Bridging Neuroimaging and Neuropathology: A Comprehensive Workflow for Targeted Sampling of White Matter Lesions

Nadim Farhat1, Jinghang Li1, Jacob Berardinelli1

  • 1University of Pittsburgh, Department of Bioengineering, Pittsburgh, PA, US.

Abstract

Insights

This study presents a new workflow for precise MRI-guided brain tissue sampling. It accurately links neuroimaging to histology, improving understanding of white matter lesions in aging and neurodegenerative diseases.

Area of Science:

  • Neuroimaging and neuropathology research.
  • Biomedical engineering and translational science.

Background:

  • White matter lesions are key biomarkers for aging and neurodegenerative diseases.
  • Current imaging methods have limitations in characterizing lesion pathology.
  • Bridging neuroimaging and neuropathology is crucial for understanding these conditions.

Purpose of the Study:

  • To develop and validate a workflow for precise MRI-guided histological sampling of white matter lesions.
  • To enhance the characterization of white matter lesion pathology.
  • To link neuroimaging findings with histopathological analysis.

Main Methods:

  • Integrated workflow: agarose-saccharose embedding, 7T MRI, 3D-printed cutting guides, MRI-blockface alignment.
  • Postmortem brain stabilization, optimized MRI acquisition, and guided coronal sectioning.
  • Digital matching of knife traces to MRI planes for accurate lesion segmentation and sampling.

Main Results:

  • Reproducible brain sectioning with minimized imaging artifacts.
  • Precise spatial alignment achieved between MRI and histology.
  • High-resolution MRI data enabled accurate lesion detection and efficient, standardized sampling.

Conclusions:

  • Cost-effective, scalable workflow reliably links neuroimaging to histology.
  • Enhances understanding of white matter lesion pathology.
  • Potential to advance translational research in aging and neurodegenerative diseases.

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