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The trouble with free-water elimination using single-shell diffusion MRI data: A case study in ageing.

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Summary
This summary is machine-generated.

Free-water elimination modelling in diffusion tensor imaging (DTI) using single-shell data with regularised gradient descent (RGD) introduces biases. Multi-shell data with non-linear least squares fitting avoids these artifacts, suggesting caution when interpreting previous RGD findings.

Keywords:
ageingdiffusion MRIfree-water elimination

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Area of Science:

  • Neuroimaging
  • Diffusion Magnetic Resonance Imaging (dMRI)
  • Biomedical Signal Processing

Background:

  • Free-water elimination (FWE) modelling in diffusion tensor imaging (DTI) estimates free-water (FW) volume and FW-compensated DTI parameters.
  • Single-shell (SS) dMRI acquisitions are common clinically, but FWE-DTI is best suited for multi-shell (MS) data.
  • Regularised gradient descent (RGD) is often applied to SS data, despite methodological limitations.

Purpose of the Study:

  • To compare the performance of RGD fitting with SS data against non-linear least squares (NLS) fitting with MS data for FWE-DTI.
  • To evaluate biases introduced by RGD fitting on SS data in simulations and human participants.
  • To assess the impact of modelling choices on FW-compensated fractional anisotropy (FA) and mean diffusivity (MD) in relation to age.

Main Methods:

  • Simulations and analysis of dMRI data from 620 participants (aged 18-88 years).
  • Comparison of RGD fitting on SS data versus NLS fitting on MS data.
  • Assessment of mean diffusivity (MD) and fractional anisotropy (FA) estimates and their correlation with ground truth and age.

Main Results:

  • RGD fitting on SS data artificially flattened MD-ground truth relationships and introduced spurious positive correlations between FA and MD.
  • NLS fitting on MS data did not exhibit these biases.
  • Fewer significant MD-age correlations were found with RGD SS, consistent with MD flattening.
  • FW-compensated FA maps differed significantly; RGD SS showed age-related increases not seen with MS NLS, suggesting an artifact.

Conclusions:

  • RGD fitting with SS dMRI data introduces significant biases in FWE-DTI parameter estimation.
  • NLS fitting with MS dMRI data provides more reliable FW-compensated DTI parameters.
  • Previous findings using RGD on SS data for FWE-DTI should be interpreted with extreme caution due to potential artifacts.