Biology subjects

Makris, N.

Publications and source records attributed to Makris, N..

At least 19 recordsLinked to original sources

bioRxiv2026

Test-Retest Reproducibility of Single- and Cross-Population White Matter Atlases in Diffusion MRI Tractography

Diffusion MRI tractography enables noninvasive mapping of white matter fiber tracts. Atlas-based white matter parcellation supports automated tract identification by assigning individual streamlines to atlas-defined clusters and anatomical tract labels. Because clustering-based white matter atlases are constructed from cohort-specific tractography data, they capture common white matter organization represented in the atlas-construction population. Although major white matter anatomy is shared across populations, subtle population-related anatomical variability may influence atlas representation and test-retest correspondence. Therefore, the reproducibility and cross-population generalizability of tractography-based white matter atlases are important considerations for quantitative neuroimaging studies. In this study, we evaluated whether incorporating cross-population anatomical variability during atlas construction improves test-retest reproducibility. To do so, we compared a single-population ORG atlas constructed from a Western cohort with the cross-population East-West White Matter Atlas constructed from both Eastern and Western cohorts. Test-retest diffusion MRI scans from the Human Connectome Project Young Adult (HCP-YA) dataset and the Connectivity-based Brain Imaging Research Database (C-BIRD) were analyzed as independent Western and Eastern test-retest cohorts, respectively. Whole-brain tractography was reconstructed for each dMRI scan and parcellated using both atlases. Reproducibility was assessed using tract detection rate at both cluster level and anatomical tract level, weighted Dice coefficient, and the relative difference of mean fractional anisotropy (FA). Both atlases showed stable tract detection across test-retest scans in both cohorts. Compared with the ORG atlas, the East-West White Matter Atlas achieved higher overall spatial overlap and lower test-retest variability in mean FA, although atlas performance varied across individual tracts. These findings suggest that integrating cross-population information during atlas construction improves the reproducibility and generalizability of white matter atlas mapping across independent populations and imaging protocols.

neuroscience↗

bioRxiv2026

Connectional neuroanatomy of U-fibers in the rhesus monkey brain

The superficial white matter (SWM), the region of white matter immediately beneath the gray matter-white matter (GM-WM) border, contains short cortico-cortical association fibers that interconnect neighboring cortical regions. The SWM is estimated to comprise the majority of axons in the cerebral white matter and is thus thought to play a major role in cortical information processing. Despite this prominence, and growing attention in the diffusion MRI (dMRI) field, the connectional organization of the SWM remains poorly defined. A major component of the SWM is U-shaped fiber bundles, classically depicted in brain dissections as bundles beneath sulci that interconnect adjacent gyri. The prevailing view, from both brain dissection and dMRI, considers U-fibers to be ubiquitous elements of the SWM that form symmetric connections between corresponding portions of adjacent gyri beneath all sulci, and they are routinely reconstructed in tractography as a layer of short association connections. However, their actual prevalence and organization in the primate brain have never been systematically evaluated with experimental tract tracing. To address this gap, we analyzed 28 archival macaque tract-tracing cases in which anterograde tracers were injected on gyri adjacent to major cortical sulci (intraparietal, central, principal, superior temporal), all of which have clear anatomical correspondences to sulci in the human cerebral cortex. Several organizational principles emerged. First, although short association fibers were present in every case, U-fibers - operationally defined as labeled fibers that left the injection site, passed beneath a sulcus, and terminated on the adjacent gyrus - were only observed in a minority of cases. Second, U-fiber incidence was sulcus-dependent: U-fibers were consistently present beneath the principal and central sulci, but uncommon beneath the intraparietal and superior temporal sulci. Third, when present, U-fibers did not follow a uniform trajectory - some took a course symmetric and orthogonal to the sulcus, whereas others followed oblique trajectories to more distant regions. In addition to U-fibers, we identified shorter association fiber bundles that terminated on the sulcal bank proximal to the injection, or on the opposing bank after they crossed the fundus of the sulcus, evidence that the SWM contains multiple classes of short association fiber bundles rather than a single canonical U-fiber system. We further identified a consistent 200-300 {micro}m band of white matter beneath cortical layer 6 that contained exclusively short association fibers on approach to their cortical terminations and was selectively avoided by deeper long cortico-cortical pathways. This band was present across all examined sulci, suggesting that it is a conserved feature of the cortical white matter. Notably, U-fibers were found both within this band and in the white matter below. We also identified deeper fiber bundles that adopted a U-shaped course beneath a sulcus but did not interconnect adjacent gyri. Thus, a U-shaped trajectory alone does not define a U-fiber. Together, these findings constitute the first systematic connectional study of cortical U-fibers in major sulci of the non-human primate brain and indicate that the white matter beneath the cortex is a highly complex system in which short association fiber bundle organization reflects the selective connectivity of the cortical areas separated by a sulcus, rather than a uniform U-fiber architecture imposed by the geometry of the overlying sulcus. These results have potential consequences for dMRI and anatomical studies of white matter and provide an anatomically grounded basis to better define SWM organization in anatomy and tractography.

neuroscience↗

bioRxiv2026

Anatomically constrained and curated cerebellar tractography (ACCURAT): an open framework and a pathway-specific neuroanatomical reference

Cerebellar pathways form extensive structural circuits linking the cerebellum with the brainstem, thalamus, and cerebrum, underlying motor, cognitive, and affective functions. Diffusion MRI tractography provides the only non-invasive method for mapping these pathways in vivo, but reconstruction of cerebellar connectivity remains challenging due to crossing fibers, peduncular bottlenecks, decussations, multi-synaptic circuits, and numerous small nuclei that define pathway origins and terminations. Here we introduce Anatomically Constrained and CURAted Tractography (ACCURAT), an open framework for reconstructing cerebellar pathways from diffusion MRI using anatomical priors and rule-based streamline queries. ACCURAT combines anatomical segmentation, densely seeded tractography, and vertex-level evaluation of anatomical constraints along streamline trajectories, enabling the isolation of pathway segments within specific nuclei while preventing their propagation across synaptic boundaries. To define these constraints, we provide a concise, pathway-by-pathway synthesis of cerebellar connectional anatomy based on experimental tract-tracing literature and organized for tractography applications. We identify pathway-specific origins, trajectories, terminations, decussation patterns, and tractography challenges, and use this information to inform tractography-ready cerebellar pathway definitions. Using ultra-high-resolution submillimeter diffusion MRI (0.76 mm gSlider acquisition) from healthy participants, we reconstruct multiple extrinsic and intrinsic cerebellar pathways, including specific components of the inferior, middle, and superior cerebellar peduncles; challenging decussating pathways such as the olivocerebellar and dentato-olivary projections; and intrinsic cerebellar pathways, including Purkinje corticonuclear projections and intracortical parallel fibers. ACCURAT generalizes across tractography algorithms, producing comparable reconstructions with both probabilistic parallel transport tractography and deterministic unscented Kalman filter tractography. Together, the ACCURAT framework and accompanying neuroanatomical reference provide an anatomically grounded, tractography-oriented resource for reconstructing cerebellar pathways in vivo and for supporting future development and evaluation of cerebellar tractography methods.

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bioRxiv2026

Distinct cortical excitability and connectivity profiles within the human SMA complex

Introduction and aimUnderstanding brain functions increasingly relies on a network-based perspective, emphasizing interactions across distributed regions. High-order cognitive functions, like language and executive processes, engage such networks rather than isolated cortical areas, yet mapping their dynamics in humans remains challenging. The supplementary motor area (SMA) complex serves as a crucial hub, functioning as an interface between cognitive and sensorimotor processing. Navigated transcranial magnetic stimulation combined with electroencephalography (TMS-EEG) enables causal, time-resolved assessment of cortical excitability and connectivity with high temporal and spatial precision. Extending prior proof-of-concept work, this study aims to provide normative neurophysiological signatures of the SMA complex (pre-SMA and SMA). MethodsTwenty-one healthy subjects underwent a TMS-EEG session where six stimulation targets over the SMA complex (three in pre-SMA, one in the border between pre-SMA and SMA, two in SMA) were recorded. Global cortical excitability via global mean field power (GMFP) was computed over three time-windows (10-50, 50-100, and 100-200 ms) and compared across targets. Normalized power in different frequency bands (, {beta}1, {beta}2, {gamma}) and natural frequency (NF) were also computed and compared across stimulation sites. Then, we calculated tractography-derived connectivity metrics to examine corticothalamic projections from each stimulation site. Apparent fiber density (AFD)-derived connection strength quantified intra-axonal fibre volume along pathways to the whole thalamus, whereas fibre bundle capacity (FBC) assessed the aggregate intra-axonal cross-sectional area at pathway endpoints, providing an estimate of information transmission capacity to each of the 23 thalamic nuclei. ResultsCortical excitability and oscillatory properties varied significantly across TMS targets. A gradient in cortical excitability was observed, where anterior and middle portions of pre-SMA exhibited significantly lower GMFP in the early post-stimulus phase (i.e., 10-50 ms) than SMA portions; interestingly, these differences were clearly dampened in a later time-window (50-100 ms) and disappeared after this period. Furthermore, higher and lower {beta}2 power were observed in anterior pre-SMA than posterior pre-SMA portions. No differences were observed in NF. Crucially, we also observed significant differences in whole- and single-nuclei thalamic structural connectivity. DiscussionThese findings provide direct human in vivo evidence for distinct neurophysiological and structural connectivity profiles of the pre-SMA and SMA, possibly reflecting their different cytoarchitectonic, myeloarchitectonic and connectivity properties. Variations in cortical excitability, oscillatory dynamics, and FBC along the rostro-caudal axis may mirror functional specialization, with pre-SMA supporting cognitive control processes and SMA engaging motor-related thalamocortical networks. Together, the results demonstrate the sensitivity of TMS-EEG and diffusion-weighted connectomics to measure fine-grained neurophysiological differences of corticothalamic projections, which can lead to individualized neuromodulation targeting.

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bioRxiv2025

Study of Sex Differences in the Whole Brain White Matter Using Diffusion MRI Tractography and Suprathreshold Fiber Cluster Statistics

Sex-specific characteristics demonstrate a substantial influence on the brain white matter (WM), suggesting distinct structural connectivity patterns between females and males. Diffusion MRI (dMRI) tractography is an important tool in assessing WM connectivity and brain tissue microstructure across different populations. Whole brain tractography analysis for group statistical comparison is a challenging task due to the large number of WM connections. This work studies whole-brain WM connectivity differences between females and males using dMRI tractography. We study a large cohort of 707 subjects from the Human Connectome Project Young Adult dataset. By applying a well-established fiber clustering pipeline and a suprathreshold fiber cluster statistical method, we analyze tracts in the cerebral cortex and understudied pathways like those connecting to the cerebellum. We identify several tracts with significant sex differences in terms of their fractional anisotropy and/or mean diffusivity. These include deep tracts like the arcuate fasciculus, corticospinal tract, and corpus callosum, superficial tracts in the frontal lobe, and cerebellar tracts. Finally, correlation analysis reveals that these WM differences are linked to a range of neurobehavioral measures, with the strongest and most consistent associations observed for motor function, suggesting motor circuits as a potential key focus for future research.

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bioRxiv2025

The superficial white matter in language processing: Broca's area connections are bilaterally associated with individual performance in children and adults

While deeper white matter connections, such as the arcuate fasciculus and frontal aslant tract, are well known for their role in language and show leftward asymmetries in adults, the contribution of the short-range cortico-cortical superficial white matter (SWM) connections remains less understood. In this preregistered study, we examined white matter connections of Brocas area and its right hemisphere homolog in early adolescents and young adults using two large, publicly available datasets: the Adolescent Brain Cognitive Development Study and the Human Connectome Project Young Adult Study, totaling over 10,000 participants. We anatomically curated the ODonnell Research Group (ORG) tractography atlas to identify SWM fiber clusters intersecting Brocas area (pars opercularis and pars triangularis), confirmed through expert visual inspection. We investigated the microstructure, structural connectivity, and lateralization of Brocas area SWM and its relationship with language performance (Picture Vocabulary and Oral Reading Recognition assessments), in comparison to the deeper white matter connections of the frontal aslant tract and arcuate fasciculus. The arcuate fasciculus demonstrated the strongest and most consistent leftward lateralization of both microstructure (fractional anisotropy, FA) and structural connectivity (number of streamlines, NoS), with structure-function associations that were bilateral in adolescents and left-dominant in adults. Interestingly, despite weaker lateralization than the arcuate fasciculus, both the SWM and the frontal aslant tract demonstrated comparable associations with language performance. The frontal aslant tract showed greater leftward lateralization (FA and NoS) with age and was bilaterally associated with language performance, particularly in adolescents. Compared to these deeper tracts, Brocas area SWM demonstrated left-lateralized FA and right-lateralized NoS in both adolescents and adults, with stronger FA lateralization in adults. Bilateral SWM FA and NoS were significantly associated with language performance in both hemispheres and age groups. Overall, these results suggest that Brocas area SWM may support language in a more bilaterally distributed manner and highlight the importance of considering SWM connections in studies of language development and neurosurgical planning.

neuroscience↗

bioRxiv2025

Neuroanatomy of catecholaminergic circuits in the brainstem and hypothalamus using T1-weighted and diffusion magnetic resonance imaging in humans: implications for brain-immune interactions, cardiovascular disease, neuropsychiatric disorders, stress response, and COVID-19

Neuroimaging allows the study of brain structures that previously were undetectable due to their small size and location. Herein we focused on the core catecholaminergic circuitries in the human brain, involving the coerulean noradrenergic (or norepi-nephrine, NE) and dopaminergic (DA) systems. Using T1-weighted MRI morphometry and dMRI tractography, this study was carried out in one post-mortem human ultra-high-resolution dataset of the brainstem and diencephalon and in healthy human datasets from the Human Connectome Project repository. We investigated 26 connections of brainstem origin (13 in the left side and 13 in the right side) associated with the NE and DA circuitries. We delineated the coerulean NE and DA core central catechol-aminergic circuitries of the brainstem and hypothalamus in the post-mortem dataset, including all targeted fiber connections. Importantly, this was also achieved in the HCP datasets. These results emphasize the importance of multispectral neuroimaging in the study of chemical neuroanatomical circuitries and its application in clinical conditions such as cardiovascular disease, major depression, schizophrenia, and other disorders associated with chronic stress and brain-immune interactions such as COVID-19.

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bioRxiv2025

Towards an informed choice of diffusion MRI image contrasts for cerebellar segmentation

The fine-grained segmentation of cerebellar structures is an essential step towards supplying increasingly accurate anatomically informed analyses, including, for example, white matter diffusion magnetic resonance imaging (MRI) tractography. Cerebellar tissue segmentation is typically performed on structural magnetic resonance imaging data, such as T1-weighted data, while connectivity between segmented regions is mapped using diffusion MRI tractography data. Small deviations in structural to diffusion MRI data co-registration may negatively impact connectivity analyses. Reliable segmentation of brain tissue performed directly on diffusion MRI data helps to circumvent such inaccuracies. Diffusion MRI enables the computation of many image contrasts, including a variety of tissue microstructure maps. While multiple methods have been proposed for the segmentation of cerebellar structures using diffusion MRI, little attention has been paid to the systematic evaluation of the performance of different available input image contrasts for the segmentation task. In this work, we evaluate and compare the segmentation performance of diffusion MRI-derived contrasts on the cerebellar segmentation task. Specifically, we include spherical mean (diffusion-weighted image average) and b0 (non-diffusion-weighted image average) contrasts, local signal parameterization contrasts (diffusion tensor and kurtosis fit maps), and the structural T1-weighted MRI contrast that is most commonly employed for the task. We train a popular deep-learning architecture using a publicly available dataset (HCP-YA), leveraging cerebellar region labels from the atlas-based SUIT cerebellar segmentation pipeline. By training and testing using many diffusion-MRI-derived image inputs, we find that the spherical mean image computed from b=1000 s/mm2 shell data provides stable performance across different metrics and significantly outperforms the tissue microstructure contrasts that are traditionally used in machine learning segmentation methods for diffusion MRI. Key pointsO_LIWe provide evidence about the performance of different dMRI contrasts for cerebellar structure segmentation using a deep learning neural network. C_LIO_LIThe diffusion MRI spherical mean provides improved and stable cerebellar structure segmentation performance. C_LIO_LIThe spherical mean is easy to compute and can be used for cerebellar structure segmentation on retrospective clinical diffusion MRI data. C_LI

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bioRxiv2025

Consistent cerebellar pathway-cognition associations across pre-adolescents & young adults: a diffusion MRI study of 9000+ participants

The cerebellum, long implicated in movement, is now recognized as a contributor to higher-order cognition. The cerebellar pathways provide key structural links between the cerebellum and cerebral regions integral to language, memory, and executive function. Here, we present a large-scale, cross-sectional diffusion MRI (dMRI) analysis investigating the relationships between cerebellar pathway microstructure and cognitive performance in over 9,000 participants spanning pre-adolescence (n>8,000 from the ABCD dataset) and young adulthood (n>900 from the HCP-YA dataset). We assessed the microstructure of five cerebellar pathways--the inferior, middle, and superior cerebellar peduncles; the parallel fibers; and input/Purkinje fibers--using three dMRI measures of fractional anisotropy, mean diffusivity, and number of streamlines. Cognitive performance was evaluated using seven NIH Toolbox assessments of language, executive function, and memory. In both datasets, we found numerous significant associations between cerebellar pathway microstructure and cognitive performance. These associations showed a strong correlation across the two datasets (r = 0.47, p < 0.0001), underscoring the reliability of cerebellar dMRI-cognition relationships in pre-adolescents and young adults. In both datasets, the strongest associations were found between the superior cerebellar peduncle and performance on language assessments, suggesting this pathway plays an important role in language function across age groups. In young adults, but not pre-adolescents, parallel fiber microstructure was linked to inhibitory control, suggesting that contributions to attentional processes may emerge or strengthen with maturation. Overall, our findings highlight the important role of cerebellar pathways in cognition and the utility of large-scale datasets for advancing our understanding of brain-cognition relationships. SignificanceThis study provides strong evidence linking cerebellar pathway tissue microstructure to cognition across large populations of preadolescent children and young adults. By leveraging diffusion MRI tractography and cognitive performance data from two major datasets, we identify significant relationships between cerebellar pathway microstructure and cognitive performance. Importantly, findings are significantly correlated across datasets, pointing to the consistency of these relationships, bridging age groups and acquisitions. These results highlight the cerebellar pathways integral role in cognitive functioning and underscore the value of large-scale, population-based studies in advancing our understanding of brain-cognition relationships. Classification 1) Biological Sciences, Neuroscience; 2) Social Sciences, Psychological and Cognitive Sciences

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bioRxiv2024

Fiber Microstructure Quantile (FMQ) Regression: A Novel Statistical Approach for Analyzing White Matter Bundles from Periphery to Core

The structural connections of the brains white matter are critical for brain function. Diffusion MRI tractography enables the in-vivo reconstruction of white matter fiber bundles and the study of their relationship to covariates of interest, such as neurobehavioral or clinical factors. In this work, we introduce Fiber Microstructure Quantile (FMQ) Regression, a new statistical approach for studying the association between white matter fiber bundles and scalar factors (e.g., cognitive scores). Our approach analyzes tissue microstructure measures based on quantile-specific bundle regions. These regions are defined in a data-driven fashion according to the quantiles of fractional anisotropy (FA) of a population fiber bundle, which pools all individuals bundles. The FA quantiles induce a natural subdivision of a fiber bundle, defining regions from the periphery (low FA) to the core (high FA) of the population fiber bundle. To investigate how fiber bundle tissue microstructure relates to covariates of interest, we employ the statistical technique of quantile regression. Unlike ordinary regression, which only models a conditional mean, quantile regression models the conditional quantiles of a response variable. This enables the proposed analysis, where a quantile regression is fitted for each quantile-specific bundle region. To demonstrate FMQ Regression, we perform an illustrative study in a large healthy young adult tractography dataset derived from the Human Connectome Project-Young Adult (HCP-YA), focusing on particular bundles expected to relate to particular aspects of cognition and motor function. In comparison with traditional regression analyses based on FA Mean and Automated Fiber Quantification (AFQ), we find that FMQ Regression provides a superior model fit with the lowest mean squared error. This demonstrates that FMQ Regression captures the relationship between scalar factors and white matter microstructure more effectively than the compared approaches. Our results suggest that FMQ Regression, which enables FA analysis in data-driven regions defined by FA quantiles, is more powerful for detecting brain-behavior associations than AFQ, which enables FA analysis in regions defined along the trajectory of a bundle. FMQ Regression finds significant brain-behavior associations in multiple bundles, including findings unique to males or to females. In both males and females, language performance is significantly associated with FA in the left arcuate fasciculus, with stronger associations in the bundles periphery. In males only, memory performance is significantly associated with FA in the left uncinate fasciculus, particularly in intermediate regions of the bundle. In females only, motor performance is significantly associated with FA in the left and right corticospinal tracts, with a slightly lower relationship at the bundle periphery and a slightly higher relationship toward the bundle core. No significant relationships are found between executive function and cingulum bundle FA. Our study demonstrates that FMQ Regression is a powerful statistical approach that can provide insight into associations from bundle periphery to bundle core. Our results also identify several brain-behavior relationships unique to males or to females, highlighting the importance of considering sex differences in future research.

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bioRxiv2024

Optimization of TMS target engagement: novel evidence based on combined TMS-EEG and dMRI tractography of brain circuitry

Neuromodulation is based on the principle that brain stimulation produces plastic changes in cerebral circuitry. Given the intersubject structural and functional variability, neuromodulation has a personalized effect in the brain. Moreover, because of cerebral dominance and interhemispheric functional and structural differences in the same individual, the characterization of specific brain circuitries involved is currently not feasible. This notion is extremely important for neuromodulation treatments applied in neuropsychiatry. Specifically, the efficacy of the neuromodulation treatments is critically dependent on the anatomical precision of the brain target and the circuitry which has been affected. However, a complete understanding of how the brain behaves under stimulation needs a combined characterization of its neurophysiological response. This can be achieved by TMS-EEG guided by current multimodal neuroimaging techniques in real time. Herein, we present novel data based on dMRI tractography-guided TMS-EEG on one healthy young adult volunteer.

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bioRxiv2024

Tractography-based automated identification of the retinogeniculate visual pathway with novel microstructure-informed supervised contrastive learning

The retinogeniculate visual pathway (RGVP) is responsible for carrying visual information from the retina to the lateral geniculate nucleus. Identification and visualization of the RGVP are important in studying the anatomy of the visual system and can inform the treatment of related brain diseases. Diffusion MRI (dMRI) tractography is an advanced imaging method that uniquely enables in vivo mapping of the 3D trajectory of the RGVP. Currently, identification of the RGVP from tractography data relies on expert (manual) selection of tractography streamlines, which is time-consuming, has high clinical and expert labor costs, and is affected by inter-observer variability. In this paper, we present a novel deep learning framework, DeepRGVP, to enable fast and accurate identification of the RGVP from dMRI tractography data. We design a novel microstructure-informed supervised contrastive learning method that leverages both streamline label and tissue microstructure information to determine positive and negative pairs. We propose a simple and successful streamline-level data augmentation method to address highly imbalanced training data, where the number of RGVP streamlines is much lower than that of non-RGVP streamlines. We perform comparisons with several state-of-the-art deep learning methods that were designed for tractography parcellation, and we show superior RGVP identification results using DeepRGVP. In addition, we demonstrate a good generalizability of DeepRGVP to dMRI tractography data from neurosurgical patients with pituitary tumors and we show DeepRGVP can successfully identify RGVPs despite the effect of lesions affecting the RGVPs. Overall, our study shows the high potential of using deep learning to automatically identify the RGVP.

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bioRxiv2023

Harmonized diffusion MRI data and white matter measures from the baseline Adolescent Brain Cognitive Development (ABCD) study

The Adolescent Brain Cognitive Development (ABCD) study has collected data from over 10,000 children across 21 sites, providing valuable insights into adolescent brain development. However, site-specific scanner variability has made it challenging to use diffusion MRI (dMRI) data from this study. To address this, a database of harmonized and processed ABCD dMRI data has been created, comprising quality-controlled imaging data from 9345 subjects. This resource required significant computational effort, taking [~]50,000 CPU hours to harmonize the data, perform white matter parcellation, and run whole brain tractography. The database includes harmonized dMRI data, 800 white matter clusters, 73 anatomically labeled white matter tracts both in full-resolution (for analysis) and low-resolution (for visualization), and 804 different dMRI-derived measures per subject. It is available via the NIMH Data Archive and offers tremendous potential for scientific discoveries in structural connectivity studies of neurodevelopment in children and adolescents. Additionally, several post-harmonization experiments were conducted to demonstrate the success of the harmonization process on the ABCD dataset.

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bioRxiv2022

Superficial white matter microstructure affects processing speed in cerebral small vessel disease

White matter hyperintensities (WMH) are a typical feature of cerebral small vessel disease (CSVD). This condition contributes to about 50% of dementias worldwide, a massive health burden in aging. Microstructural alterations in the deep white matter (DWM) have been widely examined in CSVD. However, little is known about abnormalities in the superficial white matter (SWM) and their relevance for processing speed, the main cognitive deficit in CSVD. In this paper, 141 patients with CSVD were studied. Processing speed was assessed by the completion time of the Trail Making Test Part A. White matter abnormalities were assessed by WMH burden (lesion volume on T2-FLAIR) and diffusion MRI, including DTI and free-water (FW) imaging microstructure measures. The results of our study indicate that the superficial white matter may play a particularly important role in cognitive decline in CSVD. SWM imaging measures resulted in a large contribution to processing speed, despite a relatively small WMH burden in the SWM. SWM FW had the strongest association with processing speed among all imaging markers and, unlike the other diffusion MRI measures, significantly increased between two patient subgroups with the lowest WMH burdens (possibly representing early stages of disease). When comparing two patient subgroups with the highest WMH burdens, the involvement of WMH in the SWM was accompanied by significant differences in processing speed and white matter microstructure. Given significant effects of WMH volume and regional FW on processing speed, we performed a mediation analysis. SWM FW was found to fully mediate the association between WMH volume and processing speed, while no mediation effect of DWM FW was observed. Overall, our findings identify SWM abnormalities in CSVD and suggest that the SWM has an important contribution to processing speed. Results indicate that FW in the SWM is a sensitive marker of microstructural changes associated with cognition in CSVD. This study extends the current understanding of CSVD-related dysfunction and suggests that the SWM, as an understudied region, can be a potential target for monitoring pathophysiological processes in future research.

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bioRxiv2020

Comparison of multiple tractography methods for reconstruction of the retinogeniculate visual pathway using diffusion MRI

The retinogeniculate visual pathway (RGVP) conveys visual information from the retina to the lateral geniculate nucleus. The RGVP has four subdivisions, including two decussating and two non-decussating pathways that cannot be identified on conventional structural magnetic resonance imaging (MRI). Diffusion MRI tractography has the potential to trace these subdivisions and is increasingly used to study the RGVP. However, it is not yet known which fiber tracking strategy is most suitable for RGVP reconstruction. In this study, four tractography methods are compared, including constrained spherical deconvolution (CSD) based probabilistic (iFOD1) and deterministic (SD-Stream) methods, and multi-fiber (UKF-2T) and single-fiber (UKF-1T) unscented Kalman filter (UKF) methods. Experiments use diffusion MRI data from 57 subjects in the Human Connectome Project. The RGVP is identified using regions of interest created by two clinical experts. Quantitative anatomical measurements and expert anatomical judgment are used to assess the advantages and limitations of the four tractography methods. Overall, we conclude that UKF-2T and iFOD1 produce the best RGVP reconstruction results. The iFOD1 method can better quantitatively estimate the percentage of decussating fibers, while the UKF-2T method produces reconstructed RGVPs that are judged to better correspond to the known anatomy and have the highest spatial overlap across subjects. Overall, we find that it is challenging for current tractography methods to both accurately track RGVP fibers that correspond to known anatomy and produce an approximately correct percentage of decussating fibers. We suggest that future algorithm development for RGVP tractography should take consideration of both of these two points.

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bioRxiv2020

Creation of a novel trigeminal tractography atlas for automated trigeminal nerve identification

Diffusion MRI (dMRI) tractography has been successfully used to study the trigeminal nerves (TGNs) in many clinical and research applications. Currently, identification of the TGN in tractography data requires expert nerve selection using manually drawn regions of interest (ROIs), which is prone to inter-observer variability, time-consuming and carries high clinical and labor costs. To overcome these issues, we propose to create a novel anatomically curated TGN tractography atlas that enables automated identification of the TGN from dMRI tractography. In this paper, we first illustrate the creation of a trigeminal tractography atlas. Leveraging a well-established computational pipeline and expert neuroanatomical knowledge, we generate a data-driven TGN fiber clustering atlas using tractography data from 50 subjects from the Human Connectome Project. Then, we demonstrate the application of the proposed atlas for automated TGN identification in new subjects, without relying on expert ROI placement. Quantitative and visual experiments are performed with comparison to expert TGN identification using dMRI data from two different acquisition sites. We show highly comparable results between the automatically and manually identified TGNs in terms of spatial overlap and visualization, while our proposed method has several advantages. First, our method performs automated TGN identification, and thus it provides an efficient tool to reduce expert labor costs and inter-operator bias relative to expert manual selection. Second, our method is robust to potential imaging artifacts and/or noise that can prevent successful manual ROI placement for TGN selection and hence yields a higher successful TGN identification rate.

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bioRxiv2019

3D Exploration of the Brainstem in 50-micron Resolution MRI

The brainstem, a structure of vital importance in the mammals, is currently becoming a principal focus in cognitive, affective and clinical neuroscience. Midbrain, pontine and medullar structures are the epicenter of conduit, cranial nerve and such integrative functions as consciousness, emotional processing, pain and motivation. In this study, we parcellated the nuclear masses and the principal fiber pathways that were visible in a high resolution T2-weighted MRI dataset of 50-micron isotropic voxels of a postmortem human brainstem. Based on this analysis, we generated a detailed map of the human brainstem. To assess the validity of our maps, we compared our observations with histological maps of traditional human brainstem atlases. Moreover, we reconstructed the motor, sensory and integrative neural systems of the brainstem and rendered them in 3D representations. We anticipate the utilization of these maps by the neuroimaging community at large for applications in basic neuroscience as well as in neurology, psychiatry and neurosurgery, due to their versatile computational nature in 2D and 3D representations in a publicly available capacity.

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bioRxiv2019

MRI-based Parcellation and Morphometry of the Individual Rhesus Monkey Brain: a translational system referencing a standardized ontology

The rhesus macaque is the closest animal model to the human, and investigations into the brain of the rhesus monkey has shed light on the function and organization of the primate brain at a scale and resolution not yet possible in studies of the human brain A cornerstone of the linkage between non-human primate and human studies of the brain is magnetic resonance imaging, which allows for an association to be made between the detailed structural and physiological analysis of the non-human primate and that of the human brain. To further this end, we present a novel parcellation system for the rhesus monkey brain, referred to as the monkey Harvard Oxford Atlas (mHOA) which is based on the human Harvard-Oxford Atlas (HOA) and grounded in an ontological and taxonomic framework. Consistent anatomical features were used to delimit and parcellate brain regions in the macaque, which were then categorized according to functional systems. This system of parcellation will be expanded with advances in technology and like the HOA, will provide a framework upon which the results from other experimental studies (e.g., functional magnetic resonance imaging (fMRI), physiology, connection, graph theory) can be interpreted.

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