Optimization and numerical evaluation of multi-compartment diffusion MRI using the spherical mean technique for practical multiple sclerosis imaging

Magn Reson Imaging. 2020 Dec:74:56-63. doi: 10.1016/j.mri.2020.09.002. Epub 2020 Sep 6.

Abstract

Background: The multi-compartment diffusion MRI using the spherical mean technique (SMT) has been suggested to enhance the pathological specificity to tissue injury in multiple sclerosis (MS) imaging, but its accuracy and precision have not been comprehensively evaluated.

Methods: A Cramer-Rao Lower Bound method was used to optimize an SMT protocol for MS imaging. Finite difference computer simulations of spins in packed cylinders were then performed to evaluate the influences of five realistic pathological features in MS lesions: axon diameter, axon density, free water fraction, axonal crossing, dispersion, and undulation.

Results: SMT derived metrics can be biased by some confounds of pathological variations, such as axon size and free water fraction. However, SMT in general provides valuable information to characterize pathological features in MS lesions with a clinically feasible protocol.

Conclusion: SMT may be used as a practical MS imaging method and should be further improved in clinical MS imaging.

Keywords: Axon; Diffusion; MRI; MS; Microstructure; SMT.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Axons / pathology
  • Diffusion Magnetic Resonance Imaging / methods*
  • Humans
  • Image Processing, Computer-Assisted
  • Multiple Sclerosis / diagnostic imaging*
  • Multiple Sclerosis / pathology