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Newman BT, Jacokes Z, Venkadesh S, Webb SJ, Kleinhans NM, McPartland JC, Druzgal TJ, Pelphrey KA, Van Horn JD. Conduction velocity, G-ratio, and extracellular water as microstructural characteristics of autism spectrum disorder. PLoS One 2024; 19:e0301964. [PMID: 38630783 PMCID: PMC11023574 DOI: 10.1371/journal.pone.0301964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Accepted: 03/26/2024] [Indexed: 04/19/2024] Open
Abstract
The neuronal differences contributing to the etiology of autism spectrum disorder (ASD) are still not well defined. Previous studies have suggested that myelin and axons are disrupted during development in ASD. By combining structural and diffusion MRI techniques, myelin and axons can be assessed using extracellular water, aggregate g-ratio, and a new approach to calculating axonal conduction velocity termed aggregate conduction velocity, which is related to the capacity of the axon to carry information. In this study, several innovative cellular microstructural methods, as measured from magnetic resonance imaging (MRI), are combined to characterize differences between ASD and typically developing adolescent participants in a large cohort. We first examine the relationship between each metric, including microstructural measurements of axonal and intracellular diffusion and the T1w/T2w ratio. We then demonstrate the sensitivity of these metrics by characterizing differences between ASD and neurotypical participants, finding widespread increases in extracellular water in the cortex and decreases in aggregate g-ratio and aggregate conduction velocity throughout the cortex, subcortex, and white matter skeleton. We finally provide evidence that these microstructural differences are associated with higher scores on the Social Communication Questionnaire (SCQ) a commonly used diagnostic tool to assess ASD. This study is the first to reveal that ASD involves MRI-measurable in vivo differences of myelin and axonal development with implications for neuronal and behavioral function. We also introduce a novel formulation for calculating aggregate conduction velocity, that is highly sensitive to these changes. We conclude that ASD may be characterized by otherwise intact structural connectivity but that functional connectivity may be attenuated by network properties affecting neural transmission speed. This effect may explain the putative reliance on local connectivity in contrast to more distal connectivity observed in ASD.
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Affiliation(s)
- Benjamin T. Newman
- Department of Psychology, University of Virginia, Charlottesville, VA, United States of America
- UVA School of Medicine, University of Virginia, Charlottesville, VA, United States of America
| | - Zachary Jacokes
- School of Data Science, University of Virginia, Elson Building, Charlottesville, VA, United States of America
| | - Siva Venkadesh
- Department of Psychology, University of Virginia, Charlottesville, VA, United States of America
| | - Sara J. Webb
- Department of Psychiatry and Behavioral Science, University of Washington, Seattle WA, United States of America
- Seattle Children’s Research Institute, Seattle WA, United States of America
| | - Natalia M. Kleinhans
- Department of Radiology, Integrated Brain Imaging Center, University of Washington, Seattle, WA, United States of America
| | - James C. McPartland
- Yale Child Study Center, New Haven, CT, United States of America
- Yale Center for Brain and Mind Health, New Haven, CT, United States of America
| | - T. Jason Druzgal
- UVA School of Medicine, University of Virginia, Charlottesville, VA, United States of America
| | - Kevin A. Pelphrey
- UVA School of Medicine, University of Virginia, Charlottesville, VA, United States of America
| | - John Darrell Van Horn
- Department of Psychology, University of Virginia, Charlottesville, VA, United States of America
- School of Data Science, University of Virginia, Elson Building, Charlottesville, VA, United States of America
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Cerdán Cerdá A, Toschi N, Treaba CA, Barletta V, Herranz E, Mehndiratta A, Gomez-Sanchez JA, Mainero C, De Santis S. A translational MRI approach to validate acute axonal damage detection as an early event in multiple sclerosis. eLife 2024; 13:e79169. [PMID: 38192199 PMCID: PMC10776086 DOI: 10.7554/elife.79169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 12/05/2023] [Indexed: 01/10/2024] Open
Abstract
Axonal degeneration is a central pathological feature of multiple sclerosis and is closely associated with irreversible clinical disability. Current noninvasive methods to detect axonal damage in vivo are limited in their specificity and clinical applicability, and by the lack of proper validation. We aimed to validate an MRI framework based on multicompartment modeling of the diffusion signal (AxCaliber) in rats in the presence of axonal pathology, achieved through injection of a neurotoxin damaging the neuronal terminal of axons. We then applied the same MRI protocol to map axonal integrity in the brain of multiple sclerosis relapsing-remitting patients and age-matched healthy controls. AxCaliber is sensitive to acute axonal damage in rats, as demonstrated by a significant increase in the mean axonal caliber along the targeted tract, which correlated with neurofilament staining. Electron microscopy confirmed that increased mean axonal diameter is associated with acute axonal pathology. In humans with multiple sclerosis, we uncovered a diffuse increase in mean axonal caliber in most areas of the normal-appearing white matter, preferentially affecting patients with short disease duration. Our results demonstrate that MRI-based axonal diameter mapping is a sensitive and specific imaging biomarker that links noninvasive imaging contrasts with the underlying biological substrate, uncovering generalized axonal damage in multiple sclerosis as an early event.
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Affiliation(s)
| | - Nicola Toschi
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical SchoolBostonUnited States
- Department of Biomedicine and Prevention, University of Rome Tor VergataRomeItaly
| | - Constantina A Treaba
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical SchoolBostonUnited States
| | - Valeria Barletta
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical SchoolBostonUnited States
| | - Elena Herranz
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical SchoolBostonUnited States
| | - Ambica Mehndiratta
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical SchoolBostonUnited States
| | - Jose A Gomez-Sanchez
- Instituto de Neurociencias de Alicante, CSIC-UMHSan Juan de AlicanteSpain
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL)AlicanteSpain
- Millennium Nucleus for the Study of Pain (MiNuSPain)SantiagoChile
| | - Caterina Mainero
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical SchoolBostonUnited States
| | - Silvia De Santis
- Instituto de Neurociencias de Alicante, CSIC-UMHSan Juan de AlicanteSpain
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Alghamdi AJ. The Value of Various Post-Processing Modalities of Diffusion Weighted Imaging in the Detection of Multiple Sclerosis. Brain Sci 2023; 13:brainsci13040622. [PMID: 37190587 DOI: 10.3390/brainsci13040622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 03/31/2023] [Accepted: 04/04/2023] [Indexed: 04/08/2023] Open
Abstract
Diffusion tensor imaging (DTI) showed its adequacy in evaluating the normal-appearing white matter (NAWM) and lesions in the brain that are difficult to evaluate with routine clinical magnetic resonance imaging (MRI) in multiple sclerosis (MS). Recently, MRI systems have been developed with regard to software and hardware, leading to different proposed diffusion analysis methods such as diffusion tensor imaging, q-space imaging, diffusional kurtosis imaging, neurite orientation dispersion and density imaging, and axonal diameter measurement. These methods have the ability to better detect in vivo microstructural changes in the brain than DTI. These different analysis modalities could provide supplementary inputs for MS disease characterization and help in monitoring the disease’s progression as well as treatment efficacy. This paper reviews some of the recent diffusion MRI methods used for the assessment of MS in vivo.
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Affiliation(s)
- Ahmad Joman Alghamdi
- Radiological Sciences Department, College of Applied Medical Sciences, Taif University, Taif 21944, Saudi Arabia
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Wichtmann BD, Fan Q, Eskandarian L, Witzel T, Attenberger UI, Pieper CC, Schad L, Rosen BR, Wald LL, Huang SY, Nummenmaa A. Linear multi-scale modeling of diffusion MRI data: A framework for characterization of oriented structures across length scales. Hum Brain Mapp 2023; 44:1496-1514. [PMID: 36477997 PMCID: PMC9921225 DOI: 10.1002/hbm.26143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 10/07/2022] [Accepted: 10/23/2022] [Indexed: 12/12/2022] Open
Abstract
Diffusion-weighted magnetic resonance imaging (DW-MRI) has evolved to provide increasingly sophisticated investigations of the human brain's structural connectome in vivo. Restriction spectrum imaging (RSI) is a method that reconstructs the orientation distribution of diffusion within tissues over a range of length scales. In its original formulation, RSI represented the signal as consisting of a spectrum of Gaussian diffusion response functions. Recent technological advances have enabled the use of ultra-high b-values on human MRI scanners, providing higher sensitivity to intracellular water diffusion in the living human brain. To capture the complex diffusion time dependence of the signal within restricted water compartments, we expand upon the RSI approach to represent restricted water compartments with non-Gaussian response functions, in an extended analysis framework called linear multi-scale modeling (LMM). The LMM approach is designed to resolve length scale and orientation-specific information with greater specificity to tissue microstructure in the restricted and hindered compartments, while retaining the advantages of the RSI approach in its implementation as a linear inverse problem. Using multi-shell, multi-diffusion time DW-MRI data acquired with a state-of-the-art 3 T MRI scanner equipped with 300 mT/m gradients, we demonstrate the ability of the LMM approach to distinguish different anatomical structures in the human brain and the potential to advance mapping of the human connectome through joint estimation of the fiber orientation distributions and compartment size characteristics.
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Affiliation(s)
- Barbara D. Wichtmann
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
- Department of Diagnostic and Interventional RadiologyUniversity Hospital BonnBonnGermany
| | - Qiuyun Fan
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
- Department of Biomedical Engineering, College of Precision Instruments and Optoelectronics EngineeringTianjin UniversityTianjinChina
| | - Laleh Eskandarian
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
| | | | - Ulrike I. Attenberger
- Department of Diagnostic and Interventional RadiologyUniversity Hospital BonnBonnGermany
| | - Claus C. Pieper
- Department of Diagnostic and Interventional RadiologyUniversity Hospital BonnBonnGermany
| | - Lothar Schad
- Computer Assisted Clinical Medicine, Mannheim Institute for Intelligent Systems in Medicine, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Bruce R. Rosen
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
| | - Lawrence L. Wald
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
- Harvard‐MIT Division of Health Sciences and TechnologyMassachusetts Institute of TechnologyCambridgeMassachusettsUSA
| | - Susie Y. Huang
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
- Harvard‐MIT Division of Health Sciences and TechnologyMassachusetts Institute of TechnologyCambridgeMassachusettsUSA
| | - Aapo Nummenmaa
- A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalCharlestownMassachusettsUSA
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Lakhani DA, Schilling KG, Xu J, Bagnato F. Advanced Multicompartment Diffusion MRI Models and Their Application in Multiple Sclerosis. AJNR Am J Neuroradiol 2020; 41:751-757. [PMID: 32354707 DOI: 10.3174/ajnr.a6484] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Accepted: 02/03/2020] [Indexed: 01/22/2023]
Abstract
Conventional MR imaging techniques are sensitive to pathologic changes of the brain and spinal cord seen in MS, but they lack specificity for underlying axonal and myelin integrity. By isolating the signal contribution from different tissue compartments, newly developed advanced multicompartment diffusion MR imaging models have the potential to detect specific tissue subtypes and associated injuries with increased pathologic specificity. These models include neurite orientation dispersion and density imaging, diffusion basis spectrum imaging, multicompartment microscopic diffusion MR imaging with the spherical mean technique, and models enabled through high-gradient diffusion MR imaging. In this review, we provide an appraisal of the current literature on the physics principles, histopathologic validation, and clinical applications of each of these techniques in both brains and spinal cords of patients with MS. We discuss limitations of each of the methods and directions that future research could take to provide additional validation of their roles as biomarkers of axonal and myelin injury in MS.
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Affiliation(s)
- D A Lakhani
- From the Neuroimaging Unit (D.A.L., F.B.), Neuroimmunology Division, Department of Neurology
- Division of Internal Medicine (D.A.L.)
- Department of Radiology (D.A.L.), West Virginia University, Morgantown, West Virginia
| | - K G Schilling
- Department of Radiology and Radiological Sciences (K.G.S., J.X.), Vanderbilt University Institute of Imaging Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
| | - J Xu
- Department of Radiology and Radiological Sciences (K.G.S., J.X.), Vanderbilt University Institute of Imaging Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
| | - F Bagnato
- From the Neuroimaging Unit (D.A.L., F.B.), Neuroimmunology Division, Department of Neurology
- Department of Neurology (F.B.), VA Tennessee Valley Healthcare System, Nashville, Tennessee
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