Investigating exchange, structural disorder and restriction in Gray Matter via water and metabolites diffusivity and kurtosis time-dependence

Water diffusion MRI is a very powerful tool for probing tissue microstructure, but disentangling the contribution of compartment-specific structural disorder from cellular restriction and inter-compartment exchange remains an open challenge. Here, we use diffusion MR spectroscopy (dMRS) of water and metabolites as a function of diffusion time in vivo in mouse Gray Matter (GM) to shed light on: which of these concomitant mechanisms dominates the MR measurements and with which specific signature. We report the diffusion time-dependence of water with excellent SNR conditions up to 500 ms. Water kurtosis decreases with increasing diffusion time, showing the concomitant influence of both structural disorder and exchange. Despite the excellent SNR, we were not able to identify clearly the nature of the structural disorder (i.e. 1D versus 2D/3D short-range disorder). Measurements of intracellular metabolites diffusion time-dependence (up to 500 ms) show opposite behavior to water, with metabolites kurtosis increasing as a function of diffusion time. We show that this is a signature of diffusion restricted in the intracellular space from which cellular microstructural features can be estimated. Finally, by comparing water and metabolites diffusion time-dependencies, we attempt to disentangle the effect of intra/extracellular exchange and structural disorder of the extracellular space (both impacting water diffusion only). Our results suggest a relatively short intra/extracellular exchange time (1-50 ms) and short-range disorder (still unclear if 1D or 2D/3D) most likely coming from the extracellular compartment. This work provides novel insights to interpret water diffusion time-dependent measurements in terms of the underlying GM microstructure and suggests that diffusion time-dependent measurements of intracellular metabolites may offer a new way to quantify microstructural restrictions in GM

Lossy compression of multidimensional medical images using sinusoidal activation networks: an evaluation study

In this work, we evaluate how neural networks with periodic activation functions can be leveraged to reliably compress large multidimensional medical image datasets, with proof-of-concept application to 4D diffusion-weighted MRI (dMRI). In the medical imaging landscape, multidimensional MRI is a key area of research for developing biomarkers that are both sensitive and specific to the underlying tissue microstructure. However, the high-dimensional nature of these data poses a challenge in terms of both storage and sharing capabilities and associated costs, requiring appropriate algorithms able to represent the information in a low-dimensional space. Recent theoretical developments in deep learning have shown how periodic activation functions are a powerful tool for implicit neural representation of images and can be used for compression of 2D images. Here we extend this approach to 4D images and show how any given 4D dMRI dataset can be accurately represented through the parameters of a sinusoidal activation network, achieving a data compression rate about 10 times higher than the standard DEFLATE algorithm. Our results show that the proposed approach outperforms benchmark ReLU and Tanh activation perceptron architectures in terms of mean squared error, peak signal-to-noise ratio and structural similarity index. Subsequent analyses using the tensor and spherical harmonics representations demonstrate that the proposed lossy compression reproduces accurately the characteristics of the original data, leading to relative errors about 5 to 10 times lower than the benchmark JPEG2000 lossy compression and similar to standard pre-processing steps such as MP-PCA denosing, suggesting a loss of information within the currently accepted levels for clinical application

Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus

As part of the hypothalamic-pituitary adrenal (HPA) axis, the hypothalamus exerts pivotal influence on metabolic and endocrine homeostasis. With age, these processes are subject to considerable change, resulting in increased prevalence of physical disability and cardiac disorders. Yet, research on the aging human hypothalamus is lacking. To assess detailed hypothalamic microstructure in middle adulthood, 39 healthy participants (35-65 years) underwent comprehensive structural magnetic resonance imaging. In addition, we studied HPA axis dysfunction proxied by hair cortisol and waist circumference as potential risk factors for hypothalamic alterations. We provide first evidence of regionally different hypothalamic microstructure, with age effects in its anterior-superior subunit, a critical area for HPA axis regulation. Further, we report that waist circumference was related to increased free water and decreased iron content in this region. In age, hair cortisol was additionally associated with free water content, such that older participants with higher cortisol levels were more vulnerable to free water content increase than younger participants. Overall, our results suggest no general age-related decline in hypothalamic microstructure. Instead, older individuals could be more susceptible to risk factors of hypothalamic decline especially in the anterior-superior subregion, including HPA axis dysfunction, indicating the importance of endocrine and stress management in age

Mapping complex cell morphology in the grey matter with double diffusion encoding MR: a simulation study

This paper investigates the impact of cell body (soma) size and branching of cellular projections on diffusion MR imaging (dMRI) and spectroscopy (dMRS) signals for both standard single diffusion encoding (SDE) and more advanced double diffusion encoding (DDE) measurements using numerical simulations. The aim is to study the ability of dMRI/dMRS to characterize the complex morphology of brain grey matter, focusing on these two distinctive features. To this end, we employ a recently developed framework to create realistic meshes for Monte Carlo simulations, covering a wide range of soma sizes and branching orders of cellular projections, for diffusivities reflecting both water and metabolites. For SDE sequences, we assess the impact of soma size and branching order on the signal b-value dependence as well as the time dependence of the apparent diffusion coefficient (ADC). For DDE sequences, we assess their impact on the mixing time dependence of the signal angular modulation and of the estimated microscopic anisotropy, a promising contrast derived from DDE measurements. The SDE results show that soma size has a measurable impact on both the b-value and diffusion time dependence, for both water and metabolites. On the other hand, branching order has little impact on either, especially for water. In contrast, the DDE results show that soma size has a measurable impact on the signal angular modulation at short mixing times and the branching order significantly impacts the mixing time dependence of the signal angular modulation as well as of the derived microscopic anisotropy, for both water and metabolites. Our results confirm that soma size can be estimated from SDE based techniques, and most importantly, show for the first time that DDE measurements show sensitivity to the branching of cellular projections, paving the way for non-invasive characterization of grey matter morphology

ConFiG: Contextual Fibre Growth to generate realistic axonal packing for diffusion MRI simulation

This paper presents Contextual Fibre Growth (ConFiG), an approach to generate white matter numerical phantoms by mimicking natural fibre genesis. ConFiG grows fibres one-by-one, following simple rules motivated by real axonal guidance mechanisms. These simple rules enable ConFiG to generate phantoms with tuneable microstructural features by growing fibres while attempting to meet morphological targets such as user-specified density and orientation distribution. We compare ConFiG to the state-of-the-art approach based on packing fibres together by generating phantoms in a range of fibre configurations including crossing fibre bundles and orientation dispersion. Results demonstrate that ConFiG produces phantoms with up to 20% higher densities than the state-of-the-art, particularly in complex configurations with crossing fibres. We additionally show that the microstructural morphology of ConFiG phantoms is comparable to real tissue, producing diameter and orientation distributions close to electron microscopy estimates from real tissue as well as capturing complex fibre cross sections. Signals simulated from ConFiG phantoms match real diffusion MRI data well, showing that ConFiG phantoms can be used to generate realistic diffusion MRI data. This demonstrates the feasibility of ConFiG to generate realistic synthetic diffusion MRI data for developing and validating microstructure modelling approaches

Impact of within-voxel heterogeneity in fibre geometry on spherical deconvolution

Axons in white matter have been shown to have varying geometries within a bundle using ex vivo imaging techniques, but what does this mean for diffusion MRI (dMRI) based spherical deconvolution (SD)? SD attempts to estimate the fibre orientation distribution function (fODF) by assuming a single dMRI fibre response function (FRF) for all white matter populations and deconvolving this FRF from the dMRI signal at each voxel to estimate the fODF. Variable fibre geometry within a bundle however suggests the FRF might not be constant even within a single voxel. We test what impact realistic fibre geometry has on SD by simulating the dMRI signal in a range of realistic white matter numerical phantoms, including synthetic phantoms and real axons segmented from electron microscopy. We demonstrate that variable fibre geometry leads to a variable FRF across axons and that in general no single FRF is effective to recover the underlying fibre orientation distribution function (fODF). This finding suggests that assuming a single FRF can lead to misestimation of the fODF, causing further downstream errors in techniques such as tractography

Mini review on anomalous diffusion by MRI: Potential advantages, pitfalls, limitations, nomenclature, and correct interpretation of literature

In this mini-review, we addressed the transient-anomalous diffusion by MRI, starting from the assumption that transient-anomalous diffusion is ubiquitously observed in biological tissues, as demonstrated by different single-particle-tracking optical experiments. The purpose of this review is to identify the main pitfalls that can be encountered when venturing into the field of anomalous diffusion quantified by diffusion-MRI methods. Therefore, the theory of anomalous diffusion deriving from its mathematical definition was reported and connected with the consolidated description and the established procedures of conventional diffusion-MRI of tissues. We highlighted the two different modalities for quantifying subdiffusion and superdiffusion parameters of anomalous diffusion. Then we showed that most of the papers concerning anomalous diffusion, actually deal with pseudo-superdiffusion due to the use of a superdiffusion signal representation. Pseudo-superdiffusion depends on water diffusion multi-compartmentalization and local magnetic in-homogeneities that mimic the superdiffusion of spins. In addition to the relatively large production of pseudosuperdiffusion images, anomalous diffusion research is still in its early stages due to the limited flexibility of conventional clinical MRI scanners that currently prevent the acquisition of diffusion-weighted images by varying the diffusion time (the necessary acquisition modality to quantify transient-subdiffusion in human tissues). Moreover, the wide diffusion gradient pulses complicates the definition of a reliable function representative of anomalous diffusion signal behavior to fit data. Nevertheless, it is important and possible to address these limitations, as one of the potentialities of anomalous diffusion imaging is to increase the resolution, sensitivity, and specificity of MRI

A Novel null homozygous mutation confirms <i>CACNA2D2</i> as a gene mutated in epileptic encephalopathy

Contribution to epileptic encephalopathy (EE) of mutations in CACNA2D2, encoding α2δ-2 subunit of Voltage Dependent Calcium Channels, is unclear. To date only one CACNA2D2 mutation altering channel functionality has been identified in a single family. In the same family, a rare CELSR3 polymorphism also segregated with disease. Involvement of CACNA2D2 in EE is therefore not confirmed, while that of CELSR3 is questionable. In a patient with epilepsy, dyskinesia, cerebellar atrophy, psychomotor delay and dysmorphic features, offspring to consanguineous parents, we performed whole exome sequencing (WES) for homozygosity mapping and mutation detection. WES identified extended autozygosity on chromosome 3, containing two novel homozygous candidate mutations: c.1295delA (p.Asn432fs) in CACNA2D2 and c.G6407A (p.Gly2136Asp) in CELSR3. Gene prioritization pointed to CACNA2D2 as the most prominent candidate gene. The WES finding in CACNA2D2 resulted to be statistically significant (p = 0.032), unlike that in CELSR3. CACNA2D2 homozygous c.1295delA essentially abolished α2δ-2 expression. In summary, we identified a novel null CACNA2D2 mutation associated to a clinical phenotype strikingly similar to the Cacna2d2 null mouse model. Molecular and statistical analyses together argued in favor of a causal contribution of CACNA2D2 mutations to EE, while suggested that finding in CELSR3, although potentially damaging, is likely incidental

Combined Diffusion-Relaxometry MRI to Identify Dysfunction in the Human Placenta

Purpose: A combined diffusion-relaxometry MR acquisition and analysis pipeline for in-vivo human placenta, which allows for exploration of coupling between T2* and apparent diffusion coefficient (ADC) measurements in a sub 10 minute scan time. Methods: We present a novel acquisition combining a diffusion prepared spin-echo with subsequent gradient echoes. The placentas of 17 pregnant women were scanned in-vivo, including both healthy controls and participants with various pregnancy complications. We estimate the joint T2*-ADC spectra using an inverse Laplace transform. Results: T2*-ADC spectra demonstrate clear quantitative separation between normal and dysfunctional placentas. Conclusions: Combined T2*-diffusivity MRI is promising for assessing fetal and maternal health during pregnancy. The T2*-ADC spectrum potentially provides additional information on tissue microstructure, compared to measuring these two contrasts separately. The presented method is immediately applicable to the study of other organs