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Carl-Fredrik Westin

Publications and source records attributed to Carl-Fredrik Westin.

At least 19 recordsLinked to original sources

Unveiling neuronal microstructure in the human brain in vivo with time-dependent radial diffusivity in MRI

Diffusion time-dependence, defined as variations in diffusivity and/or diffusional kurtosis with diffusion time, has emerged as a valuable non-invasive imaging marker for characterizing tissue microstructural features, such as cell size, density, packing disorder, and membrane permeability. In white matter, diffusion time-dependent changes between the short diffusion time and long diffusion time in radial diffusivity (RD), defined as the diffusivity perpendicular to fiber tracts, were demonstrated to correlate strongly with mean axon diameter in ex vivo spinal cord tissues, and to reveal demyelination in mouse corpus callosum. Despite their potential to non-invasively unveil neuronal microstructures to improve the assessment and targeted therapy of neurological diseases, these novel image contrasts obtained at short diffusion times using oscillating gradient spin echo (OGSE) have only recently become feasible for human in vivo studies with high-performance gradient MRI systems. In this preliminary study, we characterized time-dependent RD with OGSE encoding in the human brain in vivo. The change in radial diffusivity between short diffusion time and long diffusion time (delta_RD) consistently exhibited high values in the corticospinal tract, indicating high sensitivity of delta_RD to large axon diameter in human brains. Imaging at a high OGSE frequency of 100 Hz and a moderate b-value of 800 s/mm2 produced the highest delta_RD in the corticospinal tract. This study established a baseline for future investigations of neuronal microstructural alterations in neurological disorders and diseases.

physics.med-ph↗

Characterising Water Exchange in Gliomas Using Diffusion MRI with Free Gradient Waveforms

Transmembrane water permeability, which regulates cellular water exchange and is influenced by water channels such as aquaporin-4 (AQP4), has been implicated in glioma progression and may affect tumour infiltration and treatment response. Non-invasive mapping of water exchange may therefore provide biomarkers of glioma pathology. This study investigates the feasibility of characterizing water exchange in gliomas using diffusion MRI with free gradient waveforms, known as the Restriction-Exchange (ResEx) approach, which enables exchange quantification independent of restricted diffusion effects. Thirteen patients with histologically confirmed gliomas (ten glioblastomas, three astrocytomas) underwent preoperative MRI at 3T using a custom ResEx protocol. Multiple diffusion-weighted acquisitions with selective exchange sensitivity were performed to estimate voxel-wise maps of the apparent diffusion coefficient (ADC), diffusion kurtosis, and water exchange rate. ResEx-derived maps revealed heterogeneous spatial patterns across and within tumours. Elevated exchange rates were commonly observed in enhancing tumour margins, potentially reflecting smaller cells, increased membrane permeability or AQP4 upregulation. In some cases, elevated exchange extended into non-enhancing peritumoural regions. Exchange values in oedema were slightly higher than in healthy tissue, suggesting potential infiltration or membrane disruption. Diffusion MRI with free gradient waveforms permits non-invasive mapping of water exchange in gliomas and reveals physiological information not captured by standard imaging. Exchange rate mapping may offer novel biomarkers of tumour aggressiveness, infiltration, and treatment response, and holds promise for surgical and radiotherapy planning.

physics.med-ph↗

MultiCo3D: Multi-Label Voxel Contrast for One-Shot Incremental Segmentation of 3D Neuroimages

3D neuroimages provide a comprehensive view of brain structure and function, aiding in precise localization and functional connectivity analysis. Segmentation of white matter (WM) tracts using 3D neuroimages is vital for understanding the brain's structural connectivity in both healthy and diseased states. One-shot Class Incremental Semantic Segmentation (OCIS) refers to effectively segmenting new (novel) classes using only a single sample while retaining knowledge of old (base) classes without forgetting. Voxel-contrastive OCIS methods adjust the feature space to alleviate the feature overlap problem between the base and novel classes. However, since WM tract segmentation is a multi-label segmentation task, existing single-label voxel contrastive-based methods may cause inherent contradictions. To address this, we propose a new multi-label voxel contrast framework called MultiCo3D for one-shot class incremental tract segmentation. Our method utilizes uncertainty distillation to preserve base tract segmentation knowledge while adjusting the feature space with multi-label voxel contrast to alleviate feature overlap when learning novel tracts and dynamically weighting multi losses to balance overall loss. We compare our method against several state-of-the-art (SOTA) approaches. The experimental results show that our method significantly enhances one-shot class incremental tract segmentation accuracy across five different experimental setups on HCP and Preto datasets.

cs.CV↗

DDCSR: A Novel End-to-End Deep Learning Framework for Cortical Surface Reconstruction from Diffusion MRI

Diffusion MRI (dMRI) plays a crucial role in studying brain white matter connectivity. Cortical surface reconstruction (CSR), including the inner whiter matter (WM) and outer pial surfaces, is one of the key tasks in dMRI analyses such as fiber tractography and multimodal MRI analysis. Existing CSR methods rely on anatomical T1-weighted data and map them into the dMRI space through inter-modality registration. However, due to the low resolution and image distortions of dMRI data, inter-modality registration faces significant challenges. This work proposes a novel end-to-end learning framework, DDCSR, which for the first time enables CSR directly from dMRI data. DDCSR consists of two major components, including: (1) an implicit learning module to predict a voxel-wise intermediate surface representation, and (2) an explicit learning module to predict the 3D mesh surfaces. Compared to several baseline and advanced CSR methods, we show that the proposed DDCSR can largely increase both accuracy and efficiency. Furthermore, we demonstrate a high generalization ability of DDCSR to data from different sources, despite the differences in dMRI acquisitions and populations.

q-bio.TO↗

Medical Image Registration Meets Vision Foundation Model: Prototype Learning and Contour Awareness

Medical image registration is a fundamental task in medical image analysis, aiming to establish spatial correspondences between paired images. However, existing unsupervised deformable registration methods rely solely on intensity-based similarity metrics, lacking explicit anatomical knowledge, which limits their accuracy and robustness. Vision foundation models, such as the Segment Anything Model (SAM), can generate high-quality segmentation masks that provide explicit anatomical structure knowledge, addressing the limitations of traditional methods that depend only on intensity similarity. Based on this, we propose a novel SAM-assisted registration framework incorporating prototype learning and contour awareness. The framework includes: (1) Explicit anatomical information injection, where SAM-generated segmentation masks are used as auxiliary inputs throughout training and testing to ensure the consistency of anatomical information; (2) Prototype learning, which leverages segmentation masks to extract prototype features and aligns prototypes to optimize semantic correspondences between images; and (3) Contour-aware loss, a contour-aware loss is designed that leverages the edges of segmentation masks to improve the model's performance in fine-grained deformation fields. Extensive experiments demonstrate that the proposed framework significantly outperforms existing methods across multiple datasets, particularly in challenging scenarios with complex anatomical structures and ambiguous boundaries. Our code is available at https://github.com/HaoXu0507/IPMI25-SAM-Assisted-Registration.

cs.CV↗

Signal-adapted decomposition of graph signals

Analysis of signals defined on complex topologies modeled by graphs is a topic of increasing interest. Signal decomposition plays a crucial role in the representation and processing of such information, in particular, to process graph signals based on notions of scale (e.g., coarse to fine). The graph spectrum is more irregular than for conventional domains; i.e., it is influenced by graph topology, and, therefore, assumptions about spectral representations of graph signals are not easy to make. Here, we propose a tight frame design that is adapted to the graph Laplacian spectral content of given classes of graph signals. The design is based on using the ensemble energy spectral density, a notion of spectral content of given signal sets that we determine either directly using the graph Fourier transform or indirectly through a polynomial-based approximation scheme. The approximation scheme has the benefit that (i) it does not require eigendecomposition of the Laplacian matrix making the method feasible for large graphs, and (ii) it leads to a smooth estimate of the spectral content. A prototype system of spectral kernels each capturing an equal amount of energy is initially defined and subsequently warped using the signal set's ensemble energy spectral density such that the resulting subbands each capture an equal amount of ensemble energy. This approach accounts at the same time for graph topology and signal features, and it provides a meaningful interpretation of subbands in terms of coarse-to-fine representations. We also show how more simplified designs of signal-adapted decomposition of graph signals can be adopted based on ensemble energy estimates. We show the application of proposed methods on the Minnesota road graph and three different designs of brain graphs derived from neuroimaging data.

eess.SP↗

DDEvENet: Evidence-based Ensemble Learning for Uncertainty-aware Brain Parcellation Using Diffusion MRI

In this study, we developed an Evidence-based Ensemble Neural Network, namely EVENet, for anatomical brain parcellation using diffusion MRI. The key innovation of EVENet is the design of an evidential deep learning framework to quantify predictive uncertainty at each voxel during a single inference. To do so, we design an evidence-based ensemble learning framework for uncertainty-aware parcellation to leverage the multiple dMRI parameters derived from diffusion MRI. Using EVENet, we obtained accurate parcellation and uncertainty estimates across different datasets from healthy and clinical populations and with different imaging acquisitions. The overall network includes five parallel subnetworks, where each is dedicated to learning the FreeSurfer parcellation for a certain diffusion MRI parameter. An evidence-based ensemble methodology is then proposed to fuse the individual outputs. We perform experimental evaluations on large-scale datasets from multiple imaging sources, including high-quality diffusion MRI data from healthy adults and clinically diffusion MRI data from participants with various brain diseases (schizophrenia, bipolar disorder, attention-deficit/hyperactivity disorder, Parkinson's disease, cerebral small vessel disease, and neurosurgical patients with brain tumors). Compared to several state-of-the-art methods, our experimental results demonstrate highly improved parcellation accuracy across the multiple testing datasets despite the differences in dMRI acquisition protocols and health conditions. Furthermore, thanks to the uncertainty estimation, our EVENet approach demonstrates a good ability to detect abnormal brain regions in patients with lesions, enhancing the interpretability and reliability of the segmentation results.

eess.IV↗

Diffusion MRI with free gradient waveforms on a high-performance gradient system: Probing restriction and exchange in the human brain

The dependence of the diffusion MRI signal on the diffusion time carries signatures of restricted diffusion and exchange. Here we seek to highlight these signatures in the human brain by performing experiments using free gradient waveforms that are selectively sensitive to the two effects. We examine six healthy volunteers using both strong and ultra-strong gradients (80, 200 and 300 mT/m). In an experiment featuring a large set of gradient waveforms with different sensitivities to restricted diffusion and exchange (150 samples), our results reveal unique time-dependence signatures in grey and white matter, where the former is characterised by both restricted diffusion and exchange and the latter predominantly exhibits restricted diffusion. Furthermore, we show that gradient waveforms with independently varying sensitivities to restricted diffusion and exchange can be used to map exchange in the human brain. We consistently find that exchange in grey matter is at least twice as fast as in white matter, across all subjects and all gradient strengths. The shortest exchange times observed in this study were in the cerebellar cortex (115 ms). We also assess the feasibility of future clinical applications of the method used in this work, where we find that the grey-white matter exchange contrast obtained with a 25-minute 300 mT/m protocol is preserved by a 4-minute 300 mT/m and a 10-minute 80 mT/m protocol. Our work underlines the utility of free waveforms for detecting time-dependence signatures due to restricted diffusion and exchange in vivo, which may potentially serve as a tool for studying diseased tissue.

physics.med-ph↗

A Registration- and Uncertainty-based Framework for White Matter Tract Segmentation With Only One Annotated Subject

White matter (WM) tract segmentation based on diffusion magnetic resonance imaging (dMRI) plays an important role in the analysis of human health and brain diseases. However, the annotation of WM tracts is time-consuming and needs experienced neuroanatomists. In this study, to explore tract segmentation in the challenging setting of minimal annotations, we propose a novel framework utilizing only one annotated subject (subject-level one-shot) for tract segmentation. Our method is constructed by proposed registration-based peak augmentation (RPA) and uncertainty-based refining (URe) modules. RPA module synthesizes pseudo subjects and their corresponding labels to improve the tract segmentation performance. The proposed URe module alleviates the negative influence of the low-confidence voxels on pseudo subjects. Experimental results show that our method outperforms other state-of-the-art methods by a large margin, and our proposed modules are effective. Overall, our method achieves accurate whole-brain tract segmentation with only one annotated subject. Our code is available at https://github.com/HaoXu0507/ISBI2023-One-Shot-WM-Tract-Segmentation.

eess.IV↗

TractoFormer: A Novel Fiber-level Whole Brain Tractography Analysis Framework Using Spectral Embedding and Vision Transformers

Diffusion MRI tractography is an advanced imaging technique for quantitative mapping of the brain's structural connectivity. Whole brain tractography (WBT) data contains over hundreds of thousands of individual fiber streamlines (estimated brain connections), and this data is usually parcellated to create compact representations for data analysis applications such as disease classification. In this paper, we propose a novel parcellation-free WBT analysis framework, TractoFormer, that leverages tractography information at the level of individual fiber streamlines and provides a natural mechanism for interpretation of results using the attention mechanism of transformers. TractoFormer includes two main contributions. First, we propose a novel and simple 2D image representation of WBT, TractoEmbedding, to encode 3D fiber spatial relationships and any feature of interest that can be computed from individual fibers (such as FA or MD). Second, we design a network based on vision transformers (ViTs) that includes: 1) data augmentation to overcome model overfitting on small datasets, 2) identification of discriminative fibers for interpretation of results, and 3) ensemble learning to leverage fiber information from different brain regions. In a synthetic data experiment, TractoFormer successfully identifies discriminative fibers with simulated group differences. In a disease classification experiment comparing several methods, TractoFormer achieves the highest accuracy in classifying schizophrenia vs control. Discriminative fibers are identified in left hemispheric frontal and parietal superficial white matter regions, which have previously been shown to be affected in schizophrenia patients.

eess.IV↗

Probing restricted diffusion and exchange using free gradient waveforms: validation by numerical simulations

Monitoring time-dependence with diffusion MRI yields observables sensitive to compartment sizes (restricted diffusion) and membrane permeability (water exchange). However, restricted diffusion and exchange have opposite effects on the diffusion-weighted signal, which can confound parameter estimates. In this work, we present a signal representation that captures the effects of both restricted diffusion and exchange up to second order in b-value and is compatible with gradient waveforms of arbitrary shape. The representation features mappings from a gradient waveform to two scalars that separately control the sensitivity to restriction and exchange. We demonstrate that these scalars span a two-dimensional space that can be used to choose waveforms that selectively probe restricted diffusion or exchange, in order to eliminate the correlation between the two phenomena. We found that waveforms with specific but unconventional shapes provide an advantage over conventional pulsed and oscillating gradient acquisitions. We also show that parametrisation of waveforms into a two-dimensional space can be used to understand protocols from other approaches that probe restricted diffusion and exchange. For example, we find that the variation of mixing time in filter-exchange imaging corresponds to variation of our exchange-weighting scalar at a fixed value of the restriction-weighting scalar. Numerical evaluation of the proposed signal representation using Monte Carlo simulations on a synthetic substrate showed that the theory is applicable to sizes in the range 2 - 7 micrometres and barrier-limited exchange in the range 0 - 20 s$^{-1}$. The presented theory constitutes a simple and intuitive description of how restricted diffusion and exchange influence the signal as well as how to design a protocol to separate the two effects.

physics.med-ph↗

Gradient waveform design for tensor-valued encoding in diffusion MRI

Diffusion encoding along multiple spatial directions per signal acquisition can be described in terms of a b-tensor. The benefit of tensor-valued diffusion encoding is that it unlocks the "shape of the b-tensor" as a new encoding dimension. By modulating the b-tensor shape, we can control the sensitivity to microscopic diffusion anisotropy which can be used as a contrast mechanism; a feature that is inaccessible by conventional diffusion encoding. Since imaging methods based on tensor-valued diffusion encoding are finding an increasing number of applications we are prompted to highlight the challenge of designing the optimal gradient waveforms for any given application. In this review, we first establish the basic design objectives in creating field gradient waveforms for tensor-valued diffusion MRI. We also survey additional design considerations related to limitations imposed by hardware and physiology, potential confounding effects that cannot be captured by the b-tensor, and artifacts related to the diffusion encoding waveform. Throughout, we discuss the expected compromises and tradeoffs with an aim to establish a more complete understanding of gradient waveform design and its impact on accurate measurements and interpretations of data.

physics.med-ph↗

SNR-enhanced diffusion MRI with structure-preserving low-rank denoising in reproducing kernel Hilbert spaces

Purpose: To introduce, develop, and evaluate a novel denoising technique for diffusion MRI that leverages non-linear redundancy in the data to boost the SNR while preserving signal information. Methods: We exploit non-linear redundancy of the dMRI data by means of Kernel Principal Component Analysis (KPCA), a non-linear generalization of PCAto reproducing kernel Hilbert spaces. By mapping the signal to a high-dimensional space, better redundancy is achieved despite nonlinearities in the data thereby enabling better denoising than linear PCA. We implement KPCA with a Gaussian kernel, with parameters automatically selected from knowledge of the noise statistics, and validate it on realistic Monte-Carlo simulations as well as with in-vivo human brain submillimeter resolution dMRI data. We demonstrate KPCA denoising using multi-coil dMRI data also. Results: SNR improvements up to 2.7 X were obtained in real in-vivo datasets denoised with KPCA, in comparison to SNR gains of up to 1.8 X when using state-of-the-art PCA denoising, e.g., Marchenko- Pastur PCA (MPPCA). Compared to gold-standard dataset references created from averaged data, we showed that lower normalized root mean squared error (NRMSE) was achieved with KPCA compared to MPPCA. Statistical analysis of residuals shows that only noise is removed. Improvements in the estimation of diffusion model parameters such as fractional anisotropy, mean diffusivity, and fiber orientation distribution functions (fODFs)were demonstrated. Conclusion:Non-linear redundancy of the dMRI signal can be exploited with KPCA, which allows superior noise reduction/ SNR improvements than state-of-the-art PCA methods, without loss of signal information.

physics.med-ph↗

Magnetic resonance assessment of effective confinement anisotropy with orientationally-averaged single and double diffusion encoding

Porous or biological materials comprise a multitude of micro-domains containing water. Diffusion-weighted magnetic resonance measurements are sensitive to the anisotropy of the thermal motion of such water. This anisotropy can be due to the domain shape, as well as the (lack of) dispersion in their orientations. Averaging over measurements that span all orientations is a trick to suppress the latter, thereby untangling it from the influence of the domains' anisotropy on the signal. Here, we consider domains whose anisotropy is modeled as being the result of a Hookean (spring) force, which has the advantage of having a Gaussian diffusion propagator while still retaining the fact of finite spatial range for the diffusing particles. Analytical expressions for the powder-averaged signal under this assumption are given for so-called single and double diffusion encoding schemes, which sensitize the MR signal to the diffusive displacement of particles in, respectively, one or two consecutive time intervals.

physics.app-ph↗

On the reconstruction accuracy of multi-coil MRI with orthogonal projections

MRI signal acquisition with multiple coils in a phased array is nowadays commonplace. The use of multiple receiver coils increases the signal-to-noise ratio (SNR) and enables accelerated parallel imaging methods. Some of these methods, like GRAPPA or SPIRiT, yield individual coil images in the k-space domain which need to be combined to form a final image. Coil combination is often the last step of the image reconstruction, where the root sum of squares (rSOS) is frequently used. This straightforward method works well for coil images with high SNR, but can yield problems in images with artifacts or low SNR in all individual coils. We aim to analyze the final coil combination step in the framework of linear compression, including principal component analysis (PCA). With two data sets, a simulated and an in-vivo, we use random projections as a representation of the whole space of orthogonal projections. This allows us to study the impact of linear compression in the image space with diverse measures of reconstruction accuracy. In particular, the $L_2$ error, variance, SNR, and visual results serve as performance measures to describe the final image quality. We study their relationships and observe that the $L_2$ error and variance strongly correlate, but as expected minimal $L_2$ error does not necessarily correspond to the best visual results. In terms of visual evaluation and SNR, the compression with PCA outperforms all other methods, including rSOS on the uncompressed image space data.

physics.med-ph↗

Dynamics of position-phase probability density in magnetic resonance

We consider the behaviour of precessional angle (phase) carried by molecules of a diffusing specimen under magnetic fields typical of magnetic resonance experiments. An evolution equation for the ensemble of particles is constructed, which treats the phase as well as the position of the molecules as random variables. This "position-phase (probability) density" (PPD) is shown to encode solutions to a family of Bloch-Torrey equations (BTE) for transverse magnetization density, which is because the PPD is a more fundamental quantity than magnetization density; the latter emerges from the former upon averaging. The present paradigm represents a conceptual advantage, since the PPD is a true probability density subject to Markovian dynamics, rather than an aggregate magnetization density whose evolution is less intuitive. We also work out the analytical solution for suitable special cases.

cond-mat.stat-mech↗

Maxwell-compensated design of asymmetric gradient waveforms for tensor-valued diffusion encoding

Purpose: Asymmetric gradient waveforms are attractive for diffusion encoding due to their superior efficiency, however, the asymmetry may cause a residual gradient moment at the end of the encoding. Depending on the experiment setup, this residual moment may cause significant signal bias and image artifacts. The purpose of this study was to develop an asymmetric gradient waveform design for tensor-valued diffusion encoding that is not affected by concomitant gradient. Methods: The Maxwell index was proposed as a scalar invariant that captures the effect of concomitant gradients and was constrained in the numerical optimization to 100 (mT/m)$^2$ms to yield Maxwell-compensated waveforms. The efficacy of this design was tested in an oil phantom, and in a healthy human brain. For reference, waveforms from literature were included in the analysis. Simulations were performed to investigate if the design was valid for a wide range of experiments and if it could predict the signal bias. Results: Maxwell-compensated waveforms showed no signal bias in oil or in the brain. By contrast, several waveforms from literature showed gross signal bias. In the brain, the bias was large enough to markedly affect both signal and parameter maps, and the bias could be accurately predicted by theory. Conclusion: Constraining the Maxwell index in the optimization of asymmetric gradient waveforms yields efficient tensor-valued encoding with concomitant gradients that have a negligible effect on the signal. This waveform design is especially relevant in combination with strong gradients, long encoding times, thick slices, simultaneous multi-slice acquisition and large/oblique FOVs.

physics.med-ph↗

Tensor-valued diffusion MRI in under 3 minutes: An initial survey of microscopic anisotropy and tissue heterogeneity in intracranial tumors

Purpose: To evaluate the feasibility of a 3-minute b-tensor encoding protocol for diffusion MRI-based assessment of the microscopic anisotropy and tissue heterogeneity in a wide range of intracranial tumors. Methods: B-tensor encoding was performed in 42 patients with intracranial tumors (gliomas, meningiomas, adenomas, metastases). Microscopic anisotropy and tissue heterogeneity were evaluated by estimating the anisotropic kurtosis ($MK_A$) and isotropic kurtosis ($MK_I$), respectively. An extensive imaging protocol was compared with a faster 3-minute protocol. Results: The fast imaging protocol yielded parameters with characteristics in terms of bias and precision similar to the full protocol. Glioblastomas had lower microscopic anisotropy than meningiomas $(MK_A = 0.29 \pm 0.06$ versus $0.45\pm0.08, p = 0.003)$. Metastases had higher tissue heterogeneity $(MK_I = 0.57\pm0.07)$ than both the glioblastomas $(0.44\pm0.06, p < 0.001)$ and meningiomas $(0.46\pm0.06, p = 0.03)$. Conclusion: Evaluation of the microscopic anisotropy and tissue heterogeneity in intracranial tumor patients is feasible in clinically relevant times frames.

physics.med-ph↗