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Imaging and Analysis of Neurofilament Transport in Excised Mouse Tibial Nerve
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Diffusion tensor imaging of peripheral nerves in non-fixed post-mortem subjects.

Wieke Haakma1, Michael Pedersen2, Martijn Froeling3

  • 1Department of Forensic Medicine, Aarhus University, Aarhus, Denmark; Comparative Medicine Lab, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.

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PubMed
Summary

Post-mortem diffusion tensor imaging (DTI) and fiber tractography (FT) are reproducible for analyzing lumbosacral nerves. This advanced MRI technique can identify nerve trauma and pathologies in forensic investigations.

Keywords:
Diffusion tensor imagingFiber tractographyMagnetic resonance imagingPeripheral nervesPost-mortem imaging

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Area of Science:

  • Forensic Science
  • Neuroimaging
  • Biomedical Engineering

Background:

  • Standard magnetic resonance imaging (MRI) is used in post-mortem (PM) examinations.
  • Advanced MRI techniques like diffusion tensor imaging (DTI) are underutilized in forensic science.

Purpose of the Study:

  • To assess the temporal stability and reproducibility of DTI and fiber tractography (FT) in non-fixed PM subjects.
  • To investigate lumbosacral nerves using PMDTI and compare findings with in vivo data.

Main Methods:

  • Acquired MRI data from seven PM and six living subjects.
  • Evaluated reproducibility of fractional anisotropy (FA) and mean diffusivity (MD) for lumbosacral nerves using Bland-Altman and Jones plots.
  • Compared PM nerve diffusion parameters to in vivo data using the Mann-Whitney U test.

Main Results:

  • DTI showed good inter-scan and inter-session reproducibility for FA and MD in PM subjects.
  • PM subjects exhibited lower diffusivity values (approx. four-fold) compared to living subjects.
  • FT successfully reconstructed nerve architecture, and PMDTI identified nerve lesions in a chronic trauma case.

Conclusions:

  • DTI and FT are reproducible for characterizing PM nervous tissue properties and reconstructing nerve architecture.
  • PMDTI and FT can differentiate between PM and in vivo diffusion values and detect nerve trauma.
  • PMDTI and FT show potential as valuable tools for identifying and documenting PM nerve trauma and pathologies in forensic science.