Cited by 134Advanced Neuroimaging Techniques and ApplicationsAdvanced MRI Techniques and ApplicationsNMR spectroscopy and applications

Quantifying white matter tract diffusion parameters in the presence of increased extra-fiber cellularity and vasogenic edema

Open access
Chiang, Chia-Wen, Wang, Yong, Sun, Peng, Lin, Tsen-Hsuan, Trinkaus, Kathryn, Cross, Anne H., Song, Sheng-Kwei·2014·NeuroImage

Abstract

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.

AI snapshot

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.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.neuroimage.2014.06.064

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

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
  • 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
  • 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.

    Premisecitation

    Decreased 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.

    Premisecitation

    DBSI 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 data

    The 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.

    Premisecitation

    Inclusion 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.

    Premisecitation

    DBSI 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.

    Premisecitation

    Iron-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 data

    25-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 claim
  • May combine two claims.

    Findingown data

    At 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 claim
  • May combine two claims.

    Findingown data

    At 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 claim
  • May combine two claims.

    Findingown data

    In 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 claim
  • May combine two claims.

    Findingown data

    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 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 claim
  • May combine two claims.

    Findingown data

    Qualitatively, 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 claim
  • May combine two claims.

    Findingown data

    In 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 claim
  • May combine two claims.

    Findingown data

    25-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 claim
  • May combine two claims.

    Findingown data

    In 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 data

    DAPI-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 data

    In 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 given

    The 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 claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Matched 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The 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 claim
  • May combine two claims.

    Premisecitation

    The 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.

    Interpretationcitation

    The 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 checked
    • cites Iglesias et al., 2001 source
    • cites Gold et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Study design and conductnone given

    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 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Increased 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.

    Premisecitation

    Gadolinium-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.

25 of 25
  • 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.”
15 of 15

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. 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
  2. Tu, 2010, Using absorption-mode images to improve in vivo DTI quality, Proc. Int. Soc. Magn. Reson. Med., 18, 4001

Cited by

Sorted by citations

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)
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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-13.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-13.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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