Magnetic Resonance Image of Neonatal Acute Bilirubin Encephalopathy: A Diffusion Kurtosis Imaging Study

Background and Objective: The abnormal T1-weighted imaging of MRI can be used to characterize neonatal acute bilirubin encephalopathy (ABE) in newborns, but has limited use in evaluating the severity and prognosis of ABE. This study aims to assess the value of diffusion kurtosis imaging (DKI) in detecting ABE and understanding its pathogenesis.Method: Seventy-six newborns with hyperbilirubinemia were grouped into three groups (mild group, moderate group, and severe group) based on serum bilirubin levels. All the patients underwent conventional MRI and DKI serial, as well as 40 healthy full-term infants (control group). The regions of interest (ROIs) were the bilateral globus pallidus, dorsal thalamus, frontal lobe, auditory radiation, superior temporal gyrus, substantia nigra, hippocampus, putamen, and inferior olivary nucleus. The values of mean diffusivity (MD), axial kurtosis (AK), radial kurtosis (RK), and mean kurtosis (MK), and fractional anisotropy (FA), radial diffusivity (RD), and axis diffusivity (AD) of the ROIs were evaluated. All newborns were followed up and evaluated using the Denver Development Screening Test (DDST). According to the follow-up results, the patients were divided into the normal group, the suspicious abnormal group, and the abnormal group.Result: Compared with the control group, significant differences were observed with the increased MK of dorsal thalamus, AD of globus pallidus in the moderate group, and increased RD, MK, AK, and RK value of globus pallidus, dorsal thalamus, auditory radiation, superior temporal gyrus, and hippocampus in the severe group. The peak value of total serum bilirubin was moderately correlated with the MK of globus pallidus, dorsal thalamus, and auditory radiation and was positively correlated with the other kurtosis value. Out of 76 patients, 40 finished the DDST, and only 9 patients showed an abnormality. Compared with the normal group, the AK value of inferior olivary nucleus showed significant differences (p < 0.05) in the suspicious abnormal group, and the MK of globus pallidus, temporal gyrus, and auditory radiation; RK of globus pallidus, dorsal thalamus, and auditory radiation; and MD of globus pallidus showed significant differences (p < 0.05) in the abnormal group.Conclusion: DKI can reflect the subtle structural changes of neonatal ABE, and MK is a sensitive indicator to indicate the severity of brain damage.

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The Value of Diffusion Kurtosis Imaging In Detecting Delayed Brain Development of Premature Infants

10.21203/rs.3.rs-747810/v1 ◽

2021 ◽

Author(s):

Xin Zhao ◽

Chunxiang Zhang ◽

Bohao Zhang ◽

Jiayue Yan ◽

Kaiyu Wang ◽

...

Keyword(s):

White Matter ◽

Caudate Nucleus ◽

Premature Infants ◽

Developmental Disorders ◽

Neurodevelopmental Outcome ◽

Mean Diffusivity ◽

Internal Capsule ◽

Diffusion Kurtosis Imaging ◽

Control Group ◽

Diffusion Kurtosis

Abstract Objective Preterm infants are at high risk of adverse neurodevelopmental outcome. Our aim is to explore the value of diffusion kurtosis imaging (DKI) in diagnosing brain developmental disorders in premature infants.Materials and Methods A total of 52 subjects were included in this study, including 26 premature infants as the preterm group, and 26 full-term infants as the control group. Routine magnetic resonance imaging and DKI examination were performed. Mean kurtosis (MK), radial kurtosis (RK), fractional anisotropy (FA), mean diffusivity (MD) values were measured in the brain regions including posterior limbs of the internal capsule (PLIC); anterior limb of internal capsule (ALIC); parietal white matter (PWM); frontal white matter (FWM); thalamus (TH); caudate nucleus (CN); genu of the corpus callosum (GCC). The X2, t test, Spearman’s correlation analysis and receiver operating characteristic curve (ROC)were used for data analyses.Results In the premature infant group, the MK and RK values of PLIA, ALIC, and PWM were lower than those in the control group (P<0.05). The FA values of PWM, FWM and TH were also lower than those of the control group (P<0.05). The AUCs of MK in PLIC and ALIC, MD in PWM, and FA in FWM were 0.813, 0.802, 0.842 and 0.867 (P<0.05). In thalamus and caudate nucleus, the correlations between MK, RK values and PMA were higher than those between FA, MD values and PMA.Conclusions DKI can be used as an effective tool in detecting brain developmental disorders in premature infants.

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Diffusion kurtosis imaging and pathological comparison of early hypoxic–ischemic brain damage in newborn piglets

Scientific Reports ◽

10.1038/s41598-020-74387-0 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Juan Xiao ◽

Xiaoning He ◽

Juan Tian ◽

Honghai Chen ◽

Jing Liu ◽

...

Keyword(s):

Electron Microscopy ◽

Brain Damage ◽

Diffusion Kurtosis Imaging ◽

Control Group ◽

Mitochondrial Morphology ◽

Ischemic Brain Damage ◽

Ischemic Brain ◽

Newborn Piglets ◽

Diffusion Kurtosis ◽

Experimental Group

Abstract To investigate the application value of magnetic resonance diffusion kurtosis imaging (DKI) in hypoxic–ischemic brain damage (HIBD) in newborn piglets and to compare imaging and pathological results. Of 36 piglets investigated, 18 were in the experimental group and 18 in the control group. The HIBD model was established in newborn piglets by ligating the bilateral common carotid arteries and placing them into hypoxic chamber. All piglets underwent conventional MRI and DKI scans at 3, 6, 9, 12, 16, and 24 h postoperatively. Mean kurtosis (MK) and mean diffusivity (MD) maps were constructed. Then, the lesions were examined using light and electron microscopy and compared with DKI images. The MD value of the lesion area gradually decreased and the MK value gradually increased in the experimental group with time. The lesion areas gradually expanded with time; MK lesions were smaller than MD lesions. Light microscopy revealed neuronal swelling in the MK- and MD-matched and mismatched regions. Electron microscopy demonstrated obvious mitochondrial swelling and autophagosomes in the MK- and MD-matched region but normal mitochondrial morphology or mild swelling in the mismatched region. DKI can accurately evaluate early ischemic–hypoxic brain injury in newborn piglets.

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Diffusion Kurtosis Imaging Versus DWI in the Clinical Assessment of Rectal Carcinoma: A Retrospective Study

10.21203/rs.3.rs-466182/v1 ◽

2021 ◽

Author(s):

Mi Zhou ◽

Longlin Yin ◽

Li Lai ◽

Ju Zeng ◽

Shaoyu Wang

Keyword(s):

Rectal Carcinoma ◽

Mean Diffusivity ◽

Diagnostic Value ◽

Diffusion Kurtosis Imaging ◽

Control Group ◽

Diagnostic Efficiency ◽

Imaging Data ◽

Apparent Diffusion ◽

Diagnostic Values ◽

Diffusion Kurtosis

Abstract Background: To perform an analysis of mean diffusivity(MD)、mean kurtosis(MK) demonstrating the diagnostic value of diffusion kurtosis imaging (DKI) and diffusion weighted imaging (DWI) with respect to rectal carcinoma. Methods: A total of thirty-nine rectal carcinoma cases and thirty-nine healthy subjects (Normal control group) were enrolled in our study. All the subjects underwent multi-parameter (DWI, DKI )magnetic resonance examination. The acquired images were individually analysed by two readers. The obtained images were input into the corresponding software, then an analysis of the subjects’ apparent diffusion coefficient(ADC), MD and MK values was performed. A receiver-operating charasterictic (ROC) analysis was used to assess the diagnostic efficiency of the MK, MD and ADC parameters. The Mann-Whitney U test was used to contrast the parameters in both groups. Spearman correlation analysis was used to analyse the correlation between ADC and MD, MK. The Kappa consistency test was used to evaluate the consistency between each reader’s evaluation. Results: Reflecting their diagnostic values with respect to rectal carcinoma, the AUC for MK, MD, and ADC were 0.911, 0.888, and 0.827 (all P <0.05), respectively. Using 0.59, 2.15×10 －3 mm 2 /s, 1.35×10 －3 mm 2 /s as thresholds, the sensitivities of MK, MD, ADC were 89.50%, 78.90%, and 76.30%, respectively; meanwhile their respective specificities were 84.20%, 73.70%, and 73.70%.The ADC was directly proportional to MD ( r =0.994, P <0.05) and inversely proportional to MK ( r =－0.460, P <0.05). Analysis of the imaging data revealed consistent results from both readers,Kappa=0.737. Conclusion: The ADC、MK and MD parameters were effective in diagnosing rectal carcinoma. Moreover, the MK and MD parameters were found to provide even more valid information regarding the microenvironment with a higher diagnostic performance.

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Neurobiological underpinnings of rapid white matter plasticity during intensive reading instruction

10.1101/2020.05.28.122499 ◽

2020 ◽

Author(s):

Elizabeth Huber ◽

Aviv Mezer ◽

Jason D. Yeatman

Keyword(s):

White Matter ◽

Reading Instruction ◽

Diffusion Mri ◽

Large Scale ◽

Mean Diffusivity ◽

Quantitative Mri ◽

Diffusion Kurtosis Imaging ◽

Control Group ◽

Intensive Reading ◽

Diffusion Kurtosis

AbstractHuman white matter is remarkably plastic. Yet it is challenging to infer the biological underpinnings of this plasticity using non-invasive measurements like diffusion MRI. Here we capitalize on metrics derived from diffusion kurtosis imaging (DKI) to interpret previously reported changes in mean diffusivity throughout the white matter during an 8-week, intensive reading intervention. We then use an independent quantitative MRI measurement of R1 (1/T1 relaxation time) in the same white matter regions; since R1 closely tracks variation in myelin content, it provides complementary information about white matter microstructure. Behavioral measures, multi-shell diffusion MRI data, and quantitative T1 data were collected at regular intervals during the intervention in a group of 33 children with reading difficulties (7-12 years old), and over the same period in an age-matched non-intervention control group. Changes in DKI parameters modeled over the intervention were consistent with increased hindrance in the extra-axonal space, rather than a large-scale change in axon density and/or myelination. Supporting this interpretation, analysis of R1 values did not suggest a change in myelin, although R1 estimates were correlated with individual differences in reading skill. Together, these results suggest that large-scale changes in diffusivity observed over a short timescale during an intensive educational experience are most likely to reflect changes occurring in the extra-axonal space, in line with recent work highlighting the role of glial cells in experience-dependent plasticity and learning.

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DIFFUSION-KURTOSIS IMAGING IN ASSESMENT OF BRAIN MICROSTRUCTURE. HEALTHY VOLUNTEERS MEASURMENTS

Medical Visualization ◽

10.24835/1607-0763-2018-4-108-126 ◽

2018 ◽

pp. 108-126 ◽

Cited By ~ 1

Author(s):

E. L. Pogosbekyan ◽

A. M. Turkin ◽

A. A. Baev ◽

E. I. Shults ◽

N. V. Khachanova ◽

...

Keyword(s):

White Matter ◽

Healthy Volunteers ◽

Superior Temporal Gyrus ◽

Occipital Cortex ◽

Diffusion Kurtosis Imaging ◽

Cerebral White Matter ◽

Acquisition Time ◽

Superior Frontal Gyrus ◽

Diffusion Kurtosis ◽

Lateral Occipital Cortex

Aim:discover quantitative and qualitative variance of diffusion parameters in white and gray matter of healthyvolunteers brain. Discover correlation between diffusion and kurtosis parameters, find out if there is correlation between the parameters and aging microstructural changes.Materials and methods.14 healthy volunteers were investigated (9 men, 5 women; age from 21 to 55 years, mean 34). The volunteers were classified into two groups by age: 7 subjects who younger 35 (6 men and 1 woman, mean age 25) and 7 subjects who older 35 years (3 men and 4 women, mean age 44). We used 3.0 Tesla MRI (3.0T SignaHDxt, General Electric, USA) with 8 channel head coil, gradient strength 50 mT/m, slew rate 150 T/m/s. Diffusion imaging was based on echo planar “spin echo” sequence (SE EPI), TR = 10000 ms, TEmin = 102 ms, FOV = 240 mm, voxel size 3 × 3 × 3 mm3, 60 non-coplanar diffusion directions and three b-values: 0, 1000, 2500 s/mm2. Acquisition time of diffusion kurtosis imaging was 22 minutes. We excluded extracerebral areas on diffusion and kurtosis parametric maps using semi-automatic approach. After that, brain images were transformed to MNI152 space using affine method. Masks of 9 anatomical structures were applied to the transformed images. Diffusion and kurtosis values were measured in these structures.Results.Fractional anisotropy (FA) changed from 0.06 in lateral occipital cortex to 0.25 in cerebral white matter, kurtosis anisotropy (KA) changed from 0.03 to 0.14 in the same cerebral structures. Axial (AK), radial (RK) and mean kurtosis (MK) were minimal in superior frontal gyrus and maximal in cerebral white matter. AK changed from 0.55 to 0.72, RK changed from 0.62 to 1.05, MK from 0.59 to 0.88. Axial(AxEAD) and radial extra axonal water diffusion (RadEAD) were minimal in putamen and maximal in superior frontal gyrus. AxEAD was changing from 1.38 • 10–3 to 2.57 • 10–3, RadEAD from 1.03 • 10–3 to 2.34 • 10–3. Axonal water fraction (AWF) had minimal value 0,18 in superior frontal gyrus and maximal value 0.29 in cerebral white matter. Tortuosity (TORT) changed from 1.06 in lateral occipital cortex to 1.43 in cerebral white matter. There was significant difference between age groups in AWF, RK, RadEAD in putamen and in KA in superior temporal gyrus. Maximal correlation with age was in MK in superior temporal gyrus, anterior division. It was equal to 0.562.Conclusions:Diffusion kurtosis imaging is highly sensitive method of brain tissue microstructure assessment, which detects age-related changes.

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The Value of Diffusion Kurtosis Imaging in Detecting Delayed Brain Development of Premature Infants

Frontiers in Neurology ◽

10.3389/fneur.2021.789254 ◽

2021 ◽

Vol 12 ◽

Author(s):

Xin Zhao ◽

Chunxiang Zhang ◽

Bohao Zhang ◽

Jiayue Yan ◽

Kaiyu Wang ◽

...

Keyword(s):

White Matter ◽

Premature Infants ◽

Developmental Disorders ◽

Characteristic Curve ◽

Mean Diffusivity ◽

Internal Capsule ◽

Diffusion Kurtosis Imaging ◽

Control Group ◽

Neurodevelopmental Outcomes ◽

Diffusion Kurtosis

Objective: Preterm infants are at high risk of the adverse neurodevelopmental outcomes. Our aim is to explore the value of diffusion kurtosis imaging (DKI) in diagnosing brain developmental disorders in premature infants.Materials and Methods: A total of 52 subjects were included in this study, including 26 premature infants as the preterm group, and 26 full-term infants as the control group. Routine MRI and DKI examinations were performed. Mean kurtosis (MK), radial kurtosis (RK), fractional anisotropy (FA), and mean diffusivity (MD) values were measured in the brain regions including posterior limbs of the internal capsule (PLIC), anterior limb of internal capsule (ALIC), parietal white matter (PWM), frontal white matter (FWM), thalamus (TH), caudate nucleus (CN), and genu of the corpus callosum (GCC). The chi-squared test, t-test, Spearman's correlation analysis, and receiver operating characteristic curve were used for data analyses.Results: In the premature infant group, the MK and RK values of PLIA, ALIC, and PWM were lower than those in the control group (p < 0.05). The FA values of PWM, FWM, and TH were also lower than those of the control group (p < 0.05). The area under curves of MK in PLIC and ALIC, MD in PWM, and FA in FWM were 0.813, 0.802, 0.842, and 0.867 (p < 0.05). In the thalamus and CN, the correlations between MK, RK values, and postmenstrual age (PMA) were higher than those between FA, MD values, and PMA.Conclusion: Diffusion kurtosis imaging can be used as an effective tool in detecting brain developmental disorders in premature infants.

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