PurposeIn brain diffusion magnetic resonance imaging (dMRI), the volumetric and bundle analyses of whole-brain tissue microstructure and connectivity can be severely impeded by an incomplete field of view (FOV). We aim to develop a method for imputing the missing slices directly from existing dMRI scans with an incomplete FOV. We hypothesize that the imputed image with a complete FOV can improve whole-brain tractography for corrupted data with an incomplete FOV. Therefore, our approach provides a desirable alternative to discarding the valuable brain dMRI data, enabling subsequent tractography analyses that would otherwise be challenging or unattainable with corrupted data.ApproachWe propose a framework based on a deep generative model that estimates the absent brain regions in dMRI scans with an incomplete FOV. The model is capable of learning both the diffusion characteristics in diffusion-weighted images (DWIs) and the anatomical features evident in the corresponding structural images for efficiently imputing missing slices of DWIs in the incomplete part of the FOV.ResultsFor evaluating the imputed slices, on the Wisconsin Registry for Alzheimer’s Prevention (WRAP) dataset, the proposed framework achieved PSNRb0=22.397, SSIMb0=0.905, PSNRb1300=22.479, and SSIMb1300=0.893; on the National Alzheimer’s Coordinating Center (NACC) dataset, it achieved PSNRb0=21.304, SSIMb0=0.892, PSNRb1300=21.599, and SSIMb1300=0.877. The proposed framework improved the tractography accuracy, as demonstrated by an increased average Dice score for 72 tracts (p<0.001) on both the WRAP and NACC datasets.ConclusionsResults suggest that the proposed framework achieved sufficient imputation performance in brain dMRI data with an incomplete FOV for improving whole-brain tractography, thereby repairing the corrupted data. Our approach achieved more accurate whole-brain tractography results with an extended and complete FOV and reduced the uncertainty when analyzing bundles associated with Alzheimer’s disease.
PurposeDiffusion tensor imaging (DTI) is a magnetic resonance imaging technique that provides unique information about white matter microstructure in the brain but is susceptible to confounding effects introduced by scanner or acquisition differences. ComBat is a leading approach for addressing these site biases. However, despite its frequent use for harmonization, ComBat’s robustness toward site dissimilarities and overall cohort size have not yet been evaluated in terms of DTI.ApproachAs a baseline, we match N=358 participants from two sites to create a “silver standard” that simulates a cohort for multi-site harmonization. Across sites, we harmonize mean fractional anisotropy and mean diffusivity, calculated using participant DTI data, for the regions of interest defined by the JHU EVE-Type III atlas. We bootstrap 10 iterations at 19 levels of total sample size, 10 levels of sample size imbalance between sites, and 6 levels of mean age difference between sites to quantify (i) βAGE, the linear regression coefficient of the relationship between FA and age; (ii) γ^sf*, the ComBat-estimated site-shift; and (iii) δ^sf*, the ComBat-estimated site-scaling. We characterize the reliability of ComBat by evaluating the root mean squared error in these three metrics and examine if there is a correlation between the reliability of ComBat and a violation of assumptions.ResultsComBat remains well behaved for βAGE when N>162 and when the mean age difference is less than 4 years. The assumptions of the ComBat model regarding the normality of residual distributions are not violated as the model becomes unstable.ConclusionPrior to harmonization of DTI data with ComBat, the input cohort should be examined for size and covariate distributions of each site. Direct assessment of residual distributions is less informative on stability than bootstrap analysis. We caution use ComBat of in situations that do not conform to the above thresholds.
Connectivity matrices derived from diffusion MRI (dMRI) provide an interpretable and generalizable way of understanding the human brain connectome. However, dMRI suffers from inter-site and between-scanner variation, which impedes analysis across datasets to improve robustness and reproducibility of results. To evaluate different harmonization approaches on connectivity matrices, we compared graph measures derived from these matrices before and after applying three harmonization techniques: mean shift, ComBat, and CycleGAN. The sample comprises 168 agematched, sex-matched normal subjects from two studies: the Vanderbilt Memory and Aging Project (VMAP) and the Biomarkers of Cognitive Decline Among Normal Individuals (BIOCARD). First, we plotted the graph measures and used coefficient of variation (CoV) and the Mann-Whitney U test to evaluate different methods’ effectiveness in removing site effects on the matrices and the derived graph measures. ComBat effectively eliminated site effects for global efficiency and modularity and outperformed the other two methods. However, all methods exhibited poor performance when harmonizing average betweenness centrality. Second, we tested whether our harmonization methods preserved correlations between age and graph measures. All methods except for CycleGAN in one direction improved correlations between age and global efficiency and between age and modularity from insignificant to significant with p-values less than 0.05.
Sleep disturbances are commonly reported among patients with Alzheimer’s Disease (AD). Further, the disruption of subcortical areas such as the Basal Forebrain (BF) and its constituent Nucleus Basalis of Meynert (NBM), which play an important role in maintaining wakefulness or alertness (also known as vigilance), occurs early in AD. In this study, we delineate vigilance-linked fMRI patterns in an aging population and determine how these patterns relate to subcortical integrity and cognition. We used fMRI data from the Vanderbilt Memory and Aging Project dataset, consisting of 49 MCI patients and 75 healthy controls. Since external measures of vigilance are not present during fMRI, we used a data-driven technique for extracting vigilance information directly from fMRI data. With this approach, we derived subject-specific spatial maps reflecting a whole-brain activity pattern that is correlated with vigilance. We first assessed the relationships between cognitive measures (subject memory composite and executive function scores) and structural measures (BF and NBM volumes obtained from subject-specific segmentation methods) using Pearson correlations. BF and NBM volumes were found to be significantly correlated with memory composite in MCI subjects and with executive function in HCs. We then performed a mediation analysis to evaluate how NBM volume may mediate fMRI-derived vigilance effects on memory composite scores in MCI subjects. fMRI vigilance activity and memory composite were significantly associated in the hippocampus, posterior cingulate cortex, and anterior cingulate cortex, regions involved in the default-mode and salience networks. These results suggest that cognitive decline in AD may be linked with both subcortical structural changes and vigilance-related fMRI signals, opening new directions for potential functional biomarkers in pathological aging populations.
Complex graph theory measures of brain structural connectomes derived from diffusion weighted images (DWI) provide insight into the network structure of the brain. Further, as the number of available DWI datasets grows, so does the ability to investigate associations in these measures with major biological factors, like age. However, one key hurdle that remains is the presence of scanner effects that can arise from different DWI datasets and confound multisite analyses. Two common approaches to correct these effects are voxel-wise and feature-wise harmonization. However, it is still unclear how to best leverage them for graph-theory analysis of an aging population. Thus, there is a need to better characterize the impact of each harmonization method and their ability to preserve age related features. We investigate this by characterizing four complex graph theory measures (modularity, characteristic path length, global efficiency, and betweenness centrality) in 48 participants aged 55 to 86 from Baltimore Longitudinal Study of Aging (BLSA) and Vanderbilt Memory and Aging Project (VMAP) before and after voxel- and feature-wise harmonization with the Null Space Deep Network (NSDN) and ComBat, respectively. First, we characterize across dataset coefficients of variation (CoV) and find the combination of NSDN, and ComBat causes the greatest reduction in CoV followed by ComBat alone then NSDN alone. Second, we reproduce published associations of modularity with age after correcting for other covariates with linear models. We find that harmonization with ComBat or ComBat and NSDN together improves the significance of existing age effects, reduces model residuals, and qualitatively reduces separation between datasets. These results reinforce the efficiency of statistical harmonization on the feature-level with ComBat and suggest that harmonization on the voxel-level is synergistic but may have reduced effect after running through the multiple layers of the connectomics pipeline. Thus, we conclude that feature-wise harmonization improves statistical results, but the addition of biologically informed voxel-based harmonization offers further improvement.
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