Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging

Diffusion Tensor Imaging (DTI) tractography has been widely used in brain tumor surgery to ensure thorough resection and minimize functional damage. However, due to enhanced anisotropic uncertainty in the area with peritumoral edema, diffusion tractography is generally not practicable leading to hig...

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Autores principales: Shin Tai Chong, Xinrui Liu, Hung-Wen Kao, Chien-Yuan Eddy Lin, Chih-Chin Heather Hsu, Yi-Chia Kung, Kuan-Tsen Kuo, Chu-Chung Huang, Chun-Yi Zac Lo, Yunqian Li, Gang Zhao, Ching-Po Lin
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:ea0544ae481e4f2981b66684ec5857572021-11-15T09:13:28ZExploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging1662-453X10.3389/fnins.2021.702353https://doaj.org/article/ea0544ae481e4f2981b66684ec5857572021-09-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnins.2021.702353/fullhttps://doaj.org/toc/1662-453XDiffusion Tensor Imaging (DTI) tractography has been widely used in brain tumor surgery to ensure thorough resection and minimize functional damage. However, due to enhanced anisotropic uncertainty in the area with peritumoral edema, diffusion tractography is generally not practicable leading to high false-negative results in neural tracking. In this study, we evaluated the usefulness of the neurite orientation dispersion and density imaging (NODDI) derived tractography for investigating structural heterogeneity of the brain in patients with brain tumor. A total of 24 patients with brain tumors, characterized by peritumoral edema, and 10 healthy counterparts were recruited from 2014 to 2021. All participants underwent magnetic resonance imaging. Moreover, we used the images obtained from the healthy participants for calibrating the orientation dispersion threshold for NODDI-derived corticospinal tract (CST) reconstruction. Compared to DTI, NODDI-derived tractography has a great potential to improve the reconstruction of fiber tracking through regions of vasogenic edema. The regions with edematous CST in NODDI-derived tractography demonstrated a significant decrease in the intracellular volume fraction (VFic, p < 0.000) and an increase in the isotropic volume fraction (VFiso, p < 0.014). Notably, the percentage of the involved volume of the concealed CST and lesion-to-tract distance could reflect the motor function of the patients. After the tumor resection, four patients with 1–5 years follow-up were showed subsidence of the vasogenic edema and normal CST on DTI tractography. NODDI-derived tractography revealed tracts within the edematous area and could assist neurosurgeons to locate the neural tracts that are otherwise not visualized by conventional DTI tractography.Shin Tai ChongXinrui LiuHung-Wen KaoHung-Wen KaoChien-Yuan Eddy LinChih-Chin Heather HsuChih-Chin Heather HsuYi-Chia KungKuan-Tsen KuoChu-Chung HuangChun-Yi Zac LoYunqian LiGang ZhaoChing-Po LinChing-Po LinFrontiers Media S.A.articleneurite orientation dispersion and density imagingdiffusion tensor imagingfiber tractographyvasogenic edemabrain tumorneurosurgeryNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Neuroscience, Vol 15 (2021)
institution DOAJ
collection DOAJ
language EN
topic neurite orientation dispersion and density imaging
diffusion tensor imaging
fiber tractography
vasogenic edema
brain tumor
neurosurgery
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle neurite orientation dispersion and density imaging
diffusion tensor imaging
fiber tractography
vasogenic edema
brain tumor
neurosurgery
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Shin Tai Chong
Xinrui Liu
Hung-Wen Kao
Hung-Wen Kao
Chien-Yuan Eddy Lin
Chih-Chin Heather Hsu
Chih-Chin Heather Hsu
Yi-Chia Kung
Kuan-Tsen Kuo
Chu-Chung Huang
Chun-Yi Zac Lo
Yunqian Li
Gang Zhao
Ching-Po Lin
Ching-Po Lin
Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging
description Diffusion Tensor Imaging (DTI) tractography has been widely used in brain tumor surgery to ensure thorough resection and minimize functional damage. However, due to enhanced anisotropic uncertainty in the area with peritumoral edema, diffusion tractography is generally not practicable leading to high false-negative results in neural tracking. In this study, we evaluated the usefulness of the neurite orientation dispersion and density imaging (NODDI) derived tractography for investigating structural heterogeneity of the brain in patients with brain tumor. A total of 24 patients with brain tumors, characterized by peritumoral edema, and 10 healthy counterparts were recruited from 2014 to 2021. All participants underwent magnetic resonance imaging. Moreover, we used the images obtained from the healthy participants for calibrating the orientation dispersion threshold for NODDI-derived corticospinal tract (CST) reconstruction. Compared to DTI, NODDI-derived tractography has a great potential to improve the reconstruction of fiber tracking through regions of vasogenic edema. The regions with edematous CST in NODDI-derived tractography demonstrated a significant decrease in the intracellular volume fraction (VFic, p < 0.000) and an increase in the isotropic volume fraction (VFiso, p < 0.014). Notably, the percentage of the involved volume of the concealed CST and lesion-to-tract distance could reflect the motor function of the patients. After the tumor resection, four patients with 1–5 years follow-up were showed subsidence of the vasogenic edema and normal CST on DTI tractography. NODDI-derived tractography revealed tracts within the edematous area and could assist neurosurgeons to locate the neural tracts that are otherwise not visualized by conventional DTI tractography.
format article
author Shin Tai Chong
Xinrui Liu
Hung-Wen Kao
Hung-Wen Kao
Chien-Yuan Eddy Lin
Chih-Chin Heather Hsu
Chih-Chin Heather Hsu
Yi-Chia Kung
Kuan-Tsen Kuo
Chu-Chung Huang
Chun-Yi Zac Lo
Yunqian Li
Gang Zhao
Ching-Po Lin
Ching-Po Lin
author_facet Shin Tai Chong
Xinrui Liu
Hung-Wen Kao
Hung-Wen Kao
Chien-Yuan Eddy Lin
Chih-Chin Heather Hsu
Chih-Chin Heather Hsu
Yi-Chia Kung
Kuan-Tsen Kuo
Chu-Chung Huang
Chun-Yi Zac Lo
Yunqian Li
Gang Zhao
Ching-Po Lin
Ching-Po Lin
author_sort Shin Tai Chong
title Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging
title_short Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging
title_full Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging
title_fullStr Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging
title_full_unstemmed Exploring Peritumoral Neural Tracts by Using Neurite Orientation Dispersion and Density Imaging
title_sort exploring peritumoral neural tracts by using neurite orientation dispersion and density imaging
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/ea0544ae481e4f2981b66684ec585757
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