Spatial correspondence of spinal cord white matter tracts using diffusion tensor imaging, fibre tractography, and atlas-based segmentation.

Purpose: Neuroimaging provides great utility in complex spinal surgeries, particularly when anatomical geometry is distorted by pathology (tumour, degeneration, etc.). Spinal cord MRI diffusion tractography can be used to generate streamlines; however, it is unclear how well they correspond with whi...

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Published in:Neuroradiology Vol. 63; no. 3; pp. 373 - 381
Main Authors: McLachlin, Stewart, Leung, Jason, Sivan, Vignesh, Quirion, Pierre-Olivier, Wilkie, Phoenix, Cohen-Adad, Julien, Whyne, Cari Marisa, Hardisty, Michael Raymond
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Mar2021
Online Access:View this record in EBSCOhost
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      dt: Mar2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-021-02635-9
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        atl: Spatial correspondence of spinal cord white matter tracts using diffusion tensor imaging, fibre tractography, and atlas-based segmentation.
      aug:
        au:
          McLachlin, Stewart
          Leung, Jason
          Sivan, Vignesh
          Quirion, Pierre-Olivier
          Wilkie, Phoenix
          Cohen-Adad, Julien
          Whyne, Cari Marisa
          Hardisty, Michael Raymond
        affil: Department of Mechanical and Mechatronics Engineering, University of Waterloo, 200 University Avenue West, E7 3424, N2L 3G1, Waterloo, Ontario, Canada
      sug:
        subj:
          Spinal Cord Physiology
          White Matter Physiology
          Magnetic Resonance Imaging Methods
          Neuroradiography Methods
          Human
          Volunteer Workers
          Vertebral Body Physiology
          Descriptive Statistics
          Image Enhancement
      ab: Purpose: Neuroimaging provides great utility in complex spinal surgeries, particularly when anatomical geometry is distorted by pathology (tumour, degeneration, etc.). Spinal cord MRI diffusion tractography can be used to generate streamlines; however, it is unclear how well they correspond with white matter tract locations along the cord microstructure. The goal of this work was to evaluate the spatial correspondence of DTI tractography with anatomical MRI in healthy anatomy (where anatomical locations can be well defined in T1-weighted images). Methods: Ten healthy volunteers were scanned on a 3T system. T1-weighted (1 × 1 × 1 mm) and diffusion-weighted images (EPI readout, 2 × 2 × 2 mm, 30 gradient directions) were acquired and subsequently registered (Spinal Cord Toolbox (SCT)). Atlas-based (SCT) anatomic label maps of the left and right lateral corticospinal tracts were identified for each vertebral region (C2–C6) from T1 images. Tractography streamlines were generated with a customized approach, enabling seeding of specific spinal tract regions corresponding to individual vertebral levels. Spatial correspondence of generated fibre streamlines with anatomic tract segmentations was compared in unseeded regions of interest (ROIs). Results: Spatial correspondence of the lateral corticospinal tract streamlines was good over a single vertebral ROI (Dice's similarity coefficient (DSC) = 0.75 ± 0.08, Hausdorff distance = 1.08 ± 0.17 mm). Over larger ROI, fair agreement between tractography and anatomical labels was achieved (two levels: DSC = 0.67 ± 0.13, three levels: DSC = 0.52 ± 0.19). Conclusion: DTI tractography produced good spatial correspondence with anatomic white matter tracts, superior to the agreement between multiple manual tract segmentations (DSC ~ 0.5). This supports further development of spinal cord tractography for computer-assisted neurosurgery.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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