@article {991, title = {HYDI-DSI revisited: constrained non-parametric EAP imaging without q-space re-gridding}, journal = {Medical Image Analysis}, volume = {84}, year = {2023}, month = {02/2023}, chapter = {102728}, abstract = {

Hybrid Diffusion Imaging (HYDI) was one of the first attempts to use multi-shell samplings of the q-space to infer diffusion properties beyond Diffusion Tensor Imaging (DTI) or High Angular ResolutionDiffusion Imaging (HARDI). HYDI was intended as a flexible protocol embedding both DTI (for lower b-values) and HARDI (for higher b-values) processing, as well as Diffusion Spectrum Imaging (DSI) when the entire data set was exploited. In the latter case, the spherical sampling of the q-space is re-gridded by interpolation to a Cartesian lattice whose extent covers the range of acquired b-values, hence being acquisition-dependent. The Discrete Fourier Transform (DFT) is afterwards used to compute the corresponding Cartesian sampling of the Ensemble Average Propagator (EAP) in an entirely non-parametric way. From this lattice, diffusion markers such as the Return To Origin Probability (RTOP) or the Mean Squared Displacement (MSD) can be numerically estimated.
We aim at re-formulating this scheme by means of a Fourier Transform encoding matrix that eliminates the need for q-space re-gridding at the same time it preserves the non-parametric nature of HYDI-DSI. The encoding matrix is adaptively designed at each voxel according to the underlying DTI approximation, so that an optimal sampling of the EAP can be pursued without being conditioned by the particular acquisition protocol. The estimation of the EAP is afterwards carried out as a regularized Quadratic Programming (QP) problem, which allows to impose positivity constraints that cannot be trivially embedded within the conventional HYDI-DSI. We demonstrate that the definition of the encoding matrix in the adaptive space allows to analytically (as opposed to numerically) compute several popular descriptors of diffusion with the unique source of error being the cropping of high frequency harmonics in the Fourier analysis of the attenuation signal. They include not only RTOP and MSD, but also Return to Axis/Plane Probabilities (RTAP/RTPP), which are defined in terms of specific spatial directions and are not available with the former HYDI-DSI. We report extensive experiments that suggest the benefits of our proposal in terms of accuracy, robustness and computational efficiency, especially when only standard, non-dedicated q-space samplings are available.

}, keywords = {Diffusion Spectrum Imaging, Ensemble Average Propagator, Hybrid Diffusion Imaging, diffusion MRI}, doi = {102728}, url = {https://www.sciencedirect.com/science/article/pii/S1361841522003565}, author = {Antonio Trist{\'a}n-Vega and Tomasz Pieciak and Guillem Par{\'\i}s and Justino R. Rodr{\'\i}guez-Galv{\'a}n and Santiago Aja-Fern{\'a}ndez} } @article {995, title = {Validation of deep learning techniques for quality augmentation in diffusion MRI for clinical studies}, journal = {NeuroImage: Clinical}, volume = {39}, year = {2023}, pages = {103483}, abstract = {

The objective of this study is to evaluate the efficacy of deep learning (DL) techniques in improving the quality of diffusion MRI (dMRI) data in clinical applications. The study aims to determine whether the use of artificial intelligence (AI) methods in medical images may result in the loss of critical clinical information and/or the appearance of false information. To assess this, the focus was on the angular resolution of dMRI and a clinical trial was conducted on migraine, specifically between episodic and chronic migraine patients. The number of gradient directions had an impact on white matter analysis results, with statistically significant differences between groups being drastically reduced when using 21 gradient directions instead of the original 61. Fourteen teams from different institutions were tasked to use DL to enhance three diffusion metrics (FA, AD and MD) calculated from data acquired with 21 gradient directions and a b-value of 1000 s/mm2. The goal was to produce results that were comparable to those calculated from 61 gradient directions. The results were evaluated using both standard image quality metrics and Tract-Based Spatial Statistics (TBSS) to compare episodic and chronic migraine patients. The study results suggest that while most DL techniques improved the ability to detect statistical differences between groups, they also led to an increase in false positive. The results showed that there was a constant growth rate of false positives linearly proportional to the new true positives, which highlights the risk of generalization of AI-based tasks when assessing diverse clinical cohorts and training using data from a single group. The methods also showed divergent performance when replicating the original distribution of the data and some exhibited significant bias. In conclusion, extreme caution should be exercised when using AI methods for harmonization or synthesis in clinical studies when processing heterogeneous data in clinical studies, as important information may be altered, even when global metrics such as structural similarity or peak signal-to-noise ratio appear to suggest otherwise.

}, keywords = {Angular resolution, Artificial Intelligence, Deep learning, Diffusion tensor, diffusion MRI, machine learning}, issn = {2213-1582}, doi = {https://doi.org/10.1016/j.nicl.2023.103483}, url = {https://www.sciencedirect.com/science/article/pii/S2213158223001742}, author = {Santiago Aja-Fern{\'a}ndez and Carmen Mart{\'\i}n-Mart{\'\i}n and {\'A}lvaro Planchuelo-G{\'o}mez and Abrar Faiyaz and Md Nasir Uddin and Giovanni Schifitto and Abhishek Tiwari and Saurabh J. Shigwan and Rajeev Kumar Singh and Tianshu Zheng and Zuozhen Cao and Dan Wu and Stefano B. Blumberg and Snigdha Sen and Tobias Goodwin-Allcock and Paddy J. Slator and Mehmet Yigit Avci and Zihan Li and Berkin Bilgic and Qiyuan Tian and Xinyi Wang and Zihao Tang and Mariano Cabezas and Amelie Rauland and Dorit Merhof and Renata Manzano Maria and Vin{\'\i}cius Paran{\'\i}ba Campos and Tales Santini and Marcelo Andrade da Costa Vieira and SeyyedKazem HashemizadehKolowri and Edward DiBella and Chenxu Peng and Zhimin Shen and Zan Chen and Irfan Ullah and Merry Mani and Hesam Abdolmotalleby and Samuel Eckstrom and Steven H. Baete and Patryk Filipiak and Tanxin Dong and Qiuyun Fan and Rodrigo de Luis-Garc{\'\i}a and Antonio Trist{\'a}n-Vega and Tomasz Pieciak} } @article {954, title = {Moment-based representation of the diffusion inside the brain from reduced DMRI acquisitions: Generalized AMURA}, journal = {Medical Image Analysis}, volume = {77}, year = {2022}, pages = {102356}, abstract = {

AMURA (Apparent Measures Using Reduced Acquisitions) was originally proposed as a method to infer micro-structural information from single-shell acquisitions in diffusion MRI. It reduces the number of samples needed and the computational complexity of the estimation of diffusion properties of tissues by assuming the diffusion anisotropy is roughly independent on the b-value. This simplification allows the computation of simplified expressions and makes it compatible with standard acquisition protocols commonly used even in clinical practice. The present work proposes an extension of AMURA that allows the calculation of general moments of the diffusion signals that can be applied to describe the diffusion process with higher accuracy. We provide simplified expressions to analytically compute a set of scalar indices as moments of arbitrary orders over either the whole 3-D space, particular directions, or particular planes. The existing metrics previously proposed for AMURA (RTOP, RTPP and RTAP) are now special cases of this generalization. An extensive set of experiments is performed on public data and a clinical clase acquired with a standard type acquisition. The new metrics provide additional information about the diffusion processes inside the brain.

}, keywords = {AMURA, Diffusion anisotropy, Fast acquisition, diffusion MRI, white matter}, issn = {1361-8415}, doi = {https://doi.org/10.1016/j.media.2022.102356}, url = {https://www.sciencedirect.com/science/article/pii/S1361841522000093}, author = {Aja-Fern{\'a}ndez, Santiago and Pieciak, Tomasz and Mart{\'\i}n-Mart{\'\i}n, Carmen and {\'A}lvaro Planchuelo-G{\'o}mez and de Luis-Garc{\'\i}a, Rodrigo and Trist{\'a}n-Vega, Antonio} } @article {934, title = {Accurate free-water estimation in white matter from fast diffusion MRI acquisitions using the spherical means technique}, journal = {Magnetic Resonance in Medicine}, volume = {87}, year = {2021}, month = {2022}, pages = {1028-1035}, type = {Techncial Note}, abstract = {

Purpose To accurately estimate the partial volume fraction of free water in the white matter from diffusion MRI acquisitions not demanding strong sensitizing gradients and/or large collections of different b-values. Data sets considered comprise 32-64 gradients near plus 6 gradients near . Theory and Methods The spherical means of each diffusion MRI set with the same b-value are computed. These means are related to the inherent diffusion parameters within the voxel (free- and cellular-water fractions; cellular-water diffusivity), which are solved by constrained nonlinear least squares regression. Results The proposed method outperforms those based on mixtures of two Gaussians for the kind of data sets considered. W.r.t. the accuracy, the former does not introduce significant biases in the scenarios of interest, while the latter can reach a bias of 5\%{\textendash}7\% if fiber crossings are present. W.r.t. the precision, a variance near , compared to 15\%, can be attained for usual configurations. Conclusion It is possible to compute reliable estimates of the free-water fraction inside the white matter by complementing typical DTI acquisitions with few gradients at a lowb-value. It can be done voxel-by-voxel, without imposing spatial regularity constraints.

}, keywords = {diffusion MRI, free water, spherical means, white matter}, doi = {https://doi.org/10.1002/mrm.28997}, author = {Antonio Trist{\'a}n-Vega and Guillem Par{\'\i}s and Rodrigo de Luis-Garc{\'\i}a and Santiago Aja-Fern{\'a}ndez} }