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Detecting Subtle Changes in Structure
Chris Rorden– Diffusion Tensor Imaging
Measuring white matter integrityTractography and analysis.
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Diffusion Weighted Imaging
Diffusion weighted images measures random motion of water molecules. – In ventricles, CSF is unconstrained, so high velocity
diffusion– In brain tissue, water more constrained, so less
diffusion.
DWI
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Diffusion Tensor Imaging (DTI)
DTI is an extension of DWI that allows us to measure direction of motion.
DTI allows us to measure both the velocity and preferred direction of diffusion– In gray matter, diffusion is isotropic (similar in all directions)– In white matter, diffusion is anisotropic (prefers motion along
fibers).
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DTI
The amount of diffusion occurring in one pixel of a MR image is termed the Apparent Diffusion Coefficient (ADC) or Mean Diffusivity (MD).
The non-uniformity of diffusion with direction is usually described by the term Fractional Anisotropy (FA).
MD differs FA differs
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Raw DTI data
DTI scans apply gradients of different strengths (b-values) and directions (b-vectors).
These highlight different diffusion directions.Simplest DTI is shown below: one b=0 image
(no directionality), plus six images with b=1000 but each with a different b-vector.
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Eddy current correction
Gradients for DTI data cause spatial distortions. Different directions have different distortions. The B0 image has little distortion (it is a T2 weighted Image) Eddy current correction aligns all directions to the b0
(reference) image. Analogous to motion correction for fMRI data.
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What is a tensor?
A tensor is composed of three vectors.– Think of a vector like an arrow
in 3D space – it points in a direction and has a length.
The first vector is the longest – it points along the principle axis.
The second and third vectors are orthogonal to the first.
Sphere: V1=V2=V3
Football: V1>V2 V1>V3 V3 = V2
???: V1>V2>V3
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The crossing fibers problem
Tensor (DTI) will have trouble distinguishing voxels with crossing fibers from isotropic regions.
TensorsReality
CSF (isotropic)Crossing fibers
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Tractography
Programs like medInria allow us to measure integrity of connections between different regions.
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Statistics – MD and FA
The FA and MD maps from each individual can be normalized to standard space.
Standard voxelwise statistics applied (like VBM)Allows us to infer differences in white matter integrity
between groups.
Group mean images based on normalized data.
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Statistics – tensors
You can measure fiber strength connectivity brain regions and see if this differs between groups.
Traditionally, tensor maps are very difficult to normalize – we do not want to squish relative shape of tensor.– Recent advances are addressing this (DTITK)
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TBSS - Tract-Based Spatial Statistics
TBSS is a FSL approach to conduct between group comparisons of DTI data.
projects data onto group-mean tract skeleton, allowing voxelwise analysis
addresses alignment problems unsolved by nonlinear registration
Overview www.fmrib.ox.ac.uk/fsl/tbss/index.html
Tutorial www.fmrib.ox.ac.uk/fslcourse/lectures/practicals/fdt/index.htm