Image guidance in neurosurgical procedures, the "Visages" point of view.

This paper gives an overview of the evolution of clinical neuroinformatics in the domain of neurosurgery. It shows how image guided neurosurgery (IGNS) is evolving according to the integration of new imaging modalities before, during and after the surgical procedure and how this acts as the premise of the Operative Room of the future. These different issues, as addressed by the VisAGeS INRIA/INSERM U746 research team (http://www.irisa.fr/visages), are presented and discussed in order to exhibit the benefits of an integrated work between physicians (radiologists, neurologists and neurosurgeons) and computer scientists to give adequate answers toward a more effective use of images in IGNS

Diffusion-adapted spatial filtering of fMRI data for improved activation mapping in white matter

Brain activation mapping using fMRI data has been mostly focused on finding detections in gray matter. Activations in white matter are harder to detect due to anatomical differences between both tissue types, which are rarely acknowledged in experimental design. However, recent publications have started to show evidence for the possibility of detecting meaningful activations in white matter. The shape of the activations arising from the BOLD signal is fundamentally different between white matter and gray matter, a fact which is not taken into account when applying isotropic Gaussian filtering in the preprocessing of fMRI data. We explore a graph-based description of the white matter developed from diffusion MRI data, which is capable of encoding the anisotropic domain. Based on this representation, two approaches to white matter filtering are tested, and their performance is evaluated on both semi-synthetic phantoms and real fMRI data. The first approach relies on heat kernel filtering in the graph spectral domain, and produced a clear increase in both sensitivity and specificity over isotropic Gaussian filtering. The second approach is based on spectral decomposition for the denosing of the signal, and showed increased specificity at the cost of a lower sensitivity.Novel approach to white matter filtering We introduced new advanced methods for filtering brain scans. Using them, we managed to improve the detection of activity in the white matter of the brain

Fast and accurate connectivity analysis between functional regions based on DT-MRI

Diffusion tensor and functional MRI data provide insight into function and structure of the human brain. However, connectivity analysis between functional areas is still a challenge when using traditional fiber tracking techniques. For this reason, alternative approaches incorporating the entire tensor information have emerged. Based on previous research employing pathfinding for connectivity analysis, we present a novel search grid and an improved cost function which essentially contributes to more precise paths. Additionally, implementation aspects are considered making connectivity analysis very efficient which is crucial for surgery planning. In comparison to other algorithms, the presented technique is by far faster while providing connections of comparable quality. The clinical relevance is demonstrated by reconstructed connections between motor and sensory speech areas in patients with lesions located in between