Quantifying white matter tract diffusion parameters in the presence of increased extra-fiber cellularity and vasogenic edema
Open accessAbstract
The effect of extra-fiber structural and pathological components confounding diffusion tensor imaging (DTI) computation was quantitatively investigated using data generated by both Monte-Carlo simulations and tissue phantoms. Increased extent of vasogenic edema, by addition of various amount of gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, significantly decreased fractional anisotropy (FA) and increased radial diffusivity, while less significantly increased axial diffusivity derived by DTI. Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, significantly decreased FA and axial diffusivity with limited impact on radial diffusivity derived by DTI. The MC simulation and tissue phantom data were also analyzed by the recently developed diffusion basis spectrum imaging (DBSI) to simultaneously distinguish and quantify the axon/myelin integrity and extra-fiber diffusion components. Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity. Importantly, the extent of extra-fiber cellularity and edema estimated by DBSI correlated with experimentally added gel and Monte-Carlo simulations. We also examined the feasibility of applying 25-direction diffusion encoding scheme for DBSI analysis on coherent white matter tracts. Results from both phantom experiments and simulations suggested that the 25-direction diffusion scheme provided comparable DBSI estimation of both fiber diffusion parameters and extra-fiber cellularity/edema extent as those by 99-direction scheme. An in vivo 25-direction DBSI analysis was performed on experimental autoimmune encephalomyelitis (EAE, an animal model of human multiple sclerosis) optic nerve as an example to examine the validity of derived DBSI parameters with post-imaging immunohistochemistry verification. Results support that in vivo DBSI using 25-direction diffusion scheme correctly reflect the underlying axonal injury, demyelination, and inflammation of optic nerves in EAE mice.
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Written from the paper’s full text.
TL;DR
This study shows that increased extra-fiber cellularity and vasogenic edema confound conventional DTI-derived white matter metrics, whereas diffusion basis spectrum imaging (DBSI) separates and quantifies these components. A 25-direction DBSI scheme performed comparably to 99-direction DBSI for coherent tracts and detected axonal injury, demyelination, and inflammation in EAE mouse optic nerve with immunohistochemical validation.
Key findings
- In fixed normal mouse trigeminal nerve phantoms, DTI gave λ∥ = 0.77 ± 0.05 μm²/ms, λ⊥ = 0.18 ± 0.02 μm²/ms, and FA = 0.72 ± 0.04, while DBSI gave λ∥ = 1.09 ± 0.06 μm²/ms, λ⊥ = 0.15 ± 0.02 μm²/ms, and FA = 0.84 ± 0.02; DBSI estimated axonal fiber fraction 67 ± 3%, cellularity 14 ± 2%, and extra-axonal/extracellular space 20 ± 3%.
- Added 2% agar gel and Monte-Carlo simulations of vasogenic edema significantly decreased DTI FA and increased DTI radial diffusivity, with less consistent axial diffusivity effects, but did not affect DBSI-derived fiber FA, λ∥, or λ⊥. Increased simulated cellularity significantly decreased DTI FA and λ∥ with limited impact on λ⊥, while DBSI fiber parameters were largely unaffected.
- DBSI estimates from 25- vs. 99-direction schemes were comparable in simulation: axial diffusivity 1.80 ± 0.03 vs. 1.81 ± 0.05 μm²/ms, radial diffusivity 0.05 ± 0.01 vs. 0.04 ± 0.01 μm²/ms, and FA 0.96 ± 0.01 vs. 0.97 ± 0.01.
- In EAE vs. sham optic nerve, DBSI showed decreased λ∥ (1.73 ± 0.22 vs. 2.10 ± 0.04 μm²/ms, p = 0.020), increased λ⊥ (0.15 ± 0.03 vs. 0.11 ± 0.01 μm²/ms, p = 0.047), increased restricted isotropic fraction (0.10 ± 0.09 vs. 0.03 ± 0.01, p = 0.022), and increased non-restricted isotropic fraction (0.15 ± 0.03 vs. 0.03 ± 0.01, p < 0.0001); DAPI-positive nuclei correlated with DBSI cellularity (r = 0.65, p = 0.042).
Methods
- Monte-Carlo simulations and fixed mouse trigeminal nerve phantoms were used: 20 nerves, including single nerve only (n = 7) and nerve with varying amounts of 2% agar gel to mimic vasogenic edema (n = 13); simulations modeled axons, cells, and extra-axonal/extracellular space with varying fractions.
- Diffusion-weighted data were acquired with 99- and 25-direction encoding schemes and analyzed by conventional single-tensor DTI and DBSI, which fits anisotropic diffusion tensors plus a spectrum of isotropic diffusion tensors using nonnegative least-squares; restricted isotropic fraction was defined as ADC 0–0.3 μm²/ms and non-restricted as ADC > 0.3–3 μm²/ms.
- In vivo validation used five EAE mice at onset of acute optic neuritis and five age-matched sham controls, imaged at 4.7 T with a 25-direction scheme, followed by immunohistochemistry for SMI-31, MBP, and DAPI; statistical comparisons used t-tests, repeated-measures linear regression, Wilcoxon signed-rank tests, and Spearman correlations.
Limitations
- Stated: DBSI in its current form does not consider water exchange between intracellular and extracellular space, which may affect accuracy, especially under pathological conditions with altered membrane permeability.
- Stated: DBSI was developed for white matter tracts, and further generalization is needed for gray matter pathology in CNS disorders.
- Evident from the text: Monte-Carlo simulations neglected T1 and T2 decay; cellularity was difficult to control experimentally in fixed nerve phantoms, so simulations were used; sample sizes were small (n = 7 nerve-only, n = 13 gel phantoms, 5 EAE vs. 5 sham); and 25-direction DBSI metrics showed SNR-dependent bias, with restricted diffusion fraction overestimated at SNR ≤ 30 and non-restricted fraction underestimated at SNR = 20.
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Claims the paper makes
13 of 29 cited sources checked · 7 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Inclusion of the isotropic component of free diffusion is insufficient to deal with coexisting CNS inflammation (increased cellularity and vasogenic edema) or tissue loss in diseased tissues.
“However, such modification is insufficient to deal with coexisting CNS inflammation (increased cellularity and vasogenic edema) or tissue loss that may be seen in diseased tissues (Horsfield and Jones, 2002).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Horsfield and Jones, 2002 source
The Reduced diffusion anisotropy and Ischaemic leukoaraiosis sections describe how axonal loss and replacement or proliferation of glial cells affect diffusion measurements. The review does not assess whether adding an isotropic free-diffusion component is sufficient to account for inflammation, vasogenic edema, or tissue loss; that central modeling claim is unsupported. (LLM, conf=0.76)
Experimental — accuracy not yet measured
- Premisecitation
DTI-derived FA is not a marker specific to myelin damage because other pathological components may also contribute to diffusion anisotropy change.
“Although decreased DTI-derived fractional anisotropic (FA) has been demonstrated to reflect myelin damage in multiple sclerosis (MS) (Schmierer et al., 2007), it is not a marker specific to myelin damage since other pathological components may also contribute to diffusion anisotropy change (Werring et al., 1999, Assaf et al., 2002).”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Werring et al., 1999 source
- cites Assaf et al., 2002 source
The “High b-Value q-Space DWI vs. Conventional DTI” section (page unavailable) says FA can be affected by an incoherent arrangement of normal fibers, supporting the point that FA is not specific to myelin damage. The paper discusses demyelination, axonal loss, and inflammation in MS, but the passages do not establish that those other pathological components specifically cause changes in FA. (LLM, conf=0.83)
Experimental — accuracy not yet measured
- Interpretationown data
DBSI resolved and quantified the confounding effects of increased cellularity and vasogenic edema on DTI-derived λ∥, λ⊥, and FA.
“These confounding effects were resolved and quantified by the recently developed DBSI analysis (Wang et al., 2011), as demonstrated herein using data generated by both Monte-Carlo simulation and tissue phantoms.”
- Also stated in: § Discussion · boosted
“In summary, we have demonstrated that DBSI removes confounding effects of increased cellularity and vasogenic edema on DTI derived λǁ, λ⊥, and FA.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Wang et al., 2011 source
- Also stated in: § Discussion · boosted
- Premisecitation
Inflammation-associated vasogenic edema increases apparent diffusion coefficient (ADC).
“For example, inflammation associated vasogenic edema has been recognized to increase apparent diffusion coefficient (ADC) and underestimate the DTI-derived FA of fiber tracts (Pasternak et al., 2009, Naismith et al., 2010).”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Pasternak et al., 2009 source
- cites Naismith et al., 2010 source
The paper’s discussion (page unavailable in our copy) says diffusivity normalized in some acute MS lesions, perhaps as edema associated with an acute inflammatory infiltrate resolved. This supports a link between inflammation-associated edema and elevated diffusivity, but the paper does not specifically identify vasogenic edema or show that it increases ADC. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation
Inflammation-associated vasogenic edema underestimates DTI-derived FA of fiber tracts.
“For example, inflammation associated vasogenic edema has been recognized to increase apparent diffusion coefficient (ADC) and underestimate the DTI-derived FA of fiber tracts (Pasternak et al., 2009, Naismith et al., 2010).”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Pasternak et al., 2009 source
- cites Naismith et al., 2010 source
The “DTI parameters became altered during Gd enhancement” section (page unavailable) reports that FA decreased by 35% and mean diffusivity increased by 21% in acute MS lesions. The discussion suggests that normalization of diffusivity may reflect resolution of edema associated with inflammation, but the paper does not establish that vasogenic edema caused the lower FA or higher diffusivity in fiber tracts generally. (LLM, conf=0.86)
Experimental — accuracy not yet measured
- Findingown data
In vivo DBSI-derived restricted isotropic diffusion fraction map of optic nerve from EAE mice revealed a heterogeneous increase in cellularity, closely matching the pattern of DAPI-positive cell nuclei staining of the same nerve.
“Similar to previous results on corpus callosum from cuprizone treated mice (Wang et al., 2011), in vivo DBSI derived restricted isotropic diffusion fraction map of optic nerve from EAE mice revealed a heterogeneous increase in cellularity, closely matching the pattern of DAPI-positive cell nuclei staining of the same nerve (Fig. 6e, k, and l).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Wang et al., 2011 source
- Rests on an assumption: Current MRI methods do not assess specific elements of CNS pathology.
- Interpretationown data
DBSI allowed for an accurate estimation of white matter tract diffusion properties in the presence of increased cellularity and vasogenic edema.
“The current results from fixed normal tissues and gel phantoms, and our previous in vivo mouse brain data (Wang et al., 2011) suggest that the DBSI approach allowed for an accurate estimation of white matter tract diffusion properties in the presence of increased cellularity and vasogenic edema.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Wang et al., 2011 source
- Findingown data
In EAE vs sham optic nerves, DTI-derived λ⊥ was significantly increased (0.21 ± 0.04 vs. 0.11 ± 0.01 μm2/ms, p = 0.0046).
“DTI λ⊥ = 0.21 ± 0.04 vs. 0.11 ± 0.01 μm2/ms (p = 0.0046).”
Quote in the paperSubstantial claim - Findingown data
25-direction DBSI-derived radial diffusivity was well-estimated at SNR ≥ 20.
“DBSI-radial diffusivity was well-estimated at SNR ≥ 20 (Fig. 5B);”
Quote in the paperSubstantial claim - Findingown data
In EAE vs sham optic nerves, DTI-derived λ∥ was significantly decreased (1.34 ± 0.37 vs. 1.89 ± 0.09 μm2/ms, p = 0.028).
“DTI λ∥ = 1.34 ± 0.37 vs. 1.89 ± 0.09 μm2/ms (p = 0.028);”
Quote in the paperSubstantial claim - Findingown data
DBSI-derived non-restricted isotropic diffusion fraction (putative vasogenic edema) was significantly higher in EAE optic nerves than in controls (0.15 ± 0.03 vs. 0.03 ± 0.01, p < 0.0001).
“The non-restricted isotropic diffusion fraction (i.e., the putative vasogenic edema) was also significantly higher in EAE optic nerves than that of the control (0.15 ± 0.03 vs. 0.03 ± 0.01, p < 0.0001).”
Quote in the paperSubstantial claim- Rests on an assumption: The Monte-Carlo simulation models using spheres and extra-axonal space accurately represent cellularity and vasogenic edema in tissue.
- Findingown data
DBSI-estimated extent of vasogenic edema correlated with experimentally added gel and Monte-Carlo simulations.
“Importantly, the extent of extra-fiber cellularity and edema estimated by DBSI correlated with experimentally added gel and Monte-Carlo simulations.”
Quote in the paperSubstantial claim - Findingown data
Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, significantly decreased DTI-derived FA.
“Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, significantly decreased FA and axial diffusivity with limited impact on radial diffusivity derived by DTI.”
Quote in the paperSubstantial claim - Findingown data
Increased extent of vasogenic edema, induced by adding gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, significantly increased DTI-derived radial diffusivity.
“Increased extent of vasogenic edema, by addition of various amount of gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, significantly decreased fractional anisotropy (FA), increased radial diffusivity, while less significantly increased axial diffusivity derived by DTI.”
Quote in the paperSubstantial claim - Findingown data
In vivo DBSI using a 25-direction diffusion scheme correctly reflects inflammation of optic nerves in EAE mice.
“Results support that in vivo DBSI using 25-direction diffusion scheme correctly reflect the underlying axonal injury, demyelination, and inflammation of optic nerves in EAE mice.”
Quote in the paperSubstantial claim - Findingown data
With decreasing SNR, both bias and precision of 25-direction DBSI-derived parameters worsened.
“With decreasing SNR, both bias and precision worsened (Fig. 5).”
Quote in the paperSubstantial claim - Findingown data
DBSI-estimated extent of extra-fiber cellularity correlated with experimentally added gel and Monte-Carlo simulations.
“Importantly, the extent of extra-fiber cellularity and edema estimated by DBSI correlated with experimentally added gel and Monte-Carlo simulations.”
Quote in the paperSubstantial claim - Findingown data
MBP-positive staining area was decreased in EAE optic nerves compared with controls (37% ± 5% vs. 45% ± 3%; p = 0.01).
“and MBP-positive staining area (37% ± 5% vs. 45% ± 3%; p = 0.01) exhibiting statistically significant correlations (Figs. 7B and D).”
Quote in the paperSubstantial claim - Findingown data
DBSI-derived non-restricted and restricted isotropic diffusion fractions using 25- and 99-direction diffusion schemes were not different from the true values for the simulation.
“DBSI derived non-restricted and restricted isotropic diffusion fractions using 25- and 99-direction diffusion schemes (Fig. 4A and B) were not different from the true values for the simulation.”
Quote in the paperSubstantial claim - Findingown data
Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, had limited impact on DTI-derived radial diffusivity.
“Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, significantly decreased FA and axial diffusivity with limited impact on radial diffusivity derived by DTI.”
Quote in the paperSubstantial claim - Findingown data
In vivo DBSI using a 25-direction diffusion scheme correctly reflects demyelination of optic nerves in EAE mice.
“Results support that in vivo DBSI using 25-direction diffusion scheme correctly reflect the underlying axonal injury, demyelination, and inflammation of optic nerves in EAE mice.”
Quote in the paperSubstantial claim - Findingown data
The 25-direction diffusion scheme provided comparable DBSI estimation of fiber diffusion parameters as the 99-direction scheme in phantom experiments and simulations.
“Results from both phantom experiments and simulations suggested that the 25-direction diffusion scheme provided comparable DBSI estimation of both fiber diffusion parameters and extra-fiber cellularity/edema extent as those by 99-direction scheme.”
Quote in the paperSubstantial claim - Findingown data
Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, significantly decreased DTI-derived axial diffusivity.
“Increased cellularity, mimicked by graded increase of the restricted isotropic diffusion tensor component in Monte-Carlo simulations, significantly decreased FA and axial diffusivity with limited impact on radial diffusivity derived by DTI.”
Quote in the paperSubstantial claim - Findingown data
Increased cellularity did not affect DBSI-derived fiber FA.
“Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity.”
Quote in the paperSubstantial claim - Findingown data
Quantitative immunohistochemical analyses revealed decreased SMI-31-positive axon counts in EAE optic nerves compared with controls (5.3 × 105 ± 1.8 × 105 vs. 7.4 × 105 ± 0.2 × 105 counts/mm2; p = 0.03).
“Quantitative immunohistochemical analyses revealed that DTI/DBSI detected axonal injury and demyelination was also seen in SMI-31-positive axon counts (5.3 × 105 ± 1.8 × 105 vs. 7.4 × 105 ± 0.2 × 105 counts/mm2; p = 0.03; Figs. 7 A and C)”
Quote in the paperSubstantial claim - Findingown data
In EAE vs sham optic nerves, DBSI-derived λ∥ was significantly decreased (1.73 ± 0.22 vs. 2.10 ± 0.04 μm2/ms, p = 0.020).
“DBSI λ∥= 1.73 ± 0.22 vs. 2.10 ± 0.04 μm2/ms (p = 0.020);”
Quote in the paperSubstantial claim - Findingown data
In vivo DBSI using a 25-direction diffusion scheme correctly reflects underlying axonal injury of optic nerves in EAE mice.
“Results support that in vivo DBSI using 25-direction diffusion scheme correctly reflect the underlying axonal injury, demyelination, and inflammation of optic nerves in EAE mice.”
Quote in the paperSubstantial claim - Findingown data
Increased vasogenic edema did not affect DBSI-derived fiber FA.
“Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity.”
Quote in the paperSubstantial claim - Findingown data
Increased vasogenic edema did not affect DBSI-derived fiber radial diffusivity.
“Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity.”
Quote in the paperSubstantial claim - Findingown data
All diffusion MRI-detected pathologies in the EAE optic nerve exhibited a heterogeneous distribution in the cross-section of the nerve.
“All diffusion MRI detected pathologies in the EAE optic nerve exhibited a heterogeneous distribution in the cross-section of the nerve (Figs. 6a – 6f).”
Quote in the paperNot a substantial claim - Findingown data
Increased cellularity did not affect DBSI-derived fiber axial diffusivity.
“Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity.”
Quote in the paperSubstantial claim - Findingown data
Increased extent of vasogenic edema, induced by adding gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, significantly decreased DTI-derived fractional anisotropy (FA).
“Increased extent of vasogenic edema, by addition of various amount of gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, significantly decreased fractional anisotropy (FA), increased radial diffusivity, while less significantly increased axial diffusivity derived by DTI.”
Quote in the paperSubstantial claim - Findingown data
The 25-direction diffusion scheme provided comparable DBSI estimation of extra-fiber cellularity/edema extent as the 99-direction scheme in phantom experiments and simulations.
“Results from both phantom experiments and simulations suggested that the 25-direction diffusion scheme provided comparable DBSI estimation of both fiber diffusion parameters and extra-fiber cellularity/edema extent as those by 99-direction scheme.”
Quote in the paperSubstantial claim - Findingown data
DBSI-derived restricted isotropic diffusion fraction (putative cellularity) in EAE optic nerves was significantly higher than in controls (0.10 ± 0.09 vs. 0.03 ± 0.01, p = 0.022).
“DBSI derived restricted isotropic diffusion fraction (i.e., the putative cellularity) in EAE optic nerves was significantly higher than that of the control (0.10 ± 0.09 vs. 0.03 ± 0.01, p = 0.022).”
Quote in the paperSubstantial claim - Findingown data
Increased extent of vasogenic edema, induced by adding gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, less significantly increased DTI-derived axial diffusivity.
“Increased extent of vasogenic edema, by addition of various amount of gel to fixed normal mouse trigeminal nerves or by increasing non-restricted isotropic diffusion tensor components in Monte-Carlo simulations, significantly decreased fractional anisotropy (FA), increased radial diffusivity, while less significantly increased axial diffusivity derived by DTI.”
Quote in the paperSubstantial claim - Findingown data
Increased vasogenic edema did not affect DBSI-derived fiber axial diffusivity.
“Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity.”
Quote in the paperSubstantial claim - Findingown data
In Monte-Carlo simulation data, there was no discernible difference between 25-direction and 99-direction diffusion encoding schemes in DBSI-derived axial diffusivity, radial diffusivity, and FA.
“There was no discernible difference between 25- vs. 99-direction diffusion encoding scheme in DBSI derived diffusion parameters on data generated using Monte-Carlo simulation (25-dir vs. 99-dir): axial diffusivity (1.80 ± 0.03 μm2/ms vs. 1.81 ± 0.05 μm2/ms), radial diffusivity (0.05 ± 0.01 μm2/ms vs. 0.04 ± 0.01 μm2/ms) and FA (0.96 ± 0.01 vs. 0.97 ± 0.01 μm2/ms).”
Quote in the paperSubstantial claim - Findingown data
Noise affected the bias and precision of 25-direction DBSI-derived axial diffusivity, radial diffusivity, restricted isotropic diffusion tensor fraction, and non-restricted isotropic diffusion tensor fraction.
“The noise affected the bias and precision of the 25-direction DBSI-derived axial diffusivity (Fig. 5A), radial diffusivity (Fig. 5B), restricted isotropic diffusion tensor fraction (Fig. 5C), and non-restricted isotropic diffusion tensor fraction (Fig. 5D).”
Quote in the paperSubstantial claim - Findingown data
In EAE vs sham optic nerves, DBSI-derived λ⊥ was significantly increased (0.15 ± 0.03 vs. 0.11 ± 0.01 μm2/ms, p = 0.047).
“DBSI λ⊥ = 0.15 ± 0.03 vs. 0.11 ± 0.01 μm2/ms (p = 0.047);”
Quote in the paperSubstantial claim - Findingown data
With the addition of 2% agar gel to fixed trigeminal nerve phantoms, DTI-derived λ⊥ or FA was significantly affected while DBSI-derived parameters remained unchanged.
“With the addition of 2% agar gel, DTI derived λ⊥ or FA was significantly affected while DBSI derived parameters remained unchanged (Fig. 2A).”
Quote in the paperSubstantial claim- Rests on an assumption: The Monte-Carlo simulation models using spheres and extra-axonal space accurately represent cellularity and vasogenic edema in tissue.
- Findingown data
Increased cellularity did not affect DBSI-derived fiber radial diffusivity.
“Results showed that increased cellularity or vasogenic edema did not affect the DBSI-derived fiber FA, axial or radial diffusivity.”
Quote in the paperSubstantial claim - Findingown data
DAPI-positive nuclear counts correlated with DBSI-estimated cellularity (r = 0.65, p = 0.042).
“DAPI-positive nuclear counts correlated with DBSI estimated cellularity (r = 0.65, p = 0.042; Fig. 7E).”
Quote in the paperSubstantial claim- Rests on an assumption: Current MRI methods do not assess specific elements of CNS pathology.
- Findingown data
In Monte-Carlo simulation with increasing extra-fiber cellularity, DTI-derived λ⊥ was minimally affected.
“DTI derived λ⊥ was minimally affected in contrast to the more profound changes seen in λ∥.”
Quote in the paperSubstantial claim- Rests on an assumption: The fixed trigeminal nerve phantom with 2% agar gel is a valid model of vasogenic edema.
- Findingown data
Apparent heterogeneity of cell infiltration was consistent with a heterogeneous increase in DAPI-positive cell nuclei staining.
“Apparent heterogeneity of cell infiltration was also seen, consistent with a heterogeneous increase in DAPI-positive cell nuclei staining (Figs. 6K and k).”
Quote in the paperNot a substantial claim- Rests on an assumption: Current MRI methods do not assess specific elements of CNS pathology.
- Findingown data
The 25-direction diffusion scheme was adequate for DBSI analysis of coherent white matter tracts to quantify the extent of cellularity and edema.
“In the present study, the 25-direction diffusion scheme was assessed and proved to be adequate for DBSI analysis of coherent white matter tracts to quantify the extent of cellularity and edema.”
Quote in the paperSubstantial claim - Findingcitation
The region of increased cellularity did not always correspond to visible nerve damage.
“Interestingly, the region of increased cellularity did not always correspond to visible nerve damage (Fig. 6a, b, and e).”
Quote in the paperNot a substantial claim - Findingown data
Phantom and animal studies demonstrated a linear correlation between the restricted isotropic diffusion fraction and DAPI nuclei counts.
“Restricted isotropic diffusion fractions have been assigned as “cellularity” fractions because our phantom and animal studies demonstrated a linear correlation between this restricted isotropic diffusion fraction and DAPI nuclei counts.”
Quote in the paperSubstantial claim- Rests on an assumption: Current MRI methods do not assess specific elements of CNS pathology.
- Premisenone given
Employing a 99-direction diffusion-encoding scheme, DBSI has shown promise to accurately detect and quantify crossing fibers, axonal injury, demyelination, and inflammation-associated cell infiltration and edema in both ex vivo phantom and in vivo mouse brain.
“Employing a 99-direction diffusion-encoding scheme, DBSI has shown promise to accurately detect and quantify crossing fibers, axonal injury, demyelination, and inflammation-associated cell infiltration and edema in both ex vivo phantom and in vivo mouse brain.”
Quote in the paperSubstantial claim - Premisecitation
DTI successfully detects axon and myelin injury through decreased axial diffusivity and increased radial diffusivity in animal models of CNS diseases and injuries.
“Diffusion tensor imaging (DTI) successfully detects axon and myelin injury through decreased axial diffusivity (λ∥, parallel to white matter tract) and increased radial diffusivity (λ⊥, perpendicular to white matter tract) in animal models of central nervous system (CNS) diseases and injuries (Song et al., 2002, Kim et al., 2006, Sun et al., 2006, DeBoy et al., 2007).”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationreasoning
Diffusion anisotropy of white matter tracts in the presence of multiple structural and pathological compartments poses significant challenges in DTI analysis because non-Gaussian models or multiple diffusion tensors are needed to reflect tissue and pathological complexity.
“Thus, diffusion anisotropy of white matter tracts in the presence of multiple structural and pathological compartments poses significant challenges in DTI analysis of white matter tracts since non-Gaussian models or multiple diffusion tensors are needed to reflect the tissue and pathological complexity.”
Quote in the paperSubstantial claim - Interpretationreasoning
A reduced scanning time can be achieved by significantly reducing the number of diffusion weighted images.
“A reduced scanning time can be achieved by significantly reducing the number of diffusion weighted images.”
Quote in the paperSubstantial claim - Premisecitation
Increased cellularity decreases DTI-derived ADC.
“Increased cellularity has been demonstrated to decrease DTI-derived ADC (Anderson et al., 2000).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Anderson et al., 2000 source
- Interpretationreasoning
Both axon/myelin and extra-fiber pathological changes can impact DTI-derived metrics.
“It is clear that both axon/myelin and extra-fiber pathological changes can impact DTI-derived metrics.”
Quote in the paperSubstantial claim - Interpretationown data
The increased sum of restricted and non-restricted isotropic diffusion fractions may be a good indicator of inflammation (0.24 ± 0.12 vs. 0.06 ± 0.02, EAE vs. Sham, p = 0.024).
“The increased sum of restricted and non-restricted isotropic diffusion fractions may be a good indicator of inflammation, 0.24 ± 0.12 vs. 0.06 ± 0.02 (EAE vs. Sham, p = 0.024).”
Quote in the paperSubstantial claim - Interpretationreasoning
DBSI-derived indices hold promise to reflect the various specific components of CNS pathology.
“In addition, DBSI-derived indices hold the promise to reflect the various specific components of the CNS pathology to identify new beneficial therapies that affect more than just inflammation.”
Quote in the paperNot a substantial claim - Interpretationown data
DBSI quantified the extent of increased cellularity and vasogenic edema resulting from inflammation.
“In addition, DBSI quantified the extent of increased cellularity and vasogenic edema resulting from inflammation.”
Quote in the paperSubstantial claim - Interpretationown data
In cases where crossing fibers are not of concern, such as optic nerve and spinal cord white matter tracts, a reduced data acquisition scheme may be sufficient for DBSI analysis.
“In the case where crossing fibers are not of concern such as when studying optic nerve and spinal cord white matter tracts, a reduced data acquisition scheme may be sufficient for DBSI analysis.”
Quote in the paperSubstantial claim - Interpretationown data
Such pathological profile can now be detected using DBSI noninvasively.
“Such pathological profile can now be detected using DBSI noninvasively.”
Quote in the paperSubstantial claim - Interpretationown data
The close agreement between experimental measurements of fixed trigeminal nerve plus gel phantoms and Monte-Carlo simulations using restricted and non-restricted isotropic diffusion components supported the approach of including a linear combination of isotropic diffusion spectra to account for CNS inflammation and tissue loss.
“The close agreement between the experimental measurements of fixed trigeminal nerve plus gel phantoms and the results from Monte-Carlo simulations using restricted and non-restricted isotropic diffusion components to mimic cells and vasogenic edema supported our approach of including a linear combination of isotropic diffusion spectra to account for the effect of CNS inflammation and tissue loss.”
Quote in the paperSubstantial claim - Interpretationown data
Both DTI- and DBSI-derived axial and radial diffusivity correctly detected axonal injury and demyelination in the optic nerve at the onset of optic neuritis.
“In the present study, both DTI and DBSI derived axial and radial diffusivity correctly detected axonal injury and demyelination in the optic nerve at the onset of optic neuritis.”
Quote in the paperSubstantial claim - Interpretationreasoning
To properly model the effect of CNS inflammation and tissue loss and allow more accurate evaluation of white matter fiber tract diffusion properties, multiple extra-fiber diffusion components (both restricted and non-restricted isotropic diffusion components) must be identified and quantified.
“To properly model the effect of CNS inflammation and tissue loss, allowing a more accurate evaluation of the diffusion properties of white matter fiber tracts, multiple extra-fiber diffusion components (both restricted and non-restricted isotropic diffusion components) must be identified and quantified.”
Quote in the paperSubstantial claim - Interpretationown data
Existing diffusion weighted data acquired using 25- or other multiple-direction encoding schemes with multiple b-values may be suitable for DBSI analysis without reacquiring new data to examine single coherent fiber tracts.
“Thus, existing diffusion weighted data acquired using 25- or other multiple-direction encoding schemes with multiple b-values may be suitable for DBSI analysis without reacquiring new data to examine the single coherent fiber tracts.”
Quote in the paperSubstantial claim - Interpretationreasoning
DTI works well on these mice probably due to the counteraction of increased restricted and hindered/free diffusion tensor components.
“This suggests that DTI works well on these mice probably due to the counteraction of increased restricted and hindered/free diffusion tensor components.”
Quote in the paperSubstantial claim - Premisereasoning
Various MR techniques used to assess inflammation of optic neuritis have rarely demonstrated the ability to image cellularity changes non-invasively.
“Various MR techniques have been used to assess inflammation of optic neuritis, but rarely demonstrated the ability to image cellularity changes non-invasively.”
Quote in the paperSubstantial claim - Interpretationreasoning
DBSI provides a noninvasive imaging biomarker of inflammation without injecting gadolinium contrast agent.
“Without injecting Gadolinium contrast agent, DBSI provides a noninvasive imaging biomarker of inflammation, which could potentially enhance our capability to more accurately evaluate neuro-inflammation in CNS disease.”
Quote in the paperSubstantial claim - Interpretationown data
In coherent white matter tracts such as optic nerves, the 25-direction diffusion weighting scheme is sufficient to estimate fiber λ∥, λ⊥, FA, and restricted (correlating with cellularity) and non-restricted diffusion fractions.
“We have also demonstrated using in vivo DBSI and post-MRI immunohistochemistry on EAE mice that in the coherent white matter tracts such as optic nerves the 25-direction diffusion weighting scheme is sufficient to estimate fiber λǁ, λ⊥, FA, and restricted (correlating with cellularity) and non-restricted diffusion fractions.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 8
- May combine two claims. 18
- The quote only partly states this claim. 1
Classified as probably not a substantial claim.
PremisecitationDecreased DTI-derived FA has been demonstrated to reflect myelin damage in multiple sclerosis.
“Although decreased DTI-derived fractional anisotropic (FA) has been demonstrated to reflect myelin damage in multiple sclerosis (MS) (Schmierer et al., 2007), it is not a marker specific to myelin damage since other pathological components may also contribute to diffusion anisotropy change (Werring et al., 1999, Assaf et al., 2002).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Schmierer et al., 2007 source
Classified as probably not a substantial claim.
PremisecitationDBSI models white matter diffusion as the linear combination of multiple discrete anisotropic diffusion tensors describing axonal tracts and a spectrum of isotropic diffusion tensors describing restricted and non-restricted diffusion components outside of axonal tracts.
“The recently-developed diffusion basis spectrum imaging (DBSI) approach models white matter diffusion as the linear combination of multiple discrete anisotropic diffusion tensors describing axonal tracts and a spectrum of isotropic diffusion tensors describing restricted (reflecting cells), non-restricted (reflecting extra-axonal and extracellular space) diffusion components outside of axonal tr”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Wang et al., 2011 source
May combine two claims. The quote only partly states this claim.
Interpretationown dataThe difference between DTI- and DBSI-derived axial diffusivities is explained by DBSI-estimated axonal fiber fraction, cellularity, and extra-axonal/extracellular space, and is consistent with previously published results supported by immunohistochemistry.
“This finding explains the difference of axial diffusivities derived by DTI and DBSI, and is consistent with our previously published results supported by immunohistochemistry (Wang et al., 2011).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Wang et al., 2011 source
Classified as probably not a substantial claim.
PremisecitationInclusion of the isotropic component of free diffusion improved fiber diffusion measurements.
“The inclusion of the isotropic component of free diffusion improved fiber diffusion measurements (Alexander et al., 2001, Papadakis et al., 2002).”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Alexander et al., 2001 source
The Discussion (page unavailable) reports improvements from reorienting diffusion tensors, particularly in regions of prolate diffusion. It does not say that including an isotropic component of free diffusion improved fiber diffusion measurements. Searches for that phrase and for a free-diffusion model found no supporting passage in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measured - cites Papadakis et al., 2002 source
May combine two claims.
PremisecitationDBSI has the capability to resolve crossing fibers while still quantitatively deriving fiber-associated anisotropic diffusion tensors to assess axon and myelin integrity.
“One advantage of using DBSI is its capability to resolve crossing fibers while still quantitatively deriving fiber associated anisotropic diffusion tensors to assess the axon and myelin integrity (Wang et al., 2011).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Wang et al., 2011 source
May combine two claims.
PremisecitationIron-oxide particles allow in vivo visualization of macrophages but are insensitive to non-phagocytic cells involved in inflammation.
“Iron-oxide particles have been used to allow in vivo visualization of macrophages, but this method is insensitive to non-phagocytic cells involved in inflammation (Vellinga et al., 2008).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Vellinga et al., 2008 source
The Introduction (page unavailable) says that phagocytosis of iron-oxide particles by monocytes and macrophages enables visualization of cellular infiltration, supporting the first part of the claim. It does not establish that the method is insensitive to all non-phagocytic inflammatory cells; it also notes a report of particles in astrocytes. (LLM, conf=0.84)
Experimental — accuracy not yet measured
May combine two claims.
Findingown data25-direction DBSI-derived restricted diffusion fraction was well-estimated at SNR ≥ 40, while overestimated at SNR ≤ 30.
“the restricted diffusion fraction was well-estimated at SNR ≥ 40 while overestimated at SNR ≤ 30 (Fig. 5C);”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAt SNR=100, DBSI-derived axial diffusivity, radial diffusivity, restricted isotropic diffusion fraction, and non-restricted isotropic diffusion fraction were all estimated with high precision.
“At SNR=100, DBSI axial diffusivity, radial diffusivity, restricted isotropic diffusion and non-restricted isotropic diffusion fractions were all estimated with high precision indicated by a small interquartile range and absence of outliers (Fig. 5).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAt SNR ≥ 30, 25-direction DBSI-derived axial diffusivity was well-estimated, while at SNR = 20 it was slightly underestimated.
“At the SNR range readily achieved on typical animal and clinical scanner (SNR = 20 - 40), 25-direction DBSI-derived axial diffusivity was well-estimated (i.e., falls within the middle half of values at SNR=100) at SNR ≥ 30 while slightly underestimated at SNR = 20 (Fig. 5A);”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn fixed trigeminal nerve only phantoms (N=7) with 99-direction diffusion weighted data (SNR = 40), DBSI-derived λ∥ was 1.09 ± 0.06 μm2/ms, λ⊥ was 0.15 ± 0.02 μm2/ms, and FA was 0.84 ± 0.02.
“For 99-direction diffusion weighted data (SNR = 40) from fixed trigeminal nerve only phantoms (N=7), DTI derived λ∥ = 0.77 ± 0.05 μm2/ms, λ⊥ = 0.18 ± 0.02 μm2/ms, and FA = 0.72 ± 0.04 were compared with those derived using DBSI where λ∥ = 1.09 ± 0.06 μm2/ms, λ⊥ = 0.15 ± 0.02 μm2/ms, FA = 0.84 ± 0.02 (n = 7, mean ± standard deviation).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDBSI estimated axonal fiber fraction to be 67 ± 3%, cellularity to be 14 ± 2%, and extra-axonal/extracellular space to be 20 ± 3% of the total signal intensity in fixed trigeminal nerve only phantoms.
“DBSI estimated axonal fiber fraction to be 67 ± 3%, cellularity to be 14 ± 2%, and extra- axonal/extracellular space to be 20 ± 3% of the total signal intensity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataQualitatively, axonal injury (decreased λ∥) and demyelination (increased λ⊥) occurred within the regions where increased cellularity (increased restricted isotropic diffusion fraction) was present.
“Qualitatively, axonal injury (decreased λ∥) and demyelination (increased λ⊥) occurred within the regions where increased cellularity (increased restricted isotropic diffusion fraction) was present (Figs. 6b, d, and e).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn fixed trigeminal nerve only phantoms (N=7) with 99-direction diffusion weighted data (SNR = 40), DTI-derived λ∥ was 0.77 ± 0.05 μm2/ms, λ⊥ was 0.18 ± 0.02 μm2/ms, and FA was 0.72 ± 0.04.
“For 99-direction diffusion weighted data (SNR = 40) from fixed trigeminal nerve only phantoms (N=7), DTI derived λ∥ = 0.77 ± 0.05 μm2/ms, λ⊥ = 0.18 ± 0.02 μm2/ms, and FA = 0.72 ± 0.04 were compared with those derived using DBSI where λ∥ = 1.09 ± 0.06 μm2/ms, λ⊥ = 0.15 ± 0.02 μm2/ms, FA = 0.84 ± 0.02 (n = 7, mean ± standard deviation).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data25-direction DBSI-derived non-restricted diffusion fraction was well-estimated at SNR ≥ 30, while underestimated at SNR = 20.
“and non-restricted diffusion fraction was well-estimated at SNR ≥ 30 while underestimated at SNR = 20 (Fig. 5D).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn Monte-Carlo simulation with increasing extra-fiber cellularity, DTI-derived λ∥ and FA significantly decreased, while DBSI-derived parameters were largely unaffected.
“Diffusion parameters derived by DTI were significantly affected with increasing cellularity, i.e., DTI derived λ∥, and FA significantly decreased with increasing cellularity while DBSI derived parameters were largely unaffected (Fig. 3).”
Quote in the paperSubstantial claim- Rests on an assumption: The fixed trigeminal nerve phantom with 2% agar gel is a valid model of vasogenic edema.
May combine two claims.
Findingown dataDAPI-positive nuclear counts increased in EAE optic nerves compared with controls but did not reach statistical significance (6.6 × 103 ± 5.0 × 103 vs. 3.5 × 103 ± 0.7 × 103 counts/mm2; p = 0.2).
“The DAPI-positive nuclear counts increased in EAE optic nerves (6.6 × 103 ± 5.0 × 103 vs. 3.5 × 103 ± 0.7 × 103 counts/mm2) without reaching a statistical significance (p = 0.2).”
Quote in the paperNot a substantial claim- Rests on an assumption: Current MRI methods do not assess specific elements of CNS pathology.
May combine two claims.
Findingown dataIn Monte-Carlo simulation data, DTI-derived FA decreased while λ∥ and λ⊥ increased with increasing vasogenic edema (extra-axonal/extracellular space, non-restricted isotropic diffusion component), whereas DBSI-derived FA, λ∥, and λ⊥ remained relatively stable.
“A comparable observation was seen in MC simulation data where DTI derived FA decreased while λ∥, λ⊥ increased with increasing vasogenic edema (i.e., extra-axonal/extracellular space, non-restricted isotropic diffusion component; Fig. 2B) with relatively stable DBSI derived FA, λ∥, and λ⊥.”
Quote in the paperSubstantial claim- Rests on an assumption: The Monte-Carlo simulation models using spheres and extra-axonal space accurately represent cellularity and vasogenic edema in tissue.
- Rests on an assumption: The fixed trigeminal nerve phantom with 2% agar gel is a valid model of vasogenic edema.
Classified as probably not a substantial claim.
Premisenone givenThe partial volume effect of CSF (non-restricted free isotropic diffusion) on DTI indices limits DTI capability in regions abutting CSF, such as periventricular regions commonly affected by MS.
“The partial volume effect of CSF, i.e., non-restricted (free) isotropic diffusion, on DTI indices has long been recognized, and limits DTI capability in regions abutting CSF, such as periventricular regions that are commonly affected by MS.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductnone givenMatched sham control mice were randomly selected for in vivo DBSI acquisition whenever an EAE mouse was imaged.
“Matched sham control mice were randomly selected for in vivo DBSI acquisition whenever an EAE mouse was imaged.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe Monte-Carlo simulation was repeated 20 times for each SNR level.
“The simulation was repeated 20 times for each SNR level.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe increased optic nerve area method is nonspecific, as a changed nerve cross-sectional size may reflect cell infiltration and/or edema and is further confounded by any tissue loss.
“Unfortunately, this method is nonspecific, as a changed nerve cross-sectional size may reflect cell infiltration and/or edema and is further confounded by any tissue loss that may be present (Hickman et al., 2004a).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hickman et al., 2004a
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
May combine two claims.
InterpretationcitationThe finding that increased cellularity did not always correspond to visible nerve damage is consistent with the pathogenesis of optic neuritis in EAE, in which nerve injury originates from induced CNS inflammation but may not always occur with inflammation, and when it does occur axon injury may extend well outside the region of inflammation.
“This is consistent with the pathogenesis of optic neuritis in EAE, i.e., nerve injury originates from the induced CNS inflammation but may not always occur with inflammation, and when it does occur axon injury may extend well outside the region of inflammation (Iglesias et al., 2001, Gold et al., 2006).”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Study design and conductnone givenDBSI in its current form does not consider the effect of water exchange between intracellular and extracellular space, which can potentially affect the accuracy of DBSI metrics, especially under pathological conditions where cell membrane permeability may be altered.
“DBSI in its current form does not consider the effect of water exchange between intracellular and extracellular space, which can potentially affect the accuracy of DBSI metrics, especially under pathological conditions where the permeability of cell membranes may be altered.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIncreased optic nerve area (swelling) has been considered to reflect the severity of inflammation in acute optic neuritis.
“An increased optic nerve area (swelling) has also been considered to reflect the severity of inflammation in acute optic neuritis (Hickman et al., 2004a, Boretius et al., 2008).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Hickman et al., 2004a
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Boretius et al., 2008 source
May combine two claims.
PremisecitationGadolinium-enhanced T1W images reflect leakage of the blood-brain barrier without information regarding cellular infiltration.
“For example, gadolinium-enhanced T1W images reflect the leakage of blood-brain barrier (Guy et al., 1990, Hickman et al., 2004b, Qi et al., 2007) without information regarding the cellular infiltration.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Guy et al., 1990 source
- cites Hickman et al., 2004b
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Qi et al., 2007
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
The paper relies on this without support.
The impact of increased cellularity on diffusion anisotropy was unclear at the time of the study.
“However, its impact on diffusion anisotropy remains unclear.”
The authors state this as an assumption.
DTI assumes that diffusion of water molecules in CNS white matter follows mono-exponential diffusion-weighted signal decay and can be modeled by a single anisotropic tensor.
“DTI assumes that diffusion of water molecules in the CNS white matter follows mono-exponential diffusion weighted signal decay (typically at b-value < 1000 s/mm2), and was modeled by a single anisotropic tensor.”
The authors state this as an assumption.
The boundaries of axon and cell components in the Monte-Carlo simulation are impermeable.
“The boundaries of the axon and cell components were assumed to be impermeable.”
The authors state this as an assumption.
T1 and T2 decay effects for all spin trajectories in the Monte-Carlo simulation can be neglected.
“The effect of T1 and T2 decay for all spin trajectories were neglected (Liu et al., 2004).”
The authors state this as an assumption.
Intracellular water can be modeled as restricted isotropic diffusion due to hindrance of cell membranes and sub-cellular structures.
“To the first approximation, the intracellular water may be modeled as restricted isotropic diffusion due to the hindrance of cell membranes and sub-cellular structures.”
The paper relies on this without support.
A more comprehensive study was needed to investigate the effect of increased cellularity and vasogenic edema associated with inflammation.
“Although the effect of increased cell infiltration and edema on DTI-derived indices has been demonstrated previously using cuprizone treated mouse model and mouse trigeminal nerve phantoms (Wang, 2011), a more comprehensive study was needed to investigate the effect of increased cellularity and vasogenic edema associated with inflammation.”
The authors state this as an assumption.
Water spins in the Monte-Carlo simulation can move in or out of the imaging voxel without constraints, reflecting the real physical condition.
“During the simulation, water spins were allowed to walk in or out of the imaging voxel without constrains to reflect the real physical condition (Liu et al., 2004).”
The paper relies on this without support.
The non-restricted isotropic diffusion fraction measured by DBSI corresponds to vasogenic edema.
“The non-restricted isotropic diffusion fraction (i.e., the putative vasogenic edema) was also significantly higher in EAE optic nerves than that of the control (0.15 ± 0.03 vs. 0.03 ± 0.01, p < 0.0001).”
The paper relies on this without support.
The Monte-Carlo simulation models using spheres and extra-axonal space accurately represent cellularity and vasogenic edema in tissue.
“Since cellularity is difficult to change experimentally using the fixed nerve, MC simulation was performed with various extents of extra-fiber cells (i.e., spheres, restricted isotropic diffusion component) to mimic cellularity changes.”
The paper relies on this without support.
The fixed trigeminal nerve phantom with 2% agar gel is a valid model of vasogenic edema.
“With the addition of 2% agar gel, DTI derived λ⊥ or FA was significantly affected while DBSI derived parameters remained unchanged (Fig. 2A).”
The paper relies on this without support.
The EAE mouse model at the onset of optic neuritis is representative of human optic neuritis and CNS inflammation.
“In Vivo DBSI of EAE Mice at the Onset of Optic Neuritis”
The paper relies on this without support.
DAPI-positive nuclear counts represent cellularity.
“DAPI-positive nuclear counts correlated with DBSI estimated cellularity (r = 0.65, p = 0.042; Fig. 7E).”
The paper relies on this without support.
Current MRI methods do not assess specific elements of CNS pathology.
“MRI greatly aids CNS disease diagnosis, but current methods do not assess specific elements of CNS pathology.”
The paper relies on this without support.
Gd+ MRI is not sensitive to small inflammatory lesions or inflammation behind the intact blood-CNS barrier.
“However, Gd+ MRI is not sensitive to small inflammatory lesions or inflammation behind the intact BBB, underscoring the need to improve imaging sensitivity and specificity to identify new beneficial therapies.”
The paper relies on this without support.
99-direction human whole brain DBSI scans can be performed within 15 minutes on 3.0 T clinical scanners with fast diffusion-weighted EPI.
“With fast diffusion-weighted EPI sequence available on 3.0 T clinical scanners, 99-direction human whole brain DBSI scans can be performed within 15 minutes, making DBSI protocol feasible for routine clinical scanning of patients.”
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BackgroundComposite hindered and restricted model of diffusion (CHARMED) MR imaging of the human brain
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BackgroundSpatial transformations of diffusion tensor magnetic resonance images
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BackgroundQuantification of increased cellularity during inflammatory demyelination
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BackgroundCharacterizing non‐gaussian diffusion by using generalized diffusion tensors
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BackgroundVellinga, M. M., Oude Engberink, R. D., Seewann, A., Pouwels, P. J. W., Wattjes, M. P., van der Pol, S. M. A., Pering, C., Polman, C. H., de Vries, H. E., Geurts, J. J. G., et al. (2008) · Brain · doi:10.1093/brain/awn009 · Cited by 183 · see citing works
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BackgroundMethodAnisotropic noise propagation in diffusion tensor MRI sampling schemes
Batchelor, P. G., Atkinson, D., Hill, D., Calamante, F., & Connelly, A. (2003) · Magnetic Resonance in Medicine · doi:10.1002/mrm.10491 · Cited by 139 · cited 7× · see citing works
“25-Direction icosahedral sampling scheme (Batchelor et al., 2003)”
MethodInfluentialA serial MRI study following optic nerve mean area in acute optic neuritis
Hickman, S. J. (2004) · Brain · doi:10.1093/brain/awh284 · Cited by 133 · cited 3× · see citing works
“Unfortunately, this method is nonspecific, as a changed nerve cross-sectional size may reflect cell infiltration and/ or edema and is further confounded by any tissue loss that may be present (Hickman et al., 2004a).”
BackgroundMethodQi, X., Lewin, A. S., Sun, L., Hauswirth, W. W., & Guy, J. R. (2007) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.06-0553 · Cited by 124 · cited 1× · see citing works
“For example, gadolinium-enhanced T1W images reflect the leakage of blood–brain barrier (Guy et al., 1990; Hickman et al., 2004b; Qi et al., 2007) without information regarding the cellular infiltration.”
BackgroundVisual recovery following acute optic neuritis
Hickman, S. J., Toosy, A., Miszkiel, K., JONES, S. J., Altmann, D. R., MacManus, D. G., Plant, G. T., Thompson, A. J., & Miller, D. (2004) · Journal of Neurology · doi:10.1007/s00415-004-0477-1 · Cited by 106 · see citing works
Papadakis, N. G., Martin, K. M., Mustafa, M. H., Wilkinson, I. D., Griffiths, P. D., Huang, C. L. ‐., & Woodruff, P. W. R. (2002) · Magnetic Resonance in Medicine · doi:10.1002/mrm.10204 · Cited by 93 · cited 1× · see citing works
“The inclusion of the isotropic component of free diffusion improved fiber diffusion measurements (Alexander et al., 2001; Papadakis et al., 2002).”
BackgroundGadolinium-DTPA-enhanced magnetic resonance imaging in optic neuropathies
Guy, J., Mancuso, A., Quisling, R. G., Beck, R., & Moster, M. (1990) · Ophthalmology · doi:10.1016/s0161-6420(90)32537-x · Cited by 90 · see citing works
Parametric Representation of Multiple White Matter Fascicles from Cube and Sphere Diffusion MRI
Scherrer, B., & Warfield, S. (2012) · PLoS ONE · doi:10.1371/journal.pone.0048232 · Cited by 86 · see citing works
Increased diffusivity in acute multiple sclerosis lesions predicts risk of black hole
Naismith, R. T., Xu, J., Tutlam, N. T., Scully, P. T., Trinkaus, K., Snyder, A. Z., Song, S.-K., & Cross, A. H. (2010) · Neurology · doi:10.1212/wnl.0b013e3181e042c4 · Cited by 85 · cited 1× · see citing works
“For example, inflammation associated vasogenic edema has been recognized to increase apparent diffusion coefficient (ADC) and underestimate the DTI-derived FA of fiber tracts (Naismith et al., 2010; Pasternak et al., 2009).”
BackgroundSelf-citationIn vivo MRI analysis of an inflammatory injury in the developing brain
Lodygensky, G. A., West, T., Stump, M., Holtzman, D. M., Inder, T. E., & Neil, J. J. (2009) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2009.11.005 · Cited by 71 · cited 1× · see citing works
“An in vivo experiment of white matter inflammation in rats has suggested the association of changes in DTI-derived ADC with the evolution of pathology (Lodygensky et al., 2010).”
BackgroundStolzenburg, J., Reichenbach, A., & Neumann, M. (1989) · Glia · doi:10.1002/glia.440020203 · Cited by 66 · see citing works
MRI of optic neuritis in a rat model
Boretius, S., Gadjanski, I., Demmer, I., Bähr, M., Diem, R., Michaelis, T., & Frahm, J. (2008) · NeuroImage · doi:10.1016/j.neuroimage.2008.02.021 · Cited by 37 · see citing works
Double embedding in agar/paraffin wax as an aid to orientation of mucosal biopsies.
Blewitt, E. S., Pogmore, T., & Talbot, I. C. (1982) · Journal of Clinical Pathology · doi:10.1136/jcp.35.3.365-b · Cited by 29 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Chiang, 2011, Acute visual function impairment in EAE is primarily caused by optic nerve inflammation as assessed by DBSI, Proc. Int. Soc. Magn. Reson. Med., 20, 3085
- Tu, 2010, Using absorption-mode images to improve in vivo DTI quality, Proc. Int. Soc. Magn. Reson. Med., 18, 4001
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Sorted by citations
Understanding the Physiopathology Behind Axial and Radial Diffusivity Changes—What Do We Know?
Winklewski, P. J., Sabisz, A., Naumczyk, P., Jodzio, K., Szurowska, E., & Szarmach, A. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.00092 · Cited by 463 · see citing works
Design and Validation of Diffusion MRI Models of White Matter
Jelescu, I. O., & Budde, M. D. (2017) · Frontiers in Physics · doi:10.3389/fphy.2017.00061 · Cited by 240 · see citing works
“[67] demonstrated strong correlations between axial diffusivity (a DBSI parameter related to Da,‖) and axon integrity, radial diffusivity (a parameter related to De,⊥), and myelinated axons, and cell ratio (a parameter related to Diso) and histological cell counts, with similar findings reported in the experimental au…”
Quantitative magnetic resonance imaging towards clinical application in multiple sclerosis
Granziera, C., Wuerfel, J. T., Barkhof, F., Calabrese, M., Stefano, N. D., Enzinger, C., Evangelou, N., Filippi, M., Geurts, J. J. G., Reich, D. S., et al. (2021) · Brain · doi:10.1093/brain/awab029 · Cited by 206 · see citing works
“Diffusion-based spectrum imaging (DBSI) models the diffusion signal as a linear combination of anisotropic diffusion tensors reflecting fibres, which are predominantly axon fibres in white matter, and a spectrum of isotropic diffusion tensors that encompass cells, oedema, and CSF.(101,102) Neurite orientation dispersi…”
BackgroundKodiweera, C., Alexander, A. L., Harezlak, J., McAllister, T. W., & Wu, Y.-C. (2016) · NeuroImage · doi:10.1016/j.neuroimage.2015.12.033 · Cited by 179 · see citing works
“…(Pasternak et al. 2009); three compartments of fast isotropic diffusion, restricted isotropic diffusion, and restrict anisotropic diffusion (Chiang et al. 2014); or three compartments of fast isotropic diffusion (e.g., cerebrospinal fluid (CSF)), anisotropic hindered diffusion (e.g.,…”
Wang, Y., Sun, P., Wang, Q., Trinkaus, K. M., Schmidt, R. E., Naismith, R. T., Cross, A. H., & Song, S. (2015) · Brain · doi:10.1093/brain/awv046 · Cited by 162 · see citing works
“We thus developed DBSI and have previously accurately captured the severity of axonal injury, demyelination, and inflammation in white matter tracts from mouse models of CNS inflammatory demyelination (Wang et al., 2011b, 2014; Chiang et al., 2014).”
InfluentialSelf-citationChallenges for biophysical modeling of microstructure
Jelescu, I., Palombo, M., Bagnato, F. R., & Schilling, K. G. (2020) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2020.108861 · Cited by 165 · see citing works
“The key advantage of biophysical models is going beyond the Gaussian approximation regime, where really interesting and subtle features of microstructure become manifest.”
BackgroundApplication and evaluation of NODDI in the cervical spinal cord of multiple sclerosis patients
By, S., Xu, J., Box, B. A., Bagnato, F. R., & Smith, S. A. (2017) · NeuroImage Clinical · doi:10.1016/j.nicl.2017.05.010 · Cited by 108 · see citing works
“…models in order to more accurately characterize the diffusion signal in the presence of multiple tissue compartments or milieu (Alexander, 2008; Assaf and Basser, 2005; Assaf et al., 2008; Behrens et al., 2003; Chiang et al., 2014; Stanisz et al., 1997; Xu et al., 2014; Zhang et al., 2012).”
Achievements and obstacles of remyelinating therapies in multiple sclerosis
Stangel, M., Kuhlmann, T., Matthews, P. M., & Kilpatrick, T. J. (2017) · Nature Reviews Neurology · doi:10.1038/nrneurol.2017.139 · Cited by 109 · see citing works
Samara, A., Murphy, T., Strain, J. F., Rutlin, J. R., Sun, P., Neyman, O., Sreevalsan, N., Shimony, J. S., Ances, B. M., Song, S., et al. (2020) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2019.00464 · Cited by 88 · see citing works
Self-citationHarris, N. G., Verley, D. R., Gutman, B. A., & Sutton, R. L. (2016) · NeuroImage · doi:10.1016/j.neuroimage.2016.03.012 · Cited by 83 · see citing works
“…changes that result in alteration in diffusion characteristics is an ongoing process in many CNS diseases states, for example, multiple sclerosis (Budde et al., 2009; Chiang et al., 2014; Song et al., 2002) as well as TBI (Budde et al., 2011; Laitinen et al., 2010, 2015; MacDonald et al., 2007).”
BackgroundDance and music training have different effects on white matter diffusivity in sensorimotor pathways
Giacosa, C., Karpati, F. J., Foster, N. E. V., Penhune, V. B., & Hyde, K. L. (2016) · NeuroImage · doi:10.1016/j.neuroimage.2016.04.048 · Cited by 81 · see citing works
“Similarly, highly fanning tracts that make connections with broader, or even divergent (Kalil and Dent, 2014), cortical regions would have a less coherent orientation than more coherent tracts that connect narrower regions, potentially leading to lower FA and higher RD values (Budde and Annese, 2013; Chiang et al., 20…”
Weiss, C., Tursunova, I., Neuschmelting, V., Lockau, H., Nettekoven, C., Oros‐Peusquens, A., Stoffels, G., Rehme, A. K., Faymonville, A. M., Shah, N. J., et al. (2015) · NeuroImage Clinical · doi:10.1016/j.nicl.2015.01.006 · Cited by 74 · see citing works
“FAT and MFL The FA is a useful indicator for the validity of reconstructed fibre tracts since it describes the degree of directionality of the diffusion process and, hence, is widely accepted as a measure for structural white matter integrity (Basser and Pierpaoli, 1996, 2011; Chiang et al., 2014; Dacosta-Aguayo et al…”
BackgroundZaninovich, O. A., Ávila, M. J., Kay, M. D., Becker, J., Hurlbert, R. J., & Martirosyan, N. L. (2019) · Neurosurgical FOCUS · doi:10.3171/2019.1.focus18591 · Cited by 65 · see citing works
Diffusion-Weighted Imaging in Mild Traumatic Brain Injury: A Systematic Review of the Literature
Lindsey, H. M., Hodges, C. B., Greer, K. M., Wilde, E. A., & Merkley, T. L. (2021) · Neuropsychology Review · doi:10.1007/s11065-021-09485-5 · Cited by 63 · see citing works
Wang, Q., Wang, Y., Liu, J., Sutphen, C. L., Cruchaga, C., Blazey, T., Gordon, B. A., Su, Y., Chen, C., Shimony, J. S., et al. (2019) · NeuroImage: Clinical · doi:10.1016/j.nicl.2019.101767 · Cited by 63 · see citing works
Self-citationErcan, E., Ingo, C., Tritanon, O., Checa, C. M., Smith, A. K., Smith, S. A., Huizinga, T. W. J., van Buchem, M. A., & Ronen, I. (2015) · NeuroImage Clinical · doi:10.1016/j.nicl.2015.05.002 · Cited by 58 · see citing works
“A recent investigation of the DTI correlates of vasogenic edema using both Monte-Carlo simulations and tissue phantom data showed that increased extent of vasogenic edema could result in decreased FA, increased RD and less significantly increased AD, similarly to the results in our study (Chiang et al., 2014).”
Result“A new imaging modality to non-invasively assess multiple sclerosis pathology”
Cross, A. H., & Song, S. (2016) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2016.10.002 · Cited by 56 · see citing works
“…25-direction sampling scheme as prescribed (Batchelor et al., 2003) with the addition of one extra non-diffusion (b = 0) weighted image can be sufficient for regions with more coherent non-crossing tracts, such as found in the spinal cord and optic nerve (Chiang et al., 2014; Murphy et al., 2016).”
Self-citationHybrid Diffusion Imaging in Mild Traumatic Brain Injury
Wu, Y., Mustafi, S. M., Harezlak, J., Kodiweera, C., Flashman, L. A., & McAllister, T. W. (2018) · Journal of Neurotrauma · doi:10.1089/neu.2017.5566 · Cited by 57 · see citing works
Lucas, C. W., Tursunova, I., Neuschmelting, V., Nettekoven, C., Oros‐Peusquens, A., Stoffels, G., Faymonville, A. M., Jon, S. N., Langen, K., Lockau, H., et al. (2016) · NeuroImage Clinical · doi:10.1016/j.nicl.2016.11.022 · Cited by 53 · see citing works
“The FA describes the degree of directionality of the diffusion process and therefore serves as a useful indicator for the integrity of reconstructed fibre tracts (Basser and Pierpaoli, 1996, 2011; Chiang et al., 2014; Dacosta-Aguayo et al., 2014; Holtrop et al., 2014; Van der Werff et al., 2014).”
BackgroundDeep learning with diffusion basis spectrum imaging for classification of multiple sclerosis lesions
Ye, Z., George, A., Wu, A. T., Niu, X., Lin, J. Y.-Y., Adusumilli, G., Naismith, R. T., Cross, A. H., Sun, P., & Song, S. (2020) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.51037 · Cited by 52 · see citing works
“3 μm(2)/ms ≤ ADC ≤3 μm(2)/ms) and free (ADC ≥ 3 μm(2)/ms) isotropic diffusion components represent water molecules in less densely packed environments, such as areas of tissue disintegration or edema, or contaminating cerebrospinal fluid (CSF).(12,19,20)”
BackgroundMethodSelf-citationHuang, S. Y., Tobyne, S. M., Nummenmaa, A. R., Witzel, T., Wald, L. L., McNab, J. A., & Klawiter, E. C. (2016) · Radiology · doi:10.1148/radiol.2016151582 · Cited by 45 · see citing works
Diffusion MRI quantifies early axonal loss in the presence of nerve swelling
Lin, T.-H., Chiang, C.-W., Perez-Torres, C. J., Sun, P., Wallendorf, M., Schmidt, R. E., Cross, A. H., & Song, S.-K. (2017) · Journal of Neuroinflammation · doi:10.1186/s12974-017-0852-3 · Cited by 42 · see citing works
Self-citationChan, K. C., Kancherla, S., Fan, S.-J., & Wu, E. X. (2014) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.14-14287 · Cited by 41 · see citing works
Sprooten, E., O’Halloran, R., Dinse, J., Lee, W. H., Moser, D. A., Doucet, G. E., Goodman, M. C., Krinsky, H., Paulino, A. J., Rasgon, A., et al. (2018) · NeuroImage · doi:10.1016/j.neuroimage.2018.10.023 · Cited by 40 · see citing works
Ye, Z., Price, R. L., Liu, X., Lin, J. Y.-Y., Yang, Q., Sun, P., Wu, A. T., Wang, L. Y., Han, R. H., Song, C., et al. (2020) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-20-0736 · Cited by 41 · see citing works
Self-citationNon-invasive quantification of inflammation, axonal and myelin injury in multiple sclerosis.
Schiavi, S., Petracca, M., Sun, P., Fleysher, L., Cocozza, S., Mendili, M. E. E., Signori, A., Babb, J., Podranski, K., Song, S.-K., et al. (2020) · Brain : a journal of neurology · doi:10.1093/brain/awaa381 · Cited by 37 · see citing works
Self-citationDiffusion Assessment of Cortical Changes, Induced by Traumatic Spinal Cord Injury
Sun, P., Murphy, R. K. J., Gamble, P. G., George, A., Song, S., & Ray, W. Z. (2017) · Brain Sciences · doi:10.3390/brainsci7020021 · Cited by 35 · see citing works
“While providing a valuable tool to assess white matter integrity, unfortunately it is now recognized that DTI loses specificity and sensitivity with increasing pathological and anatomical complexity [4,16,17].”
MethodSelf-citationStrain, J. F., Burdo, T. H., Song, S., Sun, P., El-Ghazzawy, O., Nelson, B., Westerhaus, E. T., Baker, L., Vaida, F., & Ances, B. M. (2017) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000001513 · Cited by 37 · see citing works
“In single diffusion models FA values reflect the diffusion signal (Figure 1 adapted from Chiang et al., 2014) but do not dissociate anisotropic from isotropic diffusion.”
BackgroundSelf-citationMagnetic Resonance Imaging Biomarker of Axon Loss Reflects Cervical Spondylotic Myelopathy Severity
Murphy, R. K. J., Sun, P., Xu, J., Wang, Y., Sullivan, S., Gamble, P. G., Wagner, J. M., Wright, N. N., Dorward, I. G., Riew, D. K., et al. (2015) · Spine · doi:10.1097/brs.0000000000001337 · Cited by 35 · see citing works
“Changes in these directional diffusivities derived from DTI have been demonstrated to reflect the white matter integrity.(12,13) Specifically, demyelination is thought to increase RD, presumably due to the loss of myelin integrity resulting in increased inter-axonal space.”
BackgroundSelf-citationSkinner, N. P., Kurpad, S. N., Schmit, B. D., & Budde, M. D. (2015) · NMR in Biomedicine · doi:10.1002/nbm.3405 · Cited by 35 · see citing works
“An increase in the intracellular volume fraction caused the measured diffusivity and kurtosis measured perpendicular to the fibers to decrease and increase, respectively, which recapitulates previous simulation studies (61,71).”
ResultMustafi, S., Harezlak, J., Kodiweera, C., Randolph, J. S., Ford, J. C., Wishart, H., & Wu, Y.-C. (2019) · Neural Regeneration Research · doi:10.4103/1673-5374.243716 · Cited by 33 · see citing works
“…(Pasternak et al., 2009); three compartments of fast isotropic diffusion, slow restricted isotropic diffusion, and restricted anisotropic diffusion (Chiang et al., 2014); and three compartments of fast isotropic diffusion ( e.g ., CSF), anisotropic hindered diffusion ( e.g ., extracellular water),…”
Fan, C., Zhao, Y., Qian, Y., Yin, W., Liu, H., Lin, J., Yang, T., Fan, M., Gesang, L., & Zhang, J. (2016) · Scientific Reports · doi:10.1038/srep33596 · Cited by 33 · see citing works
Schiavi, S., Palombo, M., Zacà, D., Tazza, F., Lapucci, C., Castellan, L., Costagli, M., & Inglese, M. (2023) · Human Brain Mapping · doi:10.1002/hbm.26416 · Cited by 32 · see citing works
“…models based on geometrical assumptions have been proposed (Alexander et al., 2019; Chiang et al., 2014; Coelho et al., 2022; Jelescu et al., 2020; Jespersen et al., 2010; Novikov, Kiselev, et al., 2018; Novikov, Veraart, et al., 2018; Shemesh et al., 2015; Suh et al., 2003; Wang et al., 2014).”
MethodDiffusion basis spectrum imaging provides insights into MS pathology
Sun, P., George, A., Perantie, D. C., Trinkaus, K. M., Ye, Z., Naismith, R. T., Song, S., & Cross, A. H. (2019) · Neurology Neuroimmunology & Neuroinflammation · doi:10.1212/nxi.0000000000000655 · Cited by 33 · see citing works
Self-citationAquaporin-4 Expression during Toxic and Autoimmune Demyelination
Rohr, S. O., Greiner, T., Joost, S., Amor, S., van der Valk, P., Schmitz, C., & Kipp, M. (2020) · Cells · doi:10.3390/cells9102187 · Cited by 30 · see citing works
“Edema formation, to a variable extent, has been demonstrated in MS [49–52] as well as the EAE [53,54] and cuprizone animal models [55,56].”
BackgroundObenaus, A., & Badaut, J. (2021) · Journal of Neuroscience Research · doi:10.1002/jnr.24837 · Cited by 32 · see citing works
“However the primary objective of the reported studies has not been to identify edema per se (Chiang et al., 2014; Hoefnagels et al., 2014).”
BackgroundWang, Q., Schindler, S. E., Chen, G., McKay, N. S., McCullough, A. A., Flores, S. E., Liu, J., Sun, Z., Wang, S., Wang, W., et al. (2024) · Neurology · doi:10.1212/wnl.0000000000208013 · Cited by 28 · see citing works
Self-citationYe, Z., Gary, S. E., Sun, P., Mustafi, S. M., Glenn, G. R., Yeh, F.-C. F., Merisaari, H., Song, C., Yang, R., Huang, G., et al. (2020) · NMR in Biomedicine · doi:10.1002/nbm.4414 · Cited by 27 · see citing works
“In our previous works,(22,34) we used a single fixed mouse trigeminal nerve juxtaposed with agar gel and demonstrated that DTI failed to accurately estimate axial diffusivity (AD), radial diffusivity (RD) and fractional anisotropy (FA), while DBSI could accurately calculate these metrics.(22,34) Additionally, DBSI was…”
BackgroundMethodInfluentialSelf-citationYoung consumers’ brain responses to pop music on Youtube
Cha, K. C., Suh, M., Kwon, G., Yang, S.-E., & Lee, E. (2019) · Asia Pacific Journal of Marketing and Logistics · doi:10.1108/apjml-04-2019-0247 · Cited by 26 · see citing works
Ly, M. J., Raji, C. A., Yu, G. Z., Wang, Q., Wang, Y., Schindler, S. E., An, H., Samara, A., Eisenstein, S. A., Hershey, T. G., et al. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-201242 · Cited by 26 · see citing works
“Briefly, this model incorporates voxel-wise diffusion tensors represent-ingarangeofpotentialpathologicalcomponentssuchasextracellularwater,thatisaconsideredmarkerof edemarelatedtoneuroinflammation[29,30].”
Self-citationTayebi, M., Holdsworth, S. J., Champagne, A. A., Cook, D. J., Nielsen, P. M. F., Lee, T., Wang, A., Fernandez, J., & Shim, V. (2021) · Brain Injury · doi:10.1080/02699052.2021.1895313 · Cited by 26 · see citing works
Vavasour, I. M., Sun, P., Graf, C., Yik, J. T., Kolind, S., Li, D. K. B., Tam, R. C., Sayao, A., Schabas, A. J., Devonshire, V. A., et al. (2021) · Multiple Sclerosis Journal · doi:10.1177/13524585211023345 · Cited by 28 · see citing works
Self-citationFerris, J. K., Greeley, B., Vavasour, I. M., Kraeutner, S. N., Rinat, S., Ramirez, J., Black, S. E., & Boyd, L. A. (2022) · Brain Communications · doi:10.1093/braincomms/fcac142 · Cited by 27 · see citing works
“However, while changes to DTI microstructure are often interpreted as reflecting demyelination, FA and MD are also impacted by multiple factors beyond damage to myelinated axons, such as underlying fibre architecture, the presence of glial cells, and changes in local fluid.(24,25) This is an important caveat in interp…”
BackgroundSanders, A. F. P., Tirado, B. A., Seider, N. A., Triplett, R. L., Lean, R. E., Neil, J. J., Miller, J. P., Tillman, R., Smyser, T. A., Barch, D. M., et al. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-02782-6 · Cited by 27 · see citing works
Exploring experimental autoimmune optic neuritis using multimodal imaging
Manogaran, P., Walker-Egger, C., Samardzija, M., Waschkies, C. F., Grimm, C., Rudin, M., & Schippling, S. (2018) · NeuroImage · doi:10.1016/j.neuroimage.2018.04.004 · Cited by 26 · see citing works
“Previous studies have observed similar diffusivity changes in the murine model of MS (Sun et al., 2007b; Chiang et al., 2014; Wu et al., 2007).”
InfluentialZhan, J., Lin, T., Libbey, J. E., Sun, P., Ye, Z., Song, C., Wallendorf, M., Gong, H., Fujinami, R. S., & Song, S. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00077 · Cited by 25 · see citing works
“…reflecting dendritic density in the hippocampal CA1 region, correlated positively with MAP2-positive staining, which is also consistent with previous findings that fiber density correlated with axonal density (Wang et al., 2011, 2013; Chiang et al., 2014; Cross and Song, 2017; Lin et al., 2017).”
BackgroundMethodResultInfluentialSelf-citationKim, J., Park, H., Jeong, M., & Kang, T. (2020) · Antioxidants · doi:10.3390/antiox9090854 · Cited by 25 · see citing works
Li, Z. A., Samara, A., Ray, M. K., Rutlin, J. R., Raji, C. A., Shimony, J. S., Sun, P., Song, S., Hershey, T. G., & Eisenstein, S. A. (2023) · Cerebral Cortex Communications · doi:10.1093/texcom/tgad007 · Cited by 23 · see citing works
“…true anatomy, have been histopathologically validated as neuroinflammationsensitive using rodent and human neural tissue in multiple sclerosis (Wang et al. 2011, 2015; Chiang et al. 2014; Wang et al. 2014), epilepsy (Zhan et al. 2018), and optic neuritis (Lin et al. 2017; Yang et al. 2021).”
BackgroundInfluentialSelf-citationWu, H., Wang, X., Gao, Y., Lin, F., Song, T., Zou, Y., Xu, L., & Lei, H. (2016) · Neuroscience · doi:10.1016/j.neuroscience.2016.02.043 · Cited by 23 · see citing works
Mozersky, J. T., Hartz, S. M., Linnenbringer, E. L., Levin, L., Streitz, M. L., Stock, K., Moulder, K. L., & Morris, J. C. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-200993 · Cited by 22 · see citing works
“In our case, many of the research results being returned surpass clinical quality requirements [72-78], but they are not approved for clinical use.”
Diffusion kurtosis imaging study on temporal lobe after nasopharyngeal carcinoma radiotherapy
Wang, D., Li, Y., Jie, F., et al. (2016) · Brain Research · doi:10.1016/j.brainres.2016.07.041 · Cited by 22 · see citing works
Weber, A. M., Pukropski, A., Kames, C., et al. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.00575 · Cited by 22 · see citing works
“, an increase in extracellular fluid, such as vasogenic edema, should lead to increased radial diffusivity, and a partial increase in axial diffusivity (49).”
BackgroundSamara, A., Li, Z. A., Rutlin, J. R., Raji, C. A., Sun, P., Song, S., Hershey, T. G., & Eisenstein, S. A. (2021) · Obesity · doi:10.1002/oby.23201 · Cited by 21 · see citing works
Self-citationvan de Looij, Y., Dean, J. M., Gunn, A. J., Hüppi, P. S., & Sizonenko, S. V. (2015) · International Journal of Developmental Neuroscience · doi:10.1016/j.ijdevneu.2015.03.009 · Cited by 21 · see citing works
“Furthermore, although DTI derived parameters reflecting the tissue microstructural integrity changes, they can also be modulated by other pathological states such as extra-fiber cellularity or edema associated with inflammation (Chiang et al., 2014).”
BackgroundYik, J. T., Becquart, P., Gill, J., Petkau, J., Traboulsee, A. L., Carruthers, R. L., Kolind, S., Devonshire, V. A., Sayao, A., Schabas, A. J., et al. (2021) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2021.103366 · Cited by 19 · see citing works
Lin, T., Sun, P., Hallman, M. J., Hwang, F. C., Wallendorf, M., Ray, W. Z., Spees, W. M., & Song, S. (2018) · Journal of Neurotrauma · doi:10.1089/neu.2018.6016 · Cited by 20 · see citing works
“12,17,25,26 Regions of interest (ROIs) were manually drawn in ventral and lateral white matter tracts on the diffusion-weighted image, corresponding to the diffusion gradient direction perpendicular to white matter fiber tracts (with good gray-white matter contrast), to minimize partial volume…”
InfluentialSelf-citationSchmid, A. B., Campbell, J., Hurley, S. A., et al. (2018) · Investigative Radiology · doi:10.1097/rli.0000000000000492 · Cited by 19 · see citing works
Shirani, A., Sun, P., Schmidt, R. E., Trinkaus, K. M., Naismith, R. T., Song, S., & Cross, A. H. (2018) · Multiple Sclerosis Journal · doi:10.1177/1352458518786072 · Cited by 19 · see citing works
Self-citationMishra, A., Wang, F., Chen, L. M., & Gore, J. C. (2020) · Scientific Reports · doi:10.1038/s41598-020-74234-2 · Cited by 18 · see citing works
Sensitivity and specificity of diffusion MRI to neuroinflammatory processes
Jelescu, I., & Fieremans, E. (2023) · Advances in magnetic resonance technology and applications · doi:10.1016/b978-0-323-91771-1.00010-1 · Cited by 18 · see citing works
Myelin water imaging of moderate to severe diffuse traumatic brain injury
Choi, J. Y., Hart, T., Whyte, J., Rabinowitz, A. R., Oh, S., Lee, J., & Kim, J. (2019) · NeuroImage Clinical · doi:10.1016/j.nicl.2019.101785 · Cited by 18 · see citing works
“Recent evidence suggests that DTI metrics may not be specific to myelin integrity (Chiang et al., 2014; Wang et al., 2014).”
Kancherla, S., Kohler, W. J., van der Merwe, Y., & Chan, K. C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0165169 · Cited by 17 · see citing works
Zhu, F., Zeng, L., Gui, S., Liu, Y., Wang, Y., Cao, X., Lin, H., Yang, L., Kong, X., & Guo, X. (2021) · World Neurosurgery · doi:10.1016/j.wneu.2021.01.146 · Cited by 16 · see citing works
Self-citationBauer, C. M., & Merabet, L. B. (2024) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2301001 · Cited by 16 · see citing works
“However, changes in RD may not be specific to myelin integrity, but may also reflect changes in the extra-axonal water content [78,79].”
Zhang, J. K., Yakdan, S. M., Kaleem, M. I., et al. (2024) · Journal of Neurosurgery Spine · doi:10.3171/2024.4.spine24107 · Cited by 15 · see citing works
Self-citationLin, T., Zhan, J., Song, C., Wallendorf, M., Sun, P., Niu, X., Yang, R., Cross, A. H., & Song, S. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.592063 · Cited by 15 · see citing works
Self-citationDiffusion Basis Spectrum Imaging Provides Insights Into Cervical Spondylotic Myelopathy Pathology
Zhang, J. K., Jayasekera, D., Song, C., Greenberg, J. K., Javeed, S., Dibble, C. F., Blum, J., Sun, P., Song, S., & Ray, W. Z. (2022) · Neurosurgery · doi:10.1227/neu.0000000000002183 · Cited by 15 · see citing works
Self-citationMRI-based assessment of function and dysfunction in myelinated axons
Spees, W. M., Lin, T., Sun, P., Song, C., George, A., Gary, S. E., Yang, H.-C., & Song, S. (2018) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1801788115 · Cited by 15 · see citing works
“For samples with this type of tissue geometry, the 25-direction DW acquisition scheme has been shown to provide DBSI modeling results (fiber fractions, diffusivities, and isotropic diffusion components) in good agreement with those obtained using a more extensive 99-direction diffusion-weighting scheme when tested wit…”
MethodSelf-citationLongitudinal multiparametric MRI of traumatic spinal cord injury in animal models
Chen, L. M., Wang, F., Mishra, A., Yang, P., Sengupta, A., Reed, J. L., & Gore, J. C. (2023) · Magnetic Resonance Imaging · doi:10.1016/j.mri.2023.06.007 · Cited by 15 · see citing works
Otte, W. M., van der Marel, K., van Meer, M. P. A., van Rijen, P. C., Gosselaar, P. H., Braun, K. P. J., & Dijkhuizen, R. M. (2015) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1038/jcbfm.2015.101 · Cited by 15 · see citing works
Talbott, J. F., Nout‐Lomas, Y. S., Wendland, M. F., Mukherjee, P., Huie, J. R., Hess, C. P., Mabray, M. C., Bresnahan, J. C., & Beattie, M. S. (2015) · Journal of Neurotrauma · doi:10.1089/neu.2015.4102 · Cited by 14 · see citing works
Murphy, S. A., Furger, R., Kurpad, S. N., Arpinar, V. E., Nencka, A. S., Koch, K. M., & Budde, M. D. (2021) · American Journal of Neuroradiology · doi:10.3174/ajnr.a7295 · Cited by 13 · see citing works
Sun, Z., Wu, W., Zhao, P., Wang, Q., Woodard, P. K., Nelson, D. M., Odibo, A. O., Cahill, A. G., & Wang, Y. (2022) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.24959 · Cited by 13 · see citing works
Self-citationZhang, J. K., Jayasekera, D., Javeed, S., et al. (2022) · The Spine Journal · doi:10.1016/j.spinee.2022.12.003 · Cited by 13 · see citing works
Self-citationVasogenic Brain Edema During Maintenance Hemodialysis
Schaier, M., Wolf, R. C., Kubera, K. M., Nagel, S., Bartsch, A., Zeier, M., Bendszus, M., & Herweh, C. (2019) · Clinical Neuroradiology · doi:10.1007/s00062-019-00865-2 · Cited by 13 · see citing works
Jayasekera, D., Zhang, J. K., Blum, J., Jakes, R. S., Sun, P., Javeed, S., Greenberg, J. K., Song, S., & Ray, W. Z. (2022) · Journal of Neurosurgery Spine · doi:10.3171/2022.3.spine2294 · Cited by 12 · see citing works
Self-citationHu, Z., Sun, P., George, A., Zeng, X., Li, M., Lin, T., Ye, Z., Wei, X., Jiang, X., Song, S., et al. (2023) · European Radiology · doi:10.1007/s00330-023-09780-0 · Cited by 12 · see citing works
“The increase of cellularity (leading to reduced DTI-AD) and vasogenic edema (resulting in increased DTI-AD) is associated with neuroinflammation that typically caused the decrease in DTI-FA [14].”
BackgroundInfluentialSelf-citationZhang, J. K., Javeed, S., Greenberg, J. K., Yakdan, S. M., Kaleem, M. I., Botterbush, K. S., Benedict, B. C., Dibble, C. F., Sun, P., Sherrod, B. A., et al. (2024) · Neurosurgery · doi:10.1227/neu.0000000000003037 · Cited by 11 · see citing works
Self-citationZhang, J. K., Sun, P., Jayasekera, D., et al. (2022) · Spine · doi:10.1097/brs.0000000000004456 · Cited by 11 · see citing works
Self-citationDiffusivity in the core of chronic multiple sclerosis lesions
Klistorner, A., Wang, C., Yiannikas, C., Parratt, J., Barton, J., You, Y., Graham, S. L., & Barnett, M. H. (2018) · PLOS ONE · doi:10.1371/journal.pone.0194142 · Cited by 11 · see citing works
Dolatshahi, M., Commean, P. K., Rahmani, F., Xu, Y., Liu, J., Kasani, S. H., Naghashzadeh, M., Lloyd, L., Nguyen, C., McBee‐Kemper, A., et al. (2024) · Obesity · doi:10.1002/oby.24188 · Cited by 10 · see citing works
“A 99-direction diffusion-encoding scheme adapted from the previously prescribed DBSI was employed [ 14, 26].”
Self-citationZhu, F., Wang, Y., Kong, X., et al. (2022) · European Spine Journal · doi:10.1007/s00586-022-07207-w · Cited by 10 · see citing works
Self-citationSevere central nervous system demyelination in Sanfilippo disease
Taherzadeh, M., Zhang, E., Londoño, I., Song, S., Wang, S., Cooper, J. D., Kennedy, T. E., Morales, C. R., Chen, Z., Lodygensky, G. A., et al. (2023) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2023.1323449 · Cited by 10 · see citing works
“It has been also applied to detect white matter injury with edema or tissue loss [56-58].”
MethodSelf-citationCortical-cerebellar circuits changes in preschool ASD children by multimodal MRI
Yi, T., Ji, C., Wei, W., Wu, G., Jin, K., & Jiang, G. (2024) · Cerebral Cortex · doi:10.1093/cercor/bhae090 · Cited by 8 · see citing works
Waters, A. B., Sawyer, K. S., & Gansler, D. A. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107710 · Cited by 8 · see citing works
Han, R. H., Johanns, T. M., Roberts, K. F., Yu, T., Luo, J. R., Ye, Z., Sun, P., Blum, J., Lin, T., Song, S., et al. (2023) · Neuro-Oncology Advances · doi:10.1093/noajnl/vdad050 · Cited by 7 · see citing works
Self-citationHeterogeneity Diffusion Imaging of gliomas: Initial experience and validation
Wang, Q., Guzmán, G., Ponisio, M. R., LaMontagne, P., Dahiya, S. M., Marcus, D. S., Milchenko, M. V., Shimony, J. S., Liu, J., Chen, G., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0225093 · Cited by 7 · see citing works
Self-citationCriswell, S. R., Nielsen, S. S., Faust, I. M., Shimony, J. S., White, R. L., Lenox-Krug, J., & Racette, B. A. (2023) · NeuroToxicology · doi:10.1016/j.neuro.2023.04.013 · Cited by 7 · see citing works
“In comparison to conventional diffusion tensor imaging (DTI) modeling, DBSI modeling differentiates and quantifies multiple intravoxel pathological processes by assigning specific diffusion components to different pathologic mechanisms (Wang et al., 2011; Wang et al., 2014).”
InfluentialTherapeutic potential of COX-2 inhibitors in neuropsychiatric disorders
Sharma, V., Sharma, P., & Singh, T. G. (2025) · Journal of Neural Transmission · doi:10.1007/s00702-025-02932-0 · Cited by 8 · see citing works
“Changes in the levels of cytokines and an im-balance between immune responses were also detected (Chiang et al. 2014).”
Yang, R., Lin, T., Zhan, J., Lai, S., Song, C., Sun, P., Ye, Z., Wallendorf, M., George, A., Cross, A. H., et al. (2021) · NeuroImage Clinical · doi:10.1016/j.nicl.2021.102732 · Cited by 7 · see citing works
Self-citationKim, J.-W., Andersson, J., Seifert, A. C., Sun, P., Song, S., Dula, C., Naismith, R. T., & Xu, J. (2019) · NeuroImage · doi:10.1016/j.neuroimage.2019.03.058 · Cited by 7 · see citing works
“(iii) A 25 directional diffusion encoding table with different b values was used, which has been shown through simulation and small animal studies to provide reliable DBSI modeling results for single coherent fiber bundle, such as the optic nerve or spinal cord white matter (Chiang et al., 2014).”
MethodSelf-citationDiffusion basis spectrum imaging of white matter in schizophrenia and bipolar disorder
Mamah, D., Patel, A., Chen, S., Wang, Y., & Wang, Q. (2025) · Brain Imaging and Behavior · doi:10.1007/s11682-025-01021-w · Cited by 6 · see citing works
“( Wang et al., 2014) There has been increasing evidence for an inflammatory signature in the brain in schizophrenia, including overexpression of pro-inflammatory cytokines,(Fillman et al., 2014) changes to the blood–brain barrier with macrophage infiltration (Cai et al., 2020) and possible…”
Self-citationMyelin-weighted imaging derived from quantitative parameter mapping
Kanazawa, Y., Harada, M., Taniguchi, Y., Hayashi, H., Abe, T., Otomo, M., Matsumoto, Y., Ono, M., Ito, K. R., Bito, Y., et al. (2022) · European Journal of Radiology · doi:10.1016/j.ejrad.2022.110525 · Cited by 6 · see citing works
Zhang, J. K., Javeed, S., Greenberg, J. K., et al. (2023) · Clinical Spine Surgery A Spine Publication · doi:10.1097/bsd.0000000000001451 · Cited by 6 · see citing works
Self-citationYang, H.-C., Lavadi, R. S., Sauerbeck, A. D., Wallendorf, M., Kummer, T. T., Song, S., & Lin, T. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1269817 · Cited by 5 · see citing works
Self-citationKilgore, C. B., Strain, J. F., Nelson, B., Cooley, S. A., Rosenow, A., Glans, M., Cade, W. T., Reeds, D. N., Paul, R. H., & Ances, B. M. (2021) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000002907 · Cited by 5 · see citing works
Psilocybin’s acute and persistent brain effects: a precision imaging drug trial
Subramanian, S., Reneau, T. R., Perry, D., Chacko, R. V., Laumann, T. O., Flavin, K., Horan, C., Schweiger, J. A., Metcalf, N. V., Lenze, E. J., et al. (2025) · Scientific Data · doi:10.1038/s41597-025-05189-0 · Cited by 6 · see citing works
“DBSI models inflammation-associated cellularity (DBSI-restriction fraction, RF) and vasogenic edema (DBSI-hindered fraction, HF) while accounting for partial volume effects resulting from cerebrospinal fluid contamination and crossing fibers 45,46 .”
Zvenigorodsky, V., Gruenbaum, B. F., Shelef, I., et al. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26157333 · Cited by 4 · see citing works
“MD measures the overall magnitude of water diffusion and RD measures its perpendicular qualities of water diffusion; however, they can be affected by mechanisms besides axonal injury, such as demyelination, edema, and inflammation [31].”
Wooliscroft, L., Salter, A. R., Adusumilli, G., Levasseur, V. A., Sun, P., Lancia, S., Perantie, D. C., Trinkaus, K. M., Naismith, R. T., Song, S., et al. (2024) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2024.105494 · Cited by 5 · see citing works
Self-citationShah-abadi, M. E., Ariaei, A., Mohammadi, H., et al. (2023) · Journal of Advances in Medical and Biomedical Research · doi:10.30699/jambs.31.148.415 · Cited by 4 · see citing works
- Authors
- Chiang, C.-W., Wang, Y., Sun, P., Lin, T.-H., Trinkaus, K., Cross, A. H., & Song, S.-K.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Song, Sheng-Kwei
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 101
- Pages
- 310-319
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC4165711
- OpenAlex
- W2027270401
- Cited by
- 134
- References
- 37
- Citations by year
- 2026: 13 · 2025: 8 · 2024: 12 · 2023: 13 · 2022: 8 · 2021: 16 · 2020: 13 · 2019: 10 · 2018: 12 · 2017: 7 · 2016: 10 · 2015: 10 · 2014: 2
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (submittedVersion)
- PubMed Central (submittedVersion)
- Funders
- National Institute of Health (R01-NS047592, P01-NS059560)
- National Multiple Sclerosis Society (NMSS) (RG 4549A4/1)
- Department of Defense Ideal Award (W81XWH-12-1-0457)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Physical Sciences › Physics and Astronomy › Nuclear and High Energy Physics › NMR spectroscopy and applications
- Keywords
- diffusion basis spectrum imaging, vasogenic edema, white matter tracts, fractional anisotropy, axial and radial diffusivity, Monte Carlo simulation, tissue phantoms, experimental autoimmune encephalomyelitis, optic nerve, multiple sclerosis, demyelination, axonal injury, inflammation
- MeSH terms
- Animals, Computer Simulation, Edema, Female, Mice, Inbred C57BL, Monte Carlo Method, Nerve Fibers, Myelinated, Neuritis, Autoimmune, Experimental, Optic Nerve, Trigeminal Nerve, Phantoms, Imaging, Mice, Diffusion Tensor Imaging, White Matter
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