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Dadar, M.

Publications and source records attributed to Dadar, M..

At least 19 recordsLinked to original sources

T2 relaxometry for myelin water fraction: an ex vivo brain imaging study

Abstract Introduction: Myelin water imaging provides a non-invasive approach for indirectly investigating myelin content of the brain by magnetic resonance Imaging (MRI). Myelin water fraction (MWF) reflects the fraction of water signal associated with water trapped between myelin layers. Postmortem imaging provides a unique opportunity to validate MWF metrics against gold-standard postmortem neuropathology. However, there is a need for validated sequences that would be applicable in postmortem settings. In this study, we validated and compared the applicability of turbo spin echo (TSE) and gradient-and-spin-echo (GRASE) techniques for myelin water imaging in formaldehyde fixed postmortem human brains. Methods: 40 postmortem human brain hemispheres were scanned with TSE and GRASE sequences. Acquired data were reconstructed using a non-parametric multicomponent T2 relaxometry approach using a consistent framework to support comparison between GRASE- and TSE-derived measures. Agreement between derived measures was quantified at both voxel and regional level. Maps derived from the full 32-echo GRASE reconstruction were compared against a truncated 14-echo reconstruction to examine the contribution of the longer echoes to the derived maps. Finally, a random forest regression model was trained based on TSE data to predict the GRASE-derived MWF maps. Results: Both sequences provided robust multicomponent T2 characterization across the brain, and the derived measures showed anatomical patterns consistent with expected differences across tissue types. TSE and GRASE derived maps had moderate to strong agreement at voxel (0.41< {rho} < 0.82, all pFDR<0.001) and regional levels (0.87< {rho} < 0.98, all pFDR<0.001), with consistently stronger agreement observed for regional metrics. Echo reduction comparisons between the full 32-echo GRASE reconstruction and a truncated 14-echo reconstruction showed minimal impact of echo truncation (all {rho} > 0.98, pFDR < 0.001). The nonlinear random forest regression model trained on TSE maps was able to accurately reproduce the MWF maps derived from GRASE (r = 0.91, RMSE = 8.87). Discussion: TSE and GRASE32 capture strongly related multicomponent T2 information in fixed postmortem human brain tissue, but with systematic and tissue-dependent quantitative differences across derived measures. These differences suggest that direct interchangeability should not be assumed and that cross-sequence mapping or calibration is required when quantitative equivalence is desired.

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Automatic Quality Control and Error Correction in MRI linear registration via a Residual Parameter Prediction Network for T1w MRI

Errors in linear registration can propagate to downstream nonlinear registration and bias volumetric estimations, deformation-based morphometry (DBM) and voxel-based morphometry (VBM) analyses. Subtle linear registration errors are particularly challenging as they are difficult to detect and may not result in obvious failures in nonlinear registration but still affect downstream results. Therefore, accurate identification and correction of these errors are critical. In this study, we present the Residual Affine COefficient Optimization Network (RACOON), a framework designed to identify and correct linear registration errors in T1w MRI scans registered to the MNI-ICBM152 space. RACOON's correction module achieved a residual misalignment RMSE of 0.778 mm on synthetic dataset, comparable to the variability observed among repeated QC-passed registrations using the same pipeline. For the classification module, RACOON achieved a balanced accuracy of 76.8% and a precision of 74.4%, outperforming existing state-of-the-art methods. RACOON is open source and publicly available at https://github.com/ZhaojinChen/RACOON.

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Neuronal quantification in the primary motor cortex of mouse brains fixed with solutions from human gross anatomy laboratories

Background: Brain banks usually provide small tissue blocks fixed by immersion in neutral-buffered formalin (NBF). While still underexploited for research, gross anatomy laboratories could provide full brains fixed by perfusion with solutions better suited for gross anatomy dissection. However, the chemicals in these solutions might have a different impact on histology protocols for cell quantification than in NBF-fixed brains. The main goal of this study is to compare the effects on the number and size of labeled neurons of the primary motor cortex (PMC) of mouse brains fixed with three different solutions: (1) NBF, typical of brain banks, (2) a saturated salt solution (SSS), and (3) an alcohol-formaldehyde solution (AFS), both used in human anatomy laboratories. Methods: 27 C57BL/6J mouse brains were perfused with the NBF (N=9), SSS (N=9) or AFS (N=9), then cut in 40-m slices and processed with immunohistochemistry to target neurons. Various quantitative variables were assessed manually and automatically on photomicrographs of 3 regions of interest (ROIs) of the PMC per specimen, namely the total and individual neuronal profile areas, number and diameters. The effects of the three fixatives on these variables were compared using ANOVA or Kruskal-Wallis, depending on the distribution. For measures on individual cells, a generalized linear mixed model was applied. Dice coefficients and correlations were applied to evaluate the agreement of the manual and automatic methods. Results: There was no significant difference between the brains fixed by the three fixatives for the total and individual cell areas, the total cell count and the cell diameters. The values obtained from manual and automatic measures had an overall good agreement (Dice coefficients > 0.79). Conclusion: It was found that the SSS and AFS had similar impacts on the quantitative variables in the tissue as the NBF. These results are promising for neuroscientists interested in using brains from anatomy laboratories for quantitative research on neurons from the PMC.

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Regional distribution of white matter hyperintensity burden in coronary artery disease and links with coronary revascularization procedure

IntroductionCoronary artery disease (CAD) increases the risk of cerebrovascular events, yet early brain injury in this population remains poorly characterized. White matter hyperintensities (WMHs), a biomarker of cerebrovascular lesions, are prevalent in CAD and are linked to risk of stroke. Beyond total burden, spatial distribution of WMHs carries pathological significance and is critical for understanding CAD-related injury. While clinical outcomes including coronary revascularization procedure and myocardial infarction influence CAD prognosis, their impact on WMH burden remains unclear. MethodsThis study investigated regional WMH burden in CAD and its relationship with clinical characteristics. 82 adults over 50 years participated, including 44 individuals with CAD and 38 controls. WMHs were segmented from fluid attenuated inversion recovery and T1-weighted MRI and categorized as total, periventricular, deep, and superficial regions. History of myocardial infarction and coronary revascularization (coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI)), was obtained from medical files. ResultsIndividuals with CAD exhibited higher total, periventricular, and deep WMH volumes than controls. Participants who underwent CABG had higher superficial WMH volumes than those with PCI, suggesting greater disease severity influences WMH burden. ConclusionCAD is characterized by a distinct pattern of cerebrovascular vulnerability, with revascularization procedures influencing WMH burden

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Spatiotemporal trajectories of formaldehyde fixation effects on quantitative MRI in postmortem human brains

Introduction: Postmortem human brain magnetic resonance imaging (MRI) offers a unique opportunity to study finer neuroanatomical details and enables direct correlations with gold standard histological and immunohistochemical assessments. However, to prevent tissue decay, postmortem brains are preserved in fixative solutions which can alter tissue properties and exert substantial impacts on the MRI signals. The present study investigates the impact of formalin fixation, the most commonly used solution for postmortem human brain preservation, on different quantitative MRI contrasts. Methods: 142 intact human brain hemispheres immersed in 10% formalin for a range of fixation durations (between 0 days and 20 years) were imaged in a 3T MRI scanner. A subset of 10 brains were further scanned repeatedly at days 0, 3, 10, 20, 30, 60, 90, and 120 to allow for better characterization of the initial transient effects of fixation. Voxel-wise T1 and T2* relaxation, T1/T2 ratio, and myelin water fraction (MWF) maps were generated for each specimen and timepoint, and linear and nonlinear models were used to examine the spatiotemporal changes associated with progressive fixation. Results: All investigated metrics were significantly impacted by formalin fixation, albeit at different rates and with differing regional patterns. T1 and T2* relaxation time decreased as a result of progressive fixation, whereas T1/T2 ratio and MWF measures increased. T1 relaxation and T1/T2 ratio showed nonlinear patterns with initially accelerated changes that decelerate in the first few months, whereas T2* relaxation and MWF changes followed a more linear trend. Conclusion: Formaldehyde fixation exerts systematic changes on quantitative MRI signals that can be modeled and adjusted for to allow for harmonized comparisons of MRI metrics across brains fixed for differing durations. The distinct temporal trajectories observed across metrics highlight the need to account for fixation duration in study design and downstream analyses, particularly when integrating datasets acquired under heterogeneous conditions. Our findings provide a quantitative framework for correcting fixation-induced biases, thereby improving the interpretability and reproducibility of postmortem MRI studies.

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Effects of prolonged post-fixation on vascular biomarkers in postmortem human brains

Postmortem human brains stored in brain banks are important research resources to study the mechanisms underlying normal brain functions as well as various neurodegenerative disorders. Immunohistochemical (IHC) and histochemical (HC) staining have been used to examine human brains fixed in neutral-buffered formalin (NBF) for months, years, and even decades. As such, it is essential to establish the effects of prolonged fixation in NBF on both IHC and HC stains. Previously, we found that prolonged NBF fixation resulted in differential effects on IHC and HC staining on postmortem brains. In this study, we further examined the effects of prolonged fixation on IHC stains targeting 6 antigens and 2 HC stains of known biomarkers of cerebrovascular diseases in prefrontal cortex of human brains fixed for 1, 5, 10, 15, and 20 years. The IHC targets included microvasculature markers of the blood brain barrier (Collagen-IV and Claudin-5), a type III intermediate filament marker (Vimentin), an activated microglia marker (CD68), a biomarker for oligodendrocytic myelin proteolipid protein (PLP) and a marker for iron accumulation (Ferritin). The HC included Massons Trichrome Stain (MTS) and Bielschowsky silver stain (BSS). We found that staining intensities of Ferritin, Vimentin, Collagen-IV and BSS decreased with prolonged fixation, while no significant differences were observed in the staining intensity of other markers. Hence, these differential alterations should be taken into consideration when interpreting the results from processed tissues with prolonged fixation. We recommend performing IHC and HC staining for human brains with the same fixation times to offset any impact on downstream neuropathological analyses, as well as adding the fixation duration as a covariate in the analysis.

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Comparison of T1- and T2-weighted MRI contrasts of ex vivo ex situ brains fixed with solutions used in gross anatomy laboratories

Post-mortem magnetic resonance imaging (MRI) offers high resolution and histological correlation, so protocols have been developed by brain banks using hemispheres fixed by immersion in Neutral-buffered formalin (NBF), but they provide limited tissue samples. Conversely, anatomy laboratories could supply complete brains perfused either with a salt-saturated (SSS) or an alcohol-formaldehyde (AFS) solution. These fixation methods alter the brains molecular properties, potentially affecting MRI quality and structural characteristics. T1- and T2-weighted (T1w, T2w) contrasts change with NBF fixation, but the effects of SSS or AFS remain unknown. We compared T1w and T2w intensities of different regions of interest (ROIs), including subcortical white matter (WM), cortical and deep gray matter (GM), in brains fixed with NBF, SSS and AFS. We scanned 20 ex situ hemispheres (NBF-immersed=7; SSS-perfused=7; AFS-perfused=6) in a 3T MRI scanner using T1w (0.7mm3) and T2w (0.64mm3) sequences overnight. Mean intensities of 29 ROIs in T1w and T2w MRIs and GM-WM ratios were calculated and compared in brains fixed with the three solutions. We found that T1w images were more affected by the fixation process, inverting the contrast of in vivo T1w and reducing the GM-WM contrast in AFS-fixed brains. T2w images resembled in vivo scans and maintained a sharp contrast in brains fixed with the three solutions, although the GM-WM intensity ratios were lowered in SSS-fixed brains. In conclusion, brains fixed with SSS and AFS from anatomy laboratories could be used for MRI studies, especially with the T2w sequence that seems more appropriate for structural analyses in different ROIs.

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Joint multi-omics profiling of brain and body health in aging

The human brain and peripheral systems undergo coordinated changes throughout the lifespan, yet studies of aging have traditionally examined these systems as separate entities. Here we ask how brain health relates to peripheral biomarkers of bodily health including body mass index, blood pressure, and blood biochemistry results. We use partial least squares analysis to identify generalizable patterns of covariance between multi-modal neuroimaging data (structural, functional, diffusion, and arterial spin labeling MRI), demographic, and peripheral physiological markers in two large-scale deeply phenotyped datasets: the Human Connectome Project-Aging and UK Biobank. This data-driven pattern learning approach identifies two principal axes of brain-body associations in both biological sex groups. The first axis is driven by the dominant contribution of age. Across multiple brain measures, aging is associated with loss of brain structural integrity and cerebral vascular dysfunction. The second axis is driven by metabolic features, characterized by low high-density lipoprotein cholesterol, elevated body mass index, blood pressure, glycosylated hemoglobin, insulin, glucose, and alanine aminotransferase, and reduced cerebral blood perfusion. Finally, we show that deviations from a healthy metabolic profile are linked to cognitive deficits, particularly in females. Our study contributes to development of comprehensive translatable biomarkers for brain health assessment, and highlights the importance of metabolic health as a determinant of brain health.

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RAVEN: Robust, generalizable, multi-resolution structural MRI upsampling using Autoencoders

Due to their high inter-tissue contrast, Magnetic resonance images (MRIs) can reflect neuroanatomical changes related to healthy aging and pathological processes. However, standard brain MRI acquisition resolutions hinder the ability to measure the more subtle changes that occur in early disease stages. Increasing the resolution during acquisition poses multiple challenges, including increased noise, higher acquisition times and cost, and discomfort of the scanned individual. In this work, we propose a robust, generalizable single-image super-resolution network for brain MRIs named Resolution Augmentation with Variational auto-Encoder Networks (RAVEN) with generative adversarial networks (GANs). We show RAVEN is capable of upsampling in-vivo and ex-vivo MRIs of diverse modalities (e.g. T1-weighted, T2-weighted, and T2*) and varying field strengths (3T to 7T) to target voxel sizes as small as 0.5mm isotropic using arbitrary upsampling factors. RAVEN achieved state-of-the-art performance against deep learning and non-deep learning methods, best preserving true anatomical information. We have also made RAVEN open access, with the source code as well as training and evaluation scripts available and ready to use at: https://github.com/waadgo/raven.

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PELICAN: a Longitudinal Image Processing Pipeline for Analyzing Structural Magnetic Resonance Images in Aging and Neurodegenerative Disease Populations

Structural magnetic resonance imaging (MRI) allows for accurate non-invasive assessment of the brains structure and its longitudinal changes. Availability of large scale longitudinal MRI datasets enables us to probe brain changes in health and disease, and derive longitudinal trajectories of brain morphometry based measures to estimate brain atrophy and other disease-related abnormalities. In contrast to their cross-sectional counterparts, image processing pipelines that have been designed for longitudinal data can reduce noise in the derived measurements by disentangling the within and between subject variabilities, improving the sensitivity of the downstream models in detecting more subtle longitudinal changes. Here we present PELICAN, our open source multi-contrast longitudinal image processing pipeline, that has been designed and extensively validated for use in longitudinal settings and populations with neurodegenerative disorders. PELICAN can use population specific average templates as intermediate targets to derive accurate nonlinear registrations for cases with substantial levels of atrophy, which commonly used pipelines struggle to process. We evaluated PELICANs performance across over 34,000 MRIs from multiple aging and neurodegenerative disorder cohorts, and compared its reliability and failure rates against FreeSurfer as a widely used image processing tool, showing superior performance of PELICAN compared to FreeSurfer, both in terms of failure rate and reliability. Our results demonstrate that PELICAN can be used to accurately process MRIs of individuals with neurodegenerative disease who present with greater levels of atrophy and white matter lesion burden.

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Whole-Brain Cell-Cell Interaction Axes Explaining Tissue Vulnerability Across the Neurodegenerative Spectrum

Disrupted cell-cell communication represents a fundamental mechanism underlying neurodegeneration, yet how specific intercellular signaling patterns relate to regional brain vulnerability remains poorly understood. Here, we map whole-brain intercellular interaction networks and their spatial correspondence with tissue damage across 13 neurodegenerative conditions, including early- and late-onset Alzheimers disease, presenilin-1 mutations, clinical and pathological subtypes of frontotemporal lobar degeneration, Parkinsons disease, dementia with Lewy bodies, and amyotrophic lateral sclerosis. By integrating multiregional single-nucleus and bulk RNA-seq data with curated cell-cell interaction databases and structural MRI, we reconstruct over 1,000 whole-brain maps of ligand-receptor interactions and quantify their associations with regional atrophy patterns. Multivariate analysis identifies three dominant axes of intercellular communication that explain regional vulnerability to neurodegeneration. Notably, the first axis involves neuron-astrocyte-microglia interactions, explaining atrophy patterns shared by frontotemporal lobar degeneration and Alzheimers disease subtypes. Two complementary axes involving neurons, endothelial cells, and astrocytes explain patterns specific to mutations in PS1 and Parkinsons disease. Importantly, validation in an independent post-mortem cohort (N = 375) confirms that late-onset Alzheimers disease-associated cell-cell interactions predict observed frontal cortex atrophy. These results establish a systematic framework linking local intercellular communication networks to spatial patterns of neurodegeneration, revealing both shared and disease-specific molecular pathways that drive regional brain vulnerability and identifying cellular interaction targets for precision therapeutic interventions.

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Histology to MRI registration quality of ex vivo human brain blocks fixed with solutions used in anatomy laboratories

IntroductionPost-mortem brain tissue is obtained from brain banks that provide small tissue samples, while gross anatomy laboratories could become a source of complete brains for neuroscientists. These are preserved with solutions whose chemical composition differs from the classic neutral-buffered formalin (NBF) used in brain banks, such as a saturated-salt-solution (SSS) or an alcohol-formaldehyde solution (AFS) that preserve antigenicity of the main brain cell populations. Since histology remains the gold standard in neuroscientific research, while MRI is the most common imaging modality, MRI-histology registration quality needs to be assessed to ensure the suitability using brains fixed with innovative solutions for research procedures. Hence, our goal was to compare the registration quality of human brains fixed with NBF, SSS and AFS, as well as the histological characteristics that could affect the registration. MethodsWe used 12 human brain blocks of 3x3x3 cm3 fixed in our anatomy laboratory using SSS (N=4), AFS (N=4), or NBF (N=4). The blocks were scanned using a 7Tesla Bruker animal MRI scanner with a T2-TurboRARE sequence at 0.13x0.13x0.5mm3. Blocks were then cut into 40m thick sections (parallel to the 0.13x0.13 plane) using a vibratome. Sections were stained with histochemistry (HC) (Cresyl violet, Prussian blue, Luxol fast blue, H&E, and Bielschowsky) and immunohistochemistry (IHC) of the 4 main cell populations: neurons (NeuN), astrocytes (GFAP), microglia (Iba1) and myelin (PLP) either with or without an antigen retrieval (AR) protocol. Stained sections were imaged using a slide scanner microscope and segmented with masks using Display, and the sections were manually registered to the T2-TurboRare images using landmarks in Register (MincToolKit). ResultsMore landmarks were needed to achieve proper alignment of the histology to MRI images for the SSS-fixed blocks, due to the lower GM-WM contrast in these brains. However, there was no significant difference in the staining intensity of the histology sections of blocks fixed with the three solutions, while SSS-fixed blocks showed a lower percentage of overlap between the good histology quality masks and the MRI masks. This resulted in a sufficient registration quality of all blocks, although more challenging when fixed with SSS. ConclusionWe have developed histology, MRI and registration protocols that are of good quality in brain blocks fixed with solutions used in gross anatomy laboratories. These results are promising for neuroscientists interested in using full brains from anatomy laboratories, either using MRI, histology or registration of both modalities to study normal aging and neurodegenerative conditions.

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White Matter Hyperintensities Precede other Biomarkers in GRN Frontotemporal Dementia

INTRODUCTIONIncreased white matter hyperintensities (WMHs) have been reported in genetic frontotemporal dementia (FTD) in small studies, but the sequence of WMH abnormalities relative to other biomarkers is unclear. METHODSUsing a large dataset (n=763 GENFI2 participants), we measured WMHs and examined them across genetic FTD variants and stages. Cortical and subcortical volumes were parcellated, and serum neurofilament light chain (NfL) levels were measured. Biomarker progression was assessed with discriminative event-based and regression modeling. RESULTSSymptomatic GRN carriers showed elevated WMHs, primarily in the frontal lobe, while no significant increase was observed in C9orf72 or MAPT carriers. WMH abnormalities preceded NfL elevation, ventricular enlargement, and cortical atrophy. Longitudinally, baseline WMHs predicted subcortical changes, while subcortical volumes did not predict WMH changes, suggesting WMHs may precede neurodegeneration. DISCUSSIONWMHs are elevated in a subset of GRN-related FTD. When present, they appear early and should be considered in disease progression models. HighlightsO_LIElevated WMH volumes in symptomatic GRN carriers, but not in other mutations. C_LIO_LIWMH accumulation is mostly observed in the frontal lobe. C_LIO_LIWMH abnormalities appear early in GRN-FTD, before NfL, atrophy, and ventriculomegaly. C_LIO_LILongitudinally, WMH volumes can predict subcortical changes, but not vice versa. C_LIO_LIWMHs are key early markers in GRN-FTD and should be included in progression models. C_LI RESEARCH IN CONTEXTO_ST_ABSSystematic reviewC_ST_ABSWe systematically reviewed the literature on white matter hyperintensities (WMHs) in frontotemporal dementia (FTD) using PubMed. While a few small studies reported increased WMHs in GRN mutation carriers, their sample sizes were limited, and they did not assess the timing of WMHs within disease progression or their temporal relationship to other biomarkers. InterpretationWe identified a sequence of key biomarkers in GRN-related FTD and demonstrated that WMHs are among the earliest biomarkers, preceding cortical and subcortical atrophy as well as blood biomarkers. This aligns with neuropathological evidence of early white matter involvement in FTLD-GRN. Additionally, using a larger dataset, we validated previous reports of elevated WMHs in GRN carriers, confirming their reliability. Future directionsFuture studies should integrate WMHs into FTD progression models to enhance early diagnosis. Understanding why only a subset of GRN carriers exhibit high WMH volumes remains a key research priority.

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Ex vivo human brain volumetry: validation of magnetic resonance imaging measurements

BackgroundNeurodegenerative diseases are associated with brain atrophy. The volume of in vivo human brains is determined with various magnetic resonance imaging (MRI) measurement tools of which the validity has not been assessed against a gold standard. Here, we propose to validate the MRI brain volumes by scanning ex vivo-in situ specimens (i.e., anatomical heads), which allows the extraction of the brain after the scan to compare its volume with the gold standard water displacement method (WDM). MethodsWe acquired 3T MRI T2-weighted, T1-weighted, and MP2RAGE images of seven anatomical heads fixed with an alcohol-formaldehyde solution routinely used in anatomy laboratories and segmented the gray and white matter of the brain using two methods: 1) a manual intensity-based threshold segmentation using Display (MINC-ToolKit, McConnell BIC), and 2) an automatic Deep-Learning-based segmentation tool (SynthSeg). The brains were then extracted, and their volumes were measured with the WDM after the removal of their meninges and a midsagittal cut (to allow water penetration into the ventricles). Volumes from all methods were compared to the ground truth (WDM volumes) using a repeated-measures ANOVA. ResultsMean brain volumes, in cubic centimeters, were 1111.14{+/-}121.78 for WDM, 1020.29{+/-}70.01 for manual T2-weighted, 1056.29{+/-}90.54 for automatic T2-weighted, 1094.69{+/-}100.51 for automatic T1-weighted, 1066.56{+/-}96.52 for automatic MP2RAGE INV1, and 1156.18{+/-}121.87 for MP2RAGE INV2. All volumetry methods were significantly different (F=17.874; p<0.001) from the WDM volumes, except the automatic T1-weighted volumes. ConclusionWe demonstrate that SynthSeg accurately determines the brain volume in ex vivo-in situ T1-weighted MRI scans. Our results also suggest that given the contrast similarity between our ex vivo and in vivo sequences, the brain volumes of clinical studies are most probably sufficiently accurate, with some degree of underestimation depending on the sequence used.

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Cerebral blood perfusion across biological systems and the human lifespan

Blood perfusion delivers oxygen and nutrients to all cells, making it a fundamental feature of brain organization. How cerebral blood perfusion maps onto micro-, meso- and macro-scale brain structure and function is therefore a key question in neuroscience. Here we analyze pseudo-continuous arterial spin labeling (ASL) data from 1 305 healthy individuals in the HCP Lifespan studies (5-100 years) to reconstruct a high-resolution normative cerebral blood perfusion map. At the cellular and molecular level, cerebral blood perfusion co-localizes with granular layer IV, biological pathways for maintenance of cellular relaxation potential and mitochondrial organization, and with neurotransmitter and neuropeptide receptors involved in vasomodulation. At the regional level, blood perfusion aligns with cortical arealization and is greatest in regions with high metabolic demand and resting-state functional hubs. Looking across individuals, blood perfusion is dynamic throughout the lifespan, follows microarchitectural changes in development, and maps onto individual differences in physiological changes in aging. In addition, we find that cortical atrophy in multiple neurodegenerative diseases (late-onset Alzheimers disease, TDP-43C, and dementia with Lewy bodies) is most pronounced in regions with lower perfusion, highlighting the utility of perfusion topography as an indicator of transdiagnostic vulnerability. Finally, we show that ASL-derived perfusion can be used to delineate arterial territories in a data-driven manner, providing insights into how the vascular system is linked to human brain function. Collectively, this work highlights how cerebral blood perfusion is central to, and interlinked with, multiple structural and functional systems in the brain.

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Beyond brain size: disentangling the effect of sex and brain size on brain morphometry and cognitive functioning

It is imperative to study sex differences in brain morphology and function. However, there are major observable and unobservable confounding factors that can contribute to the estimated differences. Males have larger head sizes than females. Head size differences not only act as a confounding factor in studying sex differences in the brain, but also impact its anatomy and functioning. In this work, we seek to disentangle the effect of head size from sex in studying sex differentiated aging trajectories, its relation to canonical functional networks and cytoarchitectural classes, brain allometry, cognition. Using the UK Biobank (UKBB) neuroimaging data (N = 35,732 participants, 19,281 females, 44-82 years of age), we created a subsample (N = 11,294) where females (N = 5,657) and males were matched by their total intracranial volume (TIV) and age, a subsample that maintains the UKBB sample distribution, one matched only by age, and one that exaggerated the TIV difference between sexes. We then modeled the aging trajectories at both regional and vertex-wise levels in the four subsamples, and compared the estimations of the models. Our results show that when females and males have the same head size, the overall sex estimations tend towards zero, suggesting that most of the variability results from head size differences. Our approach also revealed bidirectional sex differences in brain neuroanatomy previously masked by the effect of head size. Further, the scaling relationship between regional and total brain volume remains fairly consistent across the lifespan and is not sex differentiated overall. We evaluated how the results of cognitive tests with perceived sex differences are influenced and explained by head size and found that although the correlation between TIV and cognitive scores is low, the matching process changes the direction of the effect sizes of differences between sexes in "verbal and numerical reasoning" and "working memory" cognitive domains. Taken together, employing a matching approach that is widely used in causal modeling studies, we provide new evidence for disentanglement of sex differences in the brain from head size as a biological confound.

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Differential effects of prolonged post-fixation on immunohistochemical and histochemical staining for postmortem human brains

Immunohistochemical (IHC) and histochemical (HC) staining is widely used for human brains post-fixed in formalin and stored in brain banks worldwide for months, years and decades. Understanding the effect of prolonged post-fixation, postmortem interval (PMI) and age on these staining procedures is important for interpreting their outcomes, thus improving diagnosis and research of brain disorders afflicting millions of world populations. In this study, we performed both IHC and HC staining for prefrontal cortex (PFC) of postmortem human brains post-fixed for 1, 5, 10, 15 and 20 years. A negative correlation was detected between the intensity of neuron marker neuron nuclear specific marker (NeuN), microglia marker ionized calcium-binding adaptor molecule 1 (Iba1), cresyl violet (CV) and Luxol fast blue (LFB) staining versus post-fixation durations. By contrast, a positive correlation was seen between the intensity of astrocyte marker glial fibrillary acidic protein (GFAP) and hemaetoxylin and eosin Y (H&E) staining versus post-fixation durations. No correlation was found between the staining intensity of NeuN, GFAP, Iba1, H&E, CV and LFB versus PMI. Moreover, no correlation was seen between NeuN, Iba1, H&E, CV and LFB, except GFAP, versus age. These data suggest that prolonged post-fixation exerts both positive and negative effects, but age and PMI have limited effects, on these IHC and HC parameters. Hence these differential changes need to be considered in interpretation of the results when using tissues with prolonged post-fixation. Furthermore, if feasible, it is recommended to perform IHC and HC staining for human brains with the same post-fixation time windows and to use the most optimal antibodies to offset its impact on downstream analyses.

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Network Spreading and Local Biological Vulnerability in Amyotrophic Lateral Sclerosis

Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease that predominantly targets the motor system. Spread of pathology is thought to be driven by both local vulnerability and network architecture. Namely, molecular and cellular features may confer vulnerability to specific neuronal populations, while synaptic contacts may also increase exposure to pathology in connected neuronal populations. However, these principles are typically studied in isolation and it remains unknown how local vulnerability and network spreading interact to shape cortical atrophy. Here we investigate how network structure and local biological features jointly shape the spatial patterning of atrophy in ALS. We analyze the Canadian ALS Neuroimaging Consortium (CALSNIC) dataset and estimate cortical atrophy using deformation-based morphometry (DBM). We find that structural connectivity closely aligns with the course of atrophy. Atrophy is also more likely to occur in regions that share similar transcriptomic, neurotransmitter receptor and metabolic profiles. We identify disease epicenters in motor cortex. Epicenter probability maps show transcriptomic enrichment for biological pathways involved in mitochondrial function as well as support cells, including endothelial cells and pericytes. Finally, individual differences in epicenter location correspond to individual differences in clinical and cognitive symptoms, and differentiate patient subtypes.

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