FiberBlender: A Realistic Computer Model of Nerve Bundles for Simulating and Validating the Acquisition of Diffusion Tensor Imaging

Diffusion Tensor Imaging (DTI) is a powerful medical imaging technique that provides a unique method to investigate the structure and connectivity of neural pathways. DTI is a special magnetic resonance imaging (MRI) modality that combines the principles of magnetic resonance with molecular diffusion to trace the motion of water molecules. In the central nervous system, where nerve fibers are packed in highly-directional bundles, these molecules diffuse along the orientation of the fibers. Hence, characterizing the motion of water with DTI delivers a non-invasive in vivo technique to capture the connectivity of nerves themselves. Despite its promises and successful clinical applications for nearly thirty years, problems with validation and interpretation of measurements still persist. Most validation studies attempt to generate ground-truth data from animal models, phantoms, and computer models. This dissertation proposes a novel validation system, FiberBlender, capable of reproducing three-dimensional fiber structures and simulating the diffusion of water molecules to generate ground-truth synthetic DTI data. In particular FiberBlender contributes to: (i) creating more biologically accurate representations of fiber bundles with the inclusion of myelin and glial cells, (ii) examining the effect of demyelination and gliosis on DTI measurements, (iii) optimizing acquisition sequences, and (iv) evaluating the performance of multi-tensor models for the study of crossing fibers. FiberBlender strays away from the “one size fits all” approach taken by previous studies and uses computer algorithms in conjunction with some limited manual operations to produce brain-like geometries that take into account the random spatial location of axons and correct distributions of axon diameters, myelin to axon radius, and myelin to glia ratio. In this way no two models are the same and the system is capable of generating structures that can potentially represent any region of the brain and encompass the heterogeneity between human subjects. This feature is essential for optimization as the performance of DTI acquisition sequences may vary among subjects and the type of scanner used. In addition to better accuracy, the system offers a high degree of flexibility as the geometry can be modified to simulate events that cause drastic changes to the fiber structure. Specially, this dissertation looks at demyelination (an extensive loss of myelin volume), gliosis (a proliferation of glial cells), and axon compaction (a condensation of axons due to a loss of total brain volume) to determine their effects on the observed DTI signal. Simulation results confirm that axon compaction and partial remyelination have similar characteristics. Results also show that some standard clinically used acquisition sequences are incapable of capturing the effects of demyelination, gliosis and compaction when performing longitudinal studies. A novel sequence optimization technique based on Shannon entropy and mutual information is proposed to better capture demyelination. Optimized sequences are tested on a number of non-identical models to confirm their validity and can be used to improve the quality of DTI diagnostics. Finally this work looks at crossing fibers for the validation of multi-tensor models in their ability to characterize crossing diffusion profiles. The performance of multi-tensor models from CHARMED, Q-ball and spherical deconvolution that are widely used in both research and clinical settings are evaluated against ground-truth data generated with FiberBlender. The study is performed on a number of different crossing geometries and preliminary results show that the CHARMED model is the most comprehensive approach

Tractography passes the test: Results from the diffusion-simulated connectivity (disco) challenge.

Estimating structural connectivity from diffusion-weighted magnetic resonance imaging is a challenging task, partly due to the presence of false-positive connections and the misestimation of connection weights. Building on previous efforts, the MICCAI-CDMRI Diffusion-Simulated Connectivity (DiSCo) challenge was carried out to evaluate state-of-the-art connectivity methods using novel large-scale numerical phantoms. The diffusion signal for the phantoms was obtained from Monte Carlo simulations. The results of the challenge suggest that methods selected by the 14 teams participating in the challenge can provide high correlations between estimated and ground-truth connectivity weights, in complex numerical environments. Additionally, the methods used by the participating teams were able to accurately identify the binary connectivity of the numerical dataset. However, specific false positive and false negative connections were consistently estimated across all methods. Although the challenge dataset doesn't capture the complexity of a real brain, it provided unique data with known macrostructure and microstructure ground-truth properties to facilitate the development of connectivity estimation methods

Extraction of Structural Metrics from Crossing Fiber Models

Diffusion MRI (dMRI) measurements allow us to infer the microstructural properties of white matter and to reconstruct fiber pathways in-vivo. High angular diffusion imaging (HARDI) allows for the creation of more and more complex local models connecting the microstructure to the measured signal. One of the challenges is the derivation of meaningful metrics describing the underlying structure from the local models. The aim hereby is to increase the specificity of the widely used metric fractional anisotropy (FA) by using the additional information contained within the HARDI data. A local model which is connected directly to the underlying microstructure through the model of a single fiber population is spherical deconvolution. It produces a fiber orientation density function (fODF), which can often be interpreted as superposition of multiple peaks, each associated to one relatively coherent fiber population (bundle). Parameterizing these peaks one is able to disentangle and characterize these bundles. In this work, the fODF peaks are approximated by Bingham distributions, capturing first and second order statistics of the fiber orientations, from which metrics for the parametric quantification of fiber bundles are derived. Meaningful relationships between these measures and the underlying microstructural properties are proposed. The focus lies on metrics derived directly from properties of the Bingham distribution, such as peak length, peak direction, peak spread, integral over the peak, as well as a metric derived from the comparison of the largest peaks, which probes the complexity of the underlying microstructure. These metrics are compared to the conventionally used fractional anisotropy (FA) and it is shown how they may help to increase the specificity of the characterization of microstructural properties. Visualization of the micro-structural arrangement is another application of dMRI. This is done by using tractography to propagate the fiber layout, extracted from the local model, in each voxel. In practice most tractography algorithms use little of the additional information gained from HARDI based local models aside from the reconstructed fiber bundle directions. In this work an approach to tractography based on the Bingham parameterization of the fODF is introduced. For each of the fiber populations present in a voxel the diffusion signal and tensor are computed. Then tensor deflection tractography is performed. This allows incorporating the complete bundle information, performing local interpolation as well as using multiple directions per voxel for generating tracts. Another aspect of this work is the investigation of the spherical harmonic representation which is used most commonly for the fODF by means of the parameters derived from the Bingham distribution fit. Here a strong connection between the approximation errors in the spherical representation of the Dirac delta function and the distribution of crossing angles recovered from the fODF was discovered. The final aspect of this work is the application of the metrics derived from the Bingham fit to a number of fetal datasets for quantifying the brain’s development. This is done by introducing the Gini-coefficient as a metric describing the brain’s age

Homogeneity based segmentation and enhancement of Diffusion Tensor Images : a white matter processing framework

In diffusion magnetic resonance imaging (DMRI) the Brownian motion of the water molecules, within biological tissue, is measured through a series of images. In diffusion tensor imaging (DTI) this diffusion is represented using tensors. DTI describes, in a non-invasive way, the local anisotropy pattern enabling the reconstruction of the nervous fibers - dubbed tractography. DMRI constitutes a powerful tool to analyse the structure of the white matter within a voxel, but also to investigate the anatomy of the brain and its connectivity. DMRI has been proved useful to characterize brain disorders, to analyse the differences on white matter and consequences in brain function. These procedures usually involve the virtual dissection of white matters tracts of interest. The manual isolation of these bundles requires a great deal of neuroanatomical knowledge and can take up to several hours of work. This thesis focuses on the development of techniques able to automatically perform the identification of white matter structures. To segment such structures in a tensor field, the similarity of diffusion tensors must be assessed for partitioning data into regions, which are homogeneous in terms of tensor characteristics. This concept of tensor homogeneity is explored in order to achieve new methods for segmenting, filtering and enhancing diffusion images. First, this thesis presents a novel approach to semi-automatically define the similarity measures that better suit the data. Following, a multi-resolution watershed framework is presented, where the tensor field’s homogeneity is used to automatically achieve a hierarchical representation of white matter structures in the brain, allowing the simultaneous segmentation of different structures with different sizes. The stochastic process of water diffusion within tissues can be modeled, inferring the homogeneity characteristics of the diffusion field. This thesis presents an accelerated convolution method of diffusion images, where these models enable the contextual processing of diffusion images for noise reduction, regularization and enhancement of structures. These new methods are analysed and compared on the basis of their accuracy, robustness, speed and usability - key points for their application in a clinical setting. The described methods enrich the visualization and exploration of white matter structures, fostering the understanding of the human brain

Improving the Tractography Pipeline: on Evaluation, Segmentation, and Visualization

Recent advances in tractography allow for connectomes to be constructed in vivo. These have applications for example in brain tumor surgery and understanding of brain development and diseases. The large size of the data produced by these methods lead to a variety problems, including how to evaluate tractography outputs, development of faster processing algorithms for tractography and clustering, and the development of advanced visualization methods for verification and exploration. This thesis presents several advances in these fields. First, an evaluation is presented for the robustness to noise of multiple commonly used tractography algorithms. It employs a Monte–Carlo simulation of measurement noise on a constructed ground truth dataset. As a result of this evaluation, evidence for obustness of global tractography is found, and algorithmic sources of uncertainty are identified. The second contribution is a fast clustering algorithm for tractography data based on k–means and vector fields for representing the flow of each cluster. It is demonstrated that this algorithm can handle large tractography datasets due to its linear time and memory complexity, and that it can effectively integrate interrupted fibers that would be rejected as outliers by other algorithms. Furthermore, a visualization for the exploration of structural connectomes is presented. It uses illustrative rendering techniques for efficient presentation of connecting fiber bundles in context in anatomical space. Visual hints are employed to improve the perception of spatial relations. Finally, a visualization method with application to exploration and verification of probabilistic tractography is presented, which improves on the previously presented Fiber Stippling technique. It is demonstrated that the method is able to show multiple overlapping tracts in context, and correctly present crossing fiber configurations

Building connectomes using diffusion MRI: why, how and but

Why has diffusion MRI become a principal modality for mapping connectomes in vivo? How do different image acquisition parameters, fiber tracking algorithms and other methodological choices affect connectome estimation? What are the main factors that dictate the success and failure of connectome reconstruction? These are some of the key questions that we aim to address in this review. We provide an overview of the key methods that can be used to estimate the nodes and edges of macroscale connectomes, and we discuss open problems and inherent limitations. We argue that diffusion MRI-based connectome mapping methods are still in their infancy and caution against blind application of deep white matter tractography due to the challenges inherent to connectome reconstruction. We review a number of studies that provide evidence of useful microstructural and network properties that can be extracted in various independent and biologically-relevant contexts. Finally, we highlight some of the key deficiencies of current macroscale connectome mapping methodologies and motivate future developments