Microstructural imaging of the human brain with a 'super-scanner': 10 key advantages of ultra-strong gradients for diffusion MRI

The key component of a microstructural diffusion MRI 'super-scanner' is a dedicated high-strength gradient system that enables stronger diffusion weightings per unit time compared to conventional gradient designs. This can, in turn, drastically shorten the time needed for diffusion encoding, increase the signal-to-noise ratio, and facilitate measurements at shorter diffusion times. This review, written from the perspective of the UK National Facility for In Vivo MR Imaging of Human Tissue Microstructure, an initiative to establish a shared 300 mT/m-gradient facility amongst the microstructural imaging community, describes ten advantages of ultra-strong gradients for microstructural imaging. Specifically, we will discuss how the increase of the accessible measurement space compared to a lower-gradient systems (in terms of Δ, b-value, and TE) can accelerate developments in the areas of 1) axon diameter distribution mapping; 2) microstructural parameter estimation; 3) mapping micro-vs macroscopic anisotropy features with gradient waveforms beyond a single pair of pulsed-gradients; 4) multi-contrast experiments, e.g. diffusion-relaxometry; 5) tractography and high-resolution imaging in vivo and 6) post mortem; 7) diffusion-weighted spectroscopy of metabolites other than water; 8) tumour characterisation; 9) functional diffusion MRI; and 10) quality enhancement of images acquired on lower-gradient systems. We finally discuss practical barriers in the use of ultra-strong gradients, and provide an outlook on the next generation of 'super-scanners'

A hitchhiker's guide to diffusion tensor imaging

Diffusion Tensor Imaging (DTI) studies are increasingly popular among clinicians and researchers as they provide unique insights into brain network connectivity. However, in order to optimize the use of DTI, several technical and methodological aspects must be factored in. These include decisions on: acquisition protocol, artifact handling, data quality control, reconstruction algorithm, and visualization approaches, and quantitative analysis methodology. Furthermore, the researcher and/or clinician also needs to take into account and decide on the most suited software tool(s) for each stage of the DTI analysis pipeline. Herein, we provide a straightforward hitchhiker's guide, covering all of the workflow's major stages. Ultimately, this guide will help newcomers navigate the most critical roadblocks in the analysis and further encourage the use of DTI.The work was supported by SwitchBox-FP7-HEALTH-2010-grant 259772-2. The authors acknowledge Nadine Santos for her help in editing the manuscript

Adaptive smoothing of multi-shell diffusion-weighted magnetic resonance data by msPOAS

In this article we present a noise reduction method (msPOAS) for multi-shell diffusion-weighted magnetic resonance data. To our knowledge, this is the first smoothing method which allows simultaneous smoothing of all q-shells. It is applied directly to the diffusion weighted data and consequently allows subsequent analysis by any model. Due to its adaptivity, the procedure avoids blurring of the inherent structures and preserves discontinuities. MsPOAS extends the recently developed position-orientation adaptive smoothing (POAS) procedure to multi-shell experiments. At the same time it considerably simplifies and accelerates the calculations. The behavior of the algorithm msPOAS is evaluated on diffusion-weighted data measured on a single shell and on multiple shells

Effect of Gradient Vectors Scheme and Noise Correction on Fractional Anisotropy in Diffusion Tensor Imaging of the Peripheral Nervous System

Diffusion Tensor Imaging (DTI) is a method widely used in research and clinic, especially for imaging and connectivity analysis of the white brain matter. Despite the many possibilities offered by DTI, this method suffers from an inherently low signal-to-noise ratio (SNR), since both the long echo time and the diffusion gradients weaken the signal. The SNR is particularly low at high spatial resolution, e.g. in the DTI of nerves. A low SNR leads to systematic and statistical errors in parameters calculated from the DTI, e.g. fractional anisotropy (FA). A low SNR can be partially compensated by increasing the number of diffusion directions or using methods for a posteriori noise correction. The most robust method for anatomical structures with unknown orientation is to distribute the diffusion gradients evenly in space. However, if the preferred direction of the anatomical structure is known in advance, it may be advantageous to limit the diffusion gradients to a cone centered on the axis of the structure. The aim of this work was to develop a DTI method with high accuracy and reliability for application in peripheral nerves. Two methods to reduce image noise were investigated: (1) A newly developed scheme of diffusion gradient vectors (DGV), where the vectors are restricted to a cone with an aperture angle Theta around the axis of the nerve and (2) different methods for a posteriori noise correction. For this purpose, Monte Carlo simulations were performed based on realistic values for diffusivity, FA and noise obtained from clinical investigations and studies. Furthermore, the methods were tested in a specially designed phantom simulating diffusion in peripheral nerves (FA = 0.65). These investigations were performed on a 3 Tesla whole-body magnetic resonance (MR) scanner. To determine the accuracy and reliability of the DTI using the appropriate measurement or correction procedures, systematic deviations of FA from baseline and the statistical error of FA were measured. The newly developed DGV scheme with limited space coverage was compared with gradient schemes with uniform space coverage (Jones, Downhill Simplex Method (DSM), gradient scheme of the manufacturer) based on their condition number (CN). The study showed that with the newly developed DGV scheme FA can be measured with high accuracy when the angle Theta is at least 45° or 60°. The minimum Theta depends on the number of gradient directions and on FA. Basically, the higher the FA value and the greater the number of gradients, the better the accuracy of the DGV scheme. For N = 30, the DGV allowed an exact determination of FA for the entire FA range (0.4 - 0.8) investigated in this study, if Theta ≥45° was. It could be shown that when using the new DGV scheme, a slight inclination of the investigated structure (≤30°) does not affect the accuracy of FA. CN of the developed DGV-scheme was higher than CN of the Jones-scheme and the DSM-scheme for N = 6; for N≥10 CN of the new DSM-scheme was lower than that of the Jones-scheme. However, it is also not to be expected that a method that concentrates the gradient vectors on a limited segment of space is as insensitive to interference as schemes with uniform gradient distribution. Nevertheless, the CN of the new DGV method was in the same order of magnitude as that of the other methods. A comparison of the different a posteriori correction methods showed that the power image method is the most effective and robust method and compensates for both the systematic and statistical errors of FA. The efficiency of the power image method is independent of the number of diffusion gradients used. In addition, the method works reliably - regardless of the method used for the coil combination (square sum versus adaptive combination). In contrast, both correction factor methods used in this study were less efficient in terms of noise correction; furthermore, the correction efficiency depended on the coil combination method. In conclusion, a combination of the newly developed DGV scheme with the power image method for a posteriori correction allows DTI of peripheral nerves with high SNR, high accuracy and reliability of the calculated parameters (e.g. FA) without the need for additional acquisition time. So far, however, these newly developed and tested methods have not yet been applied in studies or clinical trials

Quantitative diffusion MRI with application to multiple sclerosis

Diffusion MRI (dMRI) is a uniquely non-invasive probe of biological tissue properties, increasingly able to provide access to ever more intricate structural and microstructural tissue information. Imaging biomarkers that reveal pathological alterations can help advance our knowledge of complex neurological disorders such as multiple sclerosis (MS), but depend on both high quality image data and robust post-processing pipelines. The overarching aim of this thesis was to develop methods to improve the characterisation of brain tissue structure and microstructure using dMRI. Two distinct avenues were explored. In the first approach, network science and graph theory were used to identify core human brain networks with improved sensitivity to subtle pathological damage. A novel consensus subnetwork was derived using graph partitioning techniques to select nodes based on independent measures of centrality, and was better able to explain cognitive impairment in relapsing-remitting MS patients than either full brain or default mode networks. The influence of edge weighting scheme on graph characteristics was explored in a separate study, which contributes to the connectomics field by demonstrating how study outcomes can be affected by an aspect of network design often overlooked. The second avenue investigated the influence of image artefacts and noise on the accuracy and precision of microstructural tissue parameters. Correction methods for the echo planar imaging (EPI) Nyquist ghost artefact were systematically evaluated for the first time in high b-value dMRI, and the outcomes were used to develop a new 2D phase-corrected reconstruction framework with simultaneous channel-wise noise reduction appropriate for dMRI. The technique was demonstrated to alleviate biases associated with Nyquist ghosting and image noise in dMRI biomarkers, but has broader applications in other imaging protocols that utilise the EPI readout. I truly hope the research in this thesis will influence and inspire future work in the wider MR community

Adaptive smoothing of multi-shell diffusion-weighted magnetic resonance data by msPOAS

In this article we present a noise reduction method (msPOAS) for multi-shell diffusion-weighted magnetic resonance data. To our knowledge, this is the first smoothing method which allows simultaneous smoothing of all q-shells. It is applied directly to the diffusion weighted data and consequently allows subsequent analysis by any model. Due to its adaptivity, the procedure avoids blurring of the inherent structures and preserves discontinuities. MsPOAS extends the recently developed position-orientation adaptive smoothing (POAS) procedure to multi-shell experiments. At the same time it considerably simplifies and accelerates the calculations. The behavior of the algorithm msPOAS is evaluated on diffusion-weighted data measured on a single shell and on multiple shells

Adaptive smoothing of multi-shell diffusion-weighted magnetic resonance data by msPOAS

In this article we present a noise reduction method (msPOAS) for multi-shell diffusionweighted magnetic resonance data. To our knowledge, this is the first smoothing method which allows simultaneous smoothing of all q-shells. It is applied directly to the diffusion weighted data and consequently allows subsequent analysis by any model. Due to its adaptivity, the procedure avoids blurring of the inherent structures and preserves discontinuities. MsPOAS extends the recently developed positionorientation adaptive smoothing (POAS) procedure to multi-shell experiments. At the same time it considerably simplifies and accelerates the calculations. The behavior of the algorithm msPOAS is evaluated on diffusion-weighted data measured on a single shell and on multiple shells

The sensitivity of diffusion MRI to microstructural properties and experimental factors

Diffusion MRI is a non-invasive technique to study brain microstructure. Differences in the microstructural properties of tissue, including size and anisotropy, can be represented in the signal if the appropriate method of acquisition is used. However, to depict the underlying properties, special care must be taken when designing the acquisition protocol as any changes in the procedure might impact on quantitative measurements. This work reviews state-of-the-art methods for studying brain microstructure using diffusion MRI and their sensitivity to microstructural differences and various experimental factors. Microstructural properties of the tissue at a micrometer scale can be linked to the diffusion signal at a millimeter-scale using modeling. In this paper, we first give an introduction to diffusion MRI and different encoding schemes. Then, signal representation-based methods and multi-compartment models are explained briefly. The sensitivity of the diffusion MRI signal to the microstructural components and the effects of curvedness of axonal trajectories on the diffusion signal are reviewed. Factors that impact on the quality (accuracy and precision) of derived metrics are then reviewed, including the impact of random noise, and variations in the acquisition parameters (i.e., number of sampled signals, b-value and number of acquisition shells). Finally, yet importantly, typical approaches to deal with experimental factors are depicted, including unbiased measures and harmonization. We conclude the review with some future directions and recommendations on this topic

Imagerie de diffusion en temps-réel (correction du bruit et inférence de la connectivité cérébrale)

La plupart des constructeurs de systèmes d'imagerie par résonance magnétique (IRM) proposent un large choix d'applications de post-traitement sur les données IRM reconstruites a posteriori, mais très peu de ces applications peuvent être exécutées en temps réel pendant l'examen. Mises à part certaines solutions dédiées à l'IRM fonctionnelle permettant des expériences relativement simples ainsi que d'autres solutions pour l'IRM interventionnelle produisant des scans anatomiques pendant un acte de chirurgie, aucun outil n'a été développé pour l'IRM pondérée en diffusion (IRMd). Cependant, comme les examens d'IRMd sont extrêmement sensibles à des perturbations du système hardware ou à des perturbations provoquées par le sujet et qui induisent des données corrompues, il peut être intéressant d'investiguer la possibilité de reconstruire les données d'IRMd directement lors de l'examen. Cette thèse est dédiée à ce projet innovant. La contribution majeure de cette thèse a consisté en des solutions de débruitage des données d'IRMd en temps réel. En effet, le signal pondéré en diffusion peut être corrompu par un niveau élevé de bruit qui n'est plus gaussien, mais ricien ou chi non centré. Après avoir réalisé un état de l'art détaillé de la littérature sur le bruit en IRM, nous avons étendu l'estimateur linéaire qui minimise l'erreur quadratique moyenne (LMMSE) et nous l'avons adapté à notre cadre de temps réel réalisé avec un filtre de Kalman. Nous avons comparé les performances de cette solution à celles d'un filtrage gaussien standard, difficile à implémenter car il nécessite une modification de la chaîne de reconstruction pour y être inséré immédiatement après la démodulation du signal acquis dans l'espace de Fourier. Nous avons aussi développé un filtre de Kalman parallèle qui permet d'appréhender toute distribution de bruit et nous avons montré que ses performances étaient comparables à celles de notre méthode précédente utilisant un filtre de Kalman non parallèle. Enfin, nous avons investigué la faisabilité de réaliser une tractographie en temps-réel pour déterminer la connectivité structurelle en direct, pendant l'examen. Nous espérons que ce panel de développements méthodologiques permettra d'améliorer et d'accélérer le diagnostic en cas d'urgence pour vérifier l'état des faisceaux de fibres de la substance blanche.Most magnetic resonance imaging (MRI) system manufacturers propose a huge set of software applications to post-process the reconstructed MRI data a posteriori, but few of them can run in real-time during the ongoing scan. To our knowledge, apart from solutions dedicated to functional MRI allowing relatively simple experiments or for interventional MRI to perform anatomical scans during surgery, no tool has been developed in the field of diffusion-weighted MRI (dMRI). However, because dMRI scans are extremely sensitive to lots of hardware or subject-based perturbations inducing corrupted data, it can be interesting to investigate the possibility of processing dMRI data directly during the ongoing scan and this thesis is dedicated to this challenging topic. The major contribution of this thesis aimed at providing solutions to denoise dMRI data in real-time. Indeed, the diffusion-weighted signal may be corrupted by a significant level of noise which is not Gaussian anymore, but Rician or noncentral chi. After making a detailed review of the literature, we extended the linear minimum mean square error (LMMSE) estimator and adapted it to our real-time framework with a Kalman filter. We compared its efficiency to the standard Gaussian filtering, difficult to implement, as it requires a modification of the reconstruction pipeline to insert the filter immediately after the demodulation of the acquired signal in the Fourier space. We also developed a parallel Kalman filter to deal with any noise distribution and we showed that its efficiency was quite comparable to the non parallel Kalman filter approach. Last, we addressed the feasibility of performing tractography in real-time in order to infer the structural connectivity online. We hope that this set of methodological developments will help improving and accelerating a diagnosis in case of emergency to check the integrity of white matter fiber bundles.PARIS11-SCD-Bib. électronique (914719901) / SudocSudocFranceF