2018
DOI: 10.1371/journal.pone.0197056
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Free water modeling of peritumoral edema using multi-fiber tractography: Application to tracking the arcuate fasciculus for neurosurgical planning

Abstract: PurposePeritumoral edema impedes the full delineation of fiber tracts due to partial volume effects in image voxels that contain a mixture of cerebral parenchyma and extracellular water. The purpose of this study is to investigate the effect of incorporating a free water (FW) model of edema for white matter tractography in the presence of edema.Materials and methodsWe retrospectively evaluated 26 consecutive brain tumor patients with diffusion MRI and T2-weighted images acquired presurgically. Tractography of … Show more

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Cited by 42 publications
(59 citation statements)
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References 71 publications
(114 reference statements)
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“…These methods, similarly to q-ball tractography, were shown to improve the depiction of complex fiber orientations (Tournier et al, 2007;Malcolm et al, 2010;Fillard et al, 2011;Dell'Acqua and Tournier, 2019). Besides, recent data illustrates how multitensor models can increase tracking sensitivity through tissue affected by edema or tumor infiltration by including an additional isotropic tensor reflecting the free water compartment (Gong et al, 2018). Similarly, other multi-compartimental models like NODDI may be employed to improve the tracking of complex fiber configurations (Reddy and Rathi, 2016).…”
Section: Discussionmentioning
confidence: 98%
See 1 more Smart Citation
“…These methods, similarly to q-ball tractography, were shown to improve the depiction of complex fiber orientations (Tournier et al, 2007;Malcolm et al, 2010;Fillard et al, 2011;Dell'Acqua and Tournier, 2019). Besides, recent data illustrates how multitensor models can increase tracking sensitivity through tissue affected by edema or tumor infiltration by including an additional isotropic tensor reflecting the free water compartment (Gong et al, 2018). Similarly, other multi-compartimental models like NODDI may be employed to improve the tracking of complex fiber configurations (Reddy and Rathi, 2016).…”
Section: Discussionmentioning
confidence: 98%
“…Future tractography studies may also employ alternative tracking algorithms that have already been proven feasible on brain tumor patients, such as spherical deconvolution tractography (Mormina et al, 2016;Becker et al, 2019) and multi-fiber tractography (Chen et al, 2015;Gong et al, 2018). These methods, similarly to q-ball tractography, were shown to improve the depiction of complex fiber orientations (Tournier et al, 2007;Malcolm et al, 2010;Fillard et al, 2011;Dell'Acqua and Tournier, 2019).…”
Section: Discussionmentioning
confidence: 99%
“…The Advanced Normalization Tools (ANTS) package (https://github.com/ANTsX/ANTs) (Avants, Tustison, & Song, 2009) was used to perform the registration, following the default steps in the software including a rigid, an affine, then a deformable transformation to reach a good intra-subject alignment. Here, we chose an FA-based registration because the FA image is sensitive to white matter fiber tracts and can provide a good correspondence between the registered fiber tracts (Goodlett, Davis, Jean, Gilmore, & Gerig, 2006), and it has been applied in many studies for registering between dMRI datasets (Besseling et al, 2012;Papinutto et al, 2013;Vollmar et al, 2010). In details, this registration was performed by aligning the FA image from the second scan to that from the first scan.…”
Section: Datasets Data Processing and Tractographymentioning
confidence: 99%
“…White matter parcellation can enable the study of fiber parcels from the entire white matter to identify between‐population differences (e.g., between patients harboring disease and healthy subjects) using machine learning or statistical analyses (Ingalhalikar et al, ; Sporns, Tononi, & Kötter, ; Zalesky, Cocchi, Fornito, Murray, & Bullmore, ; Zhang, Savadjiev, et al, ; Zhang, Wu, Ning, ). White matter parcellation is also important for identifying anatomical fiber tracts for clinical visualization (Golby et al, ; Gong et al, ; Nimsky, Ganslandt, Dorit, Gregory Sorensen, & Fahlbusch, ; O'Donnell et al, ) or hypothesis‐driven research (Alexander et al, ; Shany et al, ; Wu et al, , ; Yeo, Jang, & Son, ). Automated and robust white matter parcellation can enable the analysis of new, large dMRI datasets that are being acquired to study complex neural systems across the lifespan and across brain disorders (Alexander et al, ; Casey et al, ; Thompson et al, ).…”
Section: Introductionmentioning
confidence: 99%
“…This highlights how care should be taken when applying such thresholds in a clinical population where the presence of oedema can have a significant influence. A number of approaches have attempted to address this issue through modelling the free water component of the diffusion signal [56,57] or through applying a generalised q-sampling acquisition scheme which allows for better modelling of both magnitude and direction of crossing fibres within a voxel [27]. These techniques identify regions of peritumoral oedema and improve the visualisation of tracts often though at the sacrifice of increased acquisition time.…”
Section: Plos Onementioning
confidence: 99%