Nastaren Abad1, Mika Kaeja2, Jing Zhang3, Christopher Steele2, and Thomas K.F. Foo1
1Technology & Innovation Center, GE HealthCare, Niskayuna, NY, United States, 2Concordia University, Montreal, QC, Canada, 3GE HealthCare, Mississauga, ON, Canada
Synopsis
Keywords: White Matter, Brain Connectivity, High performance gradient MRI, WM plasticity, Learning, Dynamic white matter plasticity
Motivation: To investigated whether white matter microstructural changes after adaptive short-term training can be detected in a limited sample size with a high-performance gradient system that allows for increased sensitivity to underlying brain micro-architecture.
Goal(s): Demonstrate that with task complexity and short-term training, the dynamic-location-specific neuroplastic changes can be detected.
Approach: Advanced structural and functional MRI sequences in <60-min examination with a pre- and post-design paradigm were used in a high-performance head gradient system that allows for increased sensitivity to the underlying brain micro-architecture.
Results: In this pilot study microstructural changes were noted on a group basis underlying primary motor and sensorimotor cortices.
Impact: This
study highlights the role of dynamic brain processes following short term visual
motor sequencing learning (VMSL). The adult brain preserves dynamic
characteristics that are altered by short-term learning experiences that can be
detected with dMRI.
Introduction
Neuroplasticity is fundamentally
linked to learning and retention, brain repair and reorganization, and may be
impacted in neurodegeneration. The underlying plastic processes are highly clinically relevant
particularly if changes in brain microarchitecture can be assessed non-invasively. A growing number of studies
have highlighted the plastic potential of WM, with alterations reported not only as a consequence of long-term
potentiation, but also with short-term learning/training paradigms[1].
WM changes based on DTI have been reported across various temporal
scales ranging from hours to weeks of training. Sagi, et al. showed that
2h of video game training induced decrease in MD[2],
with others reporting detection of plastic molding over weeks of
juggling[3] and verbal and spatial span tasks[4,5].
The
study of brain plasticity using MRI has historically tended to focus on T1w and tensor metrics potentially due to performance
limitations of conventional clinical scanners, and the limits to
sensitivity of metrics derived from tensor fitting, which though sensitive to
the tissue microenvironment, are non-specific to the type of change. With the capabilities of high-performance gradient systems[6-8] these metrics can be evaluated in a
more relevant parameter space (shorter TEs, pulse-widths), while ultra-high
b-value (≥10-30ms/μm2) diffusion encoding can be leveraged to explore simplified models of intra-axonal diffusivity. Furthermore, shorter echo-spacing allows
multi-echo fMRI to be acquired without loss in temporal resolution, providing
enhanced BOLD sensitivity with information of dynamic T2* changes that better reflect
neuronal activity[9]. The gradient performance advantages
translate such that in a 60-min scan, a comprehensive parameter space can be explored, where a combination of contrasts
offers a complementary but powerful mechanism to understand how experiences
shape the brain.
In
this preliminary study, we leveraged a well-described activity-dependent
short-term training paradigm with reported potentiation that tracks learning
stages and behavioral outcomes: Visual Motor Sequence Learning(VMSL). A
comprehensive acquisition space was explored with MAGNUS for assessing brain
microarchitecture changes in response to pinch-force VMSL in pre-post design paradigm setting. Methods
Acquisition:
Five
(Male, age = 46 ± 11.4 yrs) volunteers were recruited and scanned with
identical protocols on two consecutive days with the MAGNUS[6] (Gmax,SRmax =300mT/m,750T/m/s)
gradient, under IRB-approved protocols. A 32-channel phased array head coil
(NOVA Medical, Wilmington, MA, USA) was used for all scans. The scan protocol is summarized in Table 1. A pinch force VMSL task was administered outside of
the scanner following each imaging session. Participants were tasked with
matching the position of a force bar with a reference bar that moved based on a
pre-determined complex sequence. The sequence was performed across 9 blocks
(three trials/block), with a rest period of the same duration between each.
Signal
processing: Diffusion-weighted
images were corrected for eddy current distortion, bulk motion, susceptibility and gradient non-linearity correction[10],
followed by generalized spherical deconvolution for denoising[11], using a custom image processing pipeline. Myelin
water fraction was computed by fitting a multi-exponential T2
decay curve using DECAES[12]. Ultra-High-b Real-valued data[13] were processed with the same custom processing pipeline. Spherical mean signal was modeled to generate a
projection of the tail-weighted reff (µm) distribution[14].
VMSL: Performance was assessed with measures
of synchrony (temporal lag) and root mean squared error (height deviation)
across learning and between days.
Analysis: A two-pronged approach was undertaken:1)WM and GM parcellation using JHU-181 and MNI-152 atlases; 2)Targeted ROIs based on prior literature[1]. Results & Discussion
Behavioral statistics are presented in Figure 3. With this pilot study, though participant variability was high, participants improved across blocks and, between days,
as indicated by decreased lag (i.e., greater synchrony). However, likely due to
the limited sample size and dominance of noise in group-statistics, there
was no evidence for offline consolidation. Group differences (Figure 4)
highlight regions of interest, the size and functional
heterogeneity of large(r) parcels – in combination with the small heterogeneous
sample – mask more specific neuroplastic effects.
Targeted ROI’s from structures identified in prior group studies, are reported in Figure 5. Consistent with prior studies[1], the SMA
highlights the largest difference in group-level metrics, with more localized
changes in the globus pallidus and superior parietal cortex. Interestingly, reff
exhibited the greatest plastic change in SMA. This is consistent with the
observed decreasing trend in FA in the same region, and understandable given that this metric is
also confounded by modifications to the extra-axonal space.Conclusion
Preliminary results from the present limited pilot study reinforce
the findings that rapid remodeling in
response to cognitive experiences can be detected non-invasively with MRI. The higher sensitivity accorded by MAGNUS allowed for a limited sample size to elucidate microstructural changes compared to prior studies that have required larger sampling sizes(n≥20).Acknowledgements
CJS was supported by the
Natural Sciences and Engineering Research Council (NSERC: RGPIN-2020-06812,
DGECR-2020-00146) and the Heart and Stroke Foundation of Canada New
Investigator Award and Catalyst from the Canadian Institutes of Health Research
(HNC 170723).References
1. Tremblay,
S.A., et al., White matter
microstructural changes in short-term learning of a continuous visuomotor
sequence. Brain Struct Funct, 2021. 226(6):
p. 1677-1698.
2. Sagi,
Y., et al., Learning in the fast lane:
new insights into neuroplasticity. Neuron, 2012. 73(6): p. 1195-203.
3. Taubert,
M., et al., Dynamic properties of human
brain structure: learning-related changes in cortical areas and associated
fiber connections. J Neurosci, 2010. 30(35):
p. 11670-7.
4. Metzler-Baddeley,
C., et al., Dynamics of White Matter
Plasticity Underlying Working Memory Training: Multimodal Evidence from
Diffusion MRI and Relaxometry. J Cogn Neurosci, 2017. 29(9): p. 1509-1520.
5. Caeyenberghs,
K., et al., Dynamics of the Human
Structural Connectome Underlying Working Memory Training. J Neurosci, 2016.
36(14): p. 4056-66.
6. Foo,
T.K.F., et al., Highly efficient
head-only magnetic field insert gradient coil for achieving simultaneous high
gradient amplitude and slew rate at 3.0T (MAGNUS) for brain microstructure
imaging. Magnetic Resonance in Medicine, 2020. 83(6): p. 2356-2369.
7. Weiger,
M., et al., A high-performance gradient
insert for rapid and short-T(2) imaging at full duty cycle. Magn Reson Med,
2018. 79(6): p. 3256-3266.
8. Huang,
S.Y., et al., Connectome 2.0: Developing
the next-generation ultra-high gradient strength human MRI scanner for bridging
studies of the micro-, meso- and macro-connectome. Neuroimage, 2021. 243: p. 118530.
9. Kundu,
P., et al., Differentiating BOLD and
non-BOLD signals in fMRI time series using multi-echo EPI. Neuroimage,
2012. 60(3): p. 1759-70.
10. Newitt,
D.C., et al., Gradient nonlinearity
correction to improve apparent diffusion coefficient accuracy and
standardization in the american college of radiology imaging network 6698
breast cancer trial. J Magn Reson Imaging, 2015. 42(4): p. 908-19.
11. Sperl,
J.I., et al., Model-based denoising in
diffusion-weighted imaging using g
eneralized spherical deconvolution.
Magnetic Resonance in Medicine, 2017. 78(6):
p. 2428-2438.
12. Doucette,
J., C. Kames, and A. Rauscher, DECAES -
DEcomposition and Component Analysis of Exponential Signals. Z Med Phys,
2020. 30(4): p. 271-278.
13. Sprenger,
T., et al., Real valued
diffusion-weighted imaging using decorrelated phase filtering. Magn Reson
Med, 2017. 77(2): p. 559-570.
14. Veraart, J., et al., The variability of MR axon radii estimates
in the human white matter. Human Brain Mapping, 2021. 42(7): p. 2201-2213.