The hippocampus is a very important structure in memory formation and retrieval,
as well as in various neurological disorders such as Alzheimer’s disease, epilepsy
and depression. It is composed of many intricate subregions making it difficult to study
the anatomical changes that take place during disease. The hippocampal hilus may have
unique neuroanatomy in humans compared to monkeys and rodents, with field CA3h greatly
enlarged in humans compared to rodents, and a white-matter pathway, called the endfolial
pathway, possibly only present in humans. In this study we have used newly developed 7.0T
whole brain imaging, balanced steady-state free precession (bSSFP) that can achieve 0.4 mm
isotropic images to study, in vivo, the anatomy of the hippocampal hilus.
A detailed hippocampal subregional segmentation was performed according to anatomic
atlases segmenting the following regions: CA4, CA3, CA2, CA1, SRLM (stratum radiatum
lacunosum moleculare), alveus, fornix, and subiculum along with its molecular layer. We
also segmented a hypointense structure centrally within the hilus that resembled the
endfolial pathway. To validate that this hypointense signal represented the endfolial
pathway, we acquired 0.1 mm isotropic 8-phase cycle bSSFP on an excised specimen, and then
sectioned and stained the specimen for myelin using an anti-myelin basic protein antibody
(SMI 94). A structure tensor analysis was calculated on the myelin-stained section to show
directionality of the underlying fibers. The endfolial pathway was consistently visualized
within the hippocampal body in vivo in all subjects. It is a central pathway in the
hippocampus, with unknown relevance in neurodegenerative disorders, but now that it can be
visualized noninvasively, we can study its function and alterations in
neurodegeneration.