The DOI matches its Crossref record; 191 of the 200 references it cites were found in a registry or an index.
White matter integrity, fiber count, and other fallacies: The do's and don'ts of diffusion MRI
Abstract
Diffusion-weighted MRI (DW-MRI) has been increasingly used in imaging neuroscience over the last decade. An early form of this technique, diffusion tensor imaging (DTI) was rapidly implemented by major MRI scanner companies as a scanner selling point. Due to the ease of use of such implementations, and the plausibility of some of their results, DTI was leapt on by imaging neuroscientists who saw it as a powerful and unique new tool for exploring the structural connectivity of human brain. However, DTI is a rather approximate technique, and its results have frequently been given implausible interpretations that have escaped proper critique and have appeared misleadingly in journals of high reputation. In order to encourage the use of improved DW-MRI methods, which have a better chance of characterizing the actual fiber structure of white matter, and to warn against the misuse and misinterpretation of DTI, we review the physics of DW-MRI, indicate currently preferred methodology, and explain the limits of interpretation of its results. We conclude with a list of 'Do's and Don'ts' which define good practice in this expanding area of imaging neuroscience.
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In the citing paper
“We caution that the behaviour of the DTI indices in the human brain, which is characterized by a high density of crossing fibre that influence DTI measures (Jeurissen et al., 2013), is only partially understood and remains speculative (Jones et al., 2013).”
From White matter diffusion alterations precede symptom onset in autosomal dominant Alzheimer’s disease (2018) · cites this paper as Jones et al., 2013
In the citing paper
“DTI alterations may stem from a variety of tissue changes including altered crossing fibres, permeability of the axonal membrane, inflammation, or oedema (Jones et al., 2013).”
From White matter diffusion alterations precede symptom onset in autosomal dominant Alzheimer’s disease (2018) · cites this paper as Jones et al., 2013
In the citing paper
“However, DTI metrics are not specific to particular cellular or molecular processes.”
From Diffusion MRI reveals amyloid plaque–associated cellular signatures through spatial transcriptomic integration (2026) · cites this paper as [16]
In the citing paper
“This limitation is often expressed as the mantra “streamline count is not quantitative.””
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Jones et al., 2013
In the citing paper
“However, because of the difference in resolution between the measured dMRI signal and actual axon dimensions (as described in Section 3.3: “Connection density biases”), many studies have emphasized that NOS does not provide a truly quantitative measure of connection strength (Jones, 2010; Jones et al., 2013; Sotiropoulos and Zalesky, 2019; Yeh et al., 2020).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Jones et al., 2013
In the citing paper
“For example, many factors (e.g., cell death, edema, gliosis, inflammation, change in myelination, increase in connectivity of crossing fibers, increase in extracellular or intracellular water, etc.) may cause changes in FA (Assaf and Pasternak, 2008; Jones et al., 2013; Le Bihan and Johansen-Berg, 2012).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Jones et al., 2013
In the citing paper
“However, these measures reflect a composite of axonal organization, myelin, extracellular water, fiber geometry, and cerebrovascular injury (Beck et al., 2021; Jones et al., 2013).”
From 40 Years of diffusion MRI in the brain: From history to emerging frontiers (2026) · cites this paper as Jones et al., 2013
In the citing paper
“This has led to considerable debate, since the inception of DTI, over the biological significance of these DTI-derived measures since WM integrity can be affected by many different parameters including axon packing density, axon caliber, myelination, microglia, inflammation, and tissue architecture (Mori and Zhang, 2006; Le Bihan and Johansen-Berg, 2012; Jones et al., 2013).”
From The role of myelination in measures of white matter integrity: Combination of diffusion tensor imaging and two-photon microscopy of CLARITY intact brains (2017) · cites this paper as Jones et al., 2013
In the citing paper
“higher values corresponding to higher diffusivity, which is often observed in damaged tissues (Jones et al., 2013)”
From Substance abuse and white matter: Findings, limitations, and future of diffusion tensor imaging research (2019) · cites this paper as Jones et al., 2013
In the citing paper
“Changes in FA signal one or many microstructural alterations, such as Wallerian degeneration (Pierpaoli et al., 2001; Thomalla et al., 2004) or decreased neuronal membrane permeability (Jones, KnöSche, & Turner, 2013).”
From Substance abuse and white matter: Findings, limitations, and future of diffusion tensor imaging research (2019) · cites this paper as Jones, KnöSche, & Turner, 2013
In the citing paper
“Moreover, diffusion-weighted imaging has many limitations and sources of error at each step of the analysis pipeline that must be considered when interpreting results236, 237.”
From Imaging structural and functional brain development in early childhood (2018) · cites this paper as [237]
Citations
Cites
Donoho, D. L. (2006) · IEEE Transactions on Information Theory · doi:10.1109/tit.2006.871582 · Cited by 23,994
Donoho, D. L. (2004) · Cited by 16,703
Sparse MRI: The application of compressed sensing for rapid MR imaging
Lustig, M., Donoho, D., & Pauly, J. M. (2007) · Magnetic Resonance in Medicine · doi:10.1002/mrm.21391 · Cited by 6,952
MR diffusion tensor spectroscopy and imaging
Basser, P. J., Mattiello, J., & LeBihan, D. (1994) · Biophysical Journal · doi:10.1016/s0006-3495(94)80775-1 · Cited by 5,970
Generalized autocalibrating partially parallel acquisitions (GRAPPA)
Griswold, M. A., Jakob, P. M., Heidemann, R. M., Nittka, M., Jellús̆, V., Wang, J., Kiefer, B., & Haase, A. (2002) · Magnetic Resonance in Medicine · doi:10.1002/mrm.10171 · Cited by 5,311
The basis of anisotropic water diffusion in the nervous system—A technical review.
Beaulieu, C. (2002) · NMR in Biomedicine · doi:10.1002/nbm.782 · Cited by 4,628
Mapping the structural core of human cerebral cortex
Hagmann, P., Cammoun, L., Gigandet, X., Meuli, R., Honey, C. J., Wedeen, V. J., & Sporns, O. (2008) · PLoS Biology · doi:10.1371/journal.pbio.0060159 · Cited by 4,173
Le Bihan, D., Breton, E., Lallemand, D., Grenier, P., Cabanis, E., & Laval-Jeantet, M. (1986) · Radiology · doi:10.1148/radiology.161.2.3763909 · Cited by 3,912
Estimation of the Effective Self-Diffusion Tensor from the NMR Spin Echo
Basser, P. J., Mattiello, J., & Bihan, D. L. (1994) · Journal of Magnetic Resonance Series B · doi:10.1006/jmrb.1994.1037 · Cited by 3,656
Three-dimensional tracking of axonal projections in the brain by magnetic resonance imaging
Mori, S., Crain, B. J., Chacko, V. P., & van Zijl, P. C. M. (1999) · Annals of Neurology · doi:10.1002/1531-8249(199902)45:2 · Cited by 3,513
Research works printed but not linked: 2
- Le Bihan, 1985, In vivo magnetic resonance imaging of diffusion I, C. R. Acad. Sci. II, 301, 1109
- Tournier, 2009, How many diffusion gradient directions are required for HARDI?, Proc. Int. Soc. Magn. Reson. Med., 17, 358
Cited by
Sorted by citations
Bassett, D. S., & Sporns, O. (2017) · Nature Neuroscience · doi:10.1038/nn.4502 · Cited by 2,398
“Although subject to many experimental and statistical limitations 23 and interpretational pitfalls 24 , comparative studies have suggested that representations of long-distance connectivity derived from invasive histological methods and noninvasive imaging of neuroanatomical structure are…”
BackgroundThe connectomics of brain disorders
Fornito, A., Zalesky, A., & Breakspear, M. (2015) · Nature Reviews Neuroscience · doi:10.1038/nrn3901 · Cited by 1,734
Dipy, a library for the analysis of diffusion MRI data
Garyfallidis, E., Brett, M., Amirbekian, B., Rokem, A., van der Walt, S., Descoteaux, M., Nimmo-Smith, I., & Contributors, D. (2014) · Frontiers in Neuroinformatics · doi:10.3389/fninf.2014.00008 · Cited by 1,371
“…of the myelin wrapping the axons in the voxel may affect both MD and FA, changes in other factors, such as the distribution of directions of crossing of fiber populations through the voxel may also affect these measures (Basser and Pierpaoli, 1996; Jones et al., 2013; Wandell and Yeatman, 2013).”
BackgroundThe hubs of the human connectome are generally implicated in the anatomy of brain disorders
Crossley, N. A., Mechelli, A., Scott, J., Carletti, F., Fox, P. T., McGuire, P., & Bullmore, E. T. (2014) · Brain · doi:10.1093/brain/awu132 · Cited by 1,166
“Although DTI provides the most direct access to the structural network of the living human brain, it also has limitations (Morris et al., 2008; Jones and Cercignani, 2010; Craddock et al., 2013; Jones et al., 2013).”
BackgroundImaging structural and functional brain development in early childhood
Gilmore, J. H., Knickmeyer, R. C., & Gao, W. (2018) · Nature Reviews Neuroscience · doi:10.1038/nrn.2018.1 · Cited by 1,013
Metadata
- Authors
- Jones, D. K., Knösche, T. R., & Turner, R.
- Affiliations
- Cardiff University (GB)
- Max Planck Institute for Human Cognitive and Brain Sciences (DE)
- Corresponding author
- Jones, Derek K.
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 73
- Pages
- 239-254
- ISSN
- 1053-8119 (ISSN-L)
- OpenAlex
- W2117987496
- Semantic Scholar
- 18c1f13bf2af5a9efb0126b7bd4683fa1b786532
- Cited by
- 2,402
- References
- 200
- Citations by year
- 2026: 140 · 2025: 134 · 2024: 121 · 2023: 150 · 2022: 183 · 2021: 225 · 2020: 209 · 2019: 203 · 2018: 189 · 2017: 201 · 2016: 213 · 2015: 182 · 2014: 135 · 2013: 105
- FWCI
- 92.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Funders
- Wellcome Trust (096646/Z/11/Z)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- diffusion-weighted imaging, diffusion tensor imaging, white matter integrity, fiber count, structural connectivity
- MeSH terms
- Brain, Brain Mapping, Cell Count, Data Interpretation, Statistical, Humans, Image Processing, Computer-Assisted, Nerve Fibers, Neural Pathways, Models, Statistical, Diffusion Magnetic Resonance Imaging, Diffusion Tensor Imaging, Signal-To-Noise Ratio
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