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Diffusion tensor imaging in anisotropic tissues: application of reduced gradient vector schemes in peripheral nerves.
Foesleitner, Olivia; Sulaj, Alba; Sturm, Volker; Kronlage, Moritz; Preisner, Fabian; Kender, Zoltan; Bendszus, Martin; Szendroedi, Julia; Heiland, Sabine; Schwarz, Daniel.
Afiliação
  • Foesleitner O; Department of Neuroradiology, Heidelberg University Hospital, INF 400, 69120, Heidelberg, Germany.
  • Sulaj A; Department of Internal Medicine I and Clinical Chemistry, Heidelberg University Hospital, INF 410, Heidelberg, Germany.
  • Sturm V; German Center of Diabetes Research (DZD), Neuherberg, Germany.
  • Kronlage M; Department of Neuroradiology, Heidelberg University Hospital, INF 400, 69120, Heidelberg, Germany.
  • Preisner F; Department of Neuroradiology, Heidelberg University Hospital, INF 400, 69120, Heidelberg, Germany.
  • Kender Z; Department of Neuroradiology, Heidelberg University Hospital, INF 400, 69120, Heidelberg, Germany.
  • Bendszus M; Department of Internal Medicine I and Clinical Chemistry, Heidelberg University Hospital, INF 410, Heidelberg, Germany.
  • Szendroedi J; German Center of Diabetes Research (DZD), Neuherberg, Germany.
  • Heiland S; Department of Neuroradiology, Heidelberg University Hospital, INF 400, 69120, Heidelberg, Germany.
  • Schwarz D; Department of Internal Medicine I and Clinical Chemistry, Heidelberg University Hospital, INF 410, Heidelberg, Germany.
Eur Radiol Exp ; 8(1): 37, 2024 Apr 02.
Article em En | MEDLINE | ID: mdl-38561526
ABSTRACT

BACKGROUND:

In contrast to the brain, fibers within peripheral nerves have distinct monodirectional structure questioning the necessity of complex multidirectional gradient vector schemes for DTI. This proof-of-concept study investigated the diagnostic utility of reduced gradient vector schemes in peripheral nerve DTI.

METHODS:

Three-Tesla magnetic resonance neurography of the tibial nerve using 20-vector DTI (DTI20) was performed in 10 healthy volunteers, 12 patients with type 2 diabetes, and 12 age-matched healthy controls. From the full DTI20 dataset, three reduced datasets including only two or three vectors along the x- and/or y- and z-axes were built to calculate major parameters. The influence of nerve angulation and intraneural connective tissue was assessed. The area under the receiver operating characteristics curve (ROC-AUC) was used for analysis.

RESULTS:

Simplified datasets achieved excellent diagnostic accuracy equal to DTI20 (ROC-AUC 0.847-0.868, p ≤ 0.005), but compared to DTI20, the reduced models yielded mostly lower absolute values of DTI scalars median fractional anisotropy (FA) ≤ 0.12; apparent diffusion coefficient (ADC) ≤ 0.25; axial diffusivity ≤ 0.96, radial diffusivity ≤ 0.07). The precision of FA and ADC with the three-vector model was closest to DTI20. Intraneural connective tissue was negatively correlated with FA and ADC (r ≥ -0.49, p < 0.001). Small deviations of nerve angulation had little effect on FA accuracy.

CONCLUSIONS:

In peripheral nerves, bulk tissue DTI metrics can be approximated with only three predefined gradient vectors along the scanner's main axes, yielding similar diagnostic accuracy as a 20-vector DTI, resulting in substantial scan time reduction. RELEVANCE STATEMENT DTI bulk tissue parameters of peripheral nerves can be calculated with only three predefined gradient vectors at similar diagnostic performance as a standard DTI but providing a substantial scan time reduction. KEY POINTS • In peripheral nerves, DTI parameters can be approximated using only three gradient vectors. • The simplified model achieves a similar diagnostic performance as a standard DTI. • The simplified model allows for a significant acceleration of image acquisition. • This can help to introduce multi-b-value DTI techniques into clinical practice.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus Tipo 2 / Imagem de Tensor de Difusão Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus Tipo 2 / Imagem de Tensor de Difusão Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article