characterisation of whole-brain
connections.Conclusion
We demonstrate a 15-direction DWI dataset with
improved quality (through the deep learning denoising) and, with spherical
harmonic deconvolution, characterise the main structural connections between
grey matter regions, quantifying their topology for the first time at 64 mT.Acknowledgements
This work
was made possible by generous support from the Bill and Melinda Gates
Foundation through the award of the UNITY project, and through the Wellcome
LEAP 1kD programme. ÁP-G was funded by the European Union (NextGenerationEU).References
1. Anazodo UC, Ng JJ, Ehiogu B, et al. A framework for advancing
sustainable magnetic resonance imaging access in Africa. NMR Biomed
2023; 36: e4846.
2. Arnold TC, Freeman CW, Litt B, et al.
Low-field MRI: Clinical promise and challenges. Journal of Magnetic
Resonance Imaging 2023; 57: 25–44.
3. Prabhat AM, Crawford AL, Mazurek MH, et
al. Methodology for Low-Field, Portable Magnetic Resonance Neuroimaging at the
Bedside. Front Neurol
2021; 12: 760321.
4. Plumley
A, Padormo F, Cercignani M, et al. Tensors and Tracts at 64 mT. In: Proceedings of the 2023
ISMRM & ISMRT Annual Meeting & Exhibition. Toronto, ON, Canada,
2023, p. 5080.
5. Alexander DC. A general framework for
experiment design in diffusion MRI and its application in measuring direct
tissue-microstructure features. Magn Reson Med 2008; 60: 439–448.
6. Iglesias JE, Billot B, Balbastre Y, et
al. SynthSR: A public AI tool to turn heterogeneous clinical brain scans into
high-resolution T1-weighted images for 3D morphometry. Sci Adv 2023; 9: eadd3607.
7. Desikan
RS, Ségonne F, Fischl B, et al. An automated labeling system for subdividing the human
cerebral cortex on MRI scans into gyral based regions of interest. Neuroimage 2006; 31: 968–980.
8. Smith RE, Tournier J-D,
Calamante F, et al. Anatomically-constrained tractography: Improved diffusion
MRI streamlines tractography through effective use of anatomical information. Neuroimage
2012; 62: 1924–1938.
9. Jenkinson M, Bannister P, Brady M, et
al. Improved Optimization for the Robust and Accurate Linear Registration and
Motion Correction of Brain Images. Neuroimage 2002; 17: 825–841.
10. Xiang T, Yurt M, Syed AB, et al. DDM2:
Self-Supervised Diffusion MRI Denoising with Generative Diffusion Models. In: The
Eleventh International Conference on Learning Representations. 2023.
11. Tournier J-D, Calamante F, Gadian DG,
et al. Direct
estimation of the fiber orientation density function from diffusion-weighted
MRI data using spherical deconvolution. Neuroimage 2004; 23: 1176–1185.
12. Tournier J-D, Calamante F, Connelly A.
Robust determination of the fibre orientation distribution in diffusion MRI:
Non-negativity constrained super-resolved spherical deconvolution. Neuroimage
2007; 35: 1459–1472.
13. Tournier J-D, Calamante F, Connelly A.
Improved probabilistic streamlines tractography by 2nd order integration over
fibre orientation distributions. In: Proceedings of the 2010 ISMRM-ESMRMB Annual Meeting & Exhibition. Stockholm, Sweden, 2010, p. 1670.
14. Smith RE, Tournier J-D,
Calamante F, et al. Enabling dense quantitative assessment of brain white matter
connectivity using streamlines tractography. Neuroimage 2015; 119: 338–351.
15. Smith RE, Tournier J-D,
Calamante F, et al. The effects of SIFT on the reproducibility and biological
accuracy of the structural connectome. Neuroimage 2015; 104: 253–265.
16. Rubinov M, Sporns O. Complex network
measures of brain connectivity: uses and interpretations. Neuroimage 2010; 52: 1059–69.
17. Planchuelo-Gómez
Á, García-Azorín D, Guerrero ÁL, et al. Structural connectivity
alterations in chronic and episodic migraine: A diffusion magnetic resonance
imaging connectomics study. Cephalalgia 2020; 40: 367–383.
18. Thomas
Yeo BT, Krienen FM, Sepulcre J, et al. The organization of the human cerebral
cortex estimated by intrinsic functional connectivity. J Neurophysiol
2011; 106: 1125–1165.