Quantitative diffusion tensor fiber tracking of age-related changes in the limbic system

Cerebral white matter is known to undergo degradation with aging, and diffusion tensor imaging (DTI) is capable of revealing the white matter integrity. We assessed age-related changes of quantitative diffusivity parameters and fiber characteristics within the fornix and the cingulum. Thirty-eight healthy subjects aged 18-88 years were examined at 3 Tesla using a 1.9-mm isotropic DTI sequence. Quantitative fiber tracking was performed for 3D-segmentation of the fornix and the cingulum to determine fractional anisotropy (FA), mean diffusivity (MD), eigenvalues (lambda1, lambda2, and lambda3), number of fibers (NoF), and mean NoF/voxel (FpV). In the fornix, all diffusivity parameters (FA, MD, and eigenvalues) were moderately correlated with age. Strong and moderate negative correlations for NoF and FpV were found, respectively. In the cingulum, no correlation was observed between FA and age, and only weak correlations for the other quantitative parameters. Differences in correlations between the fornix and the cingulum were significant for all diffusivity parameters and for NoF, but not for FpV. The strongest relative changes per decade of age were found in the fornix: FA -2.1%, MD 4.2%, NoF -10.6%, and FpV -4.6%. Our quantitative 3D fiber tracking approach shows that the cingulum is resistant to aging while the fornix is not.