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

Nadim Farhat1,2, Jinghang Li1, Jacob Berardinelli1

  • 1Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Abstract

Insights

This study presents a new workflow for precise MRI-guided brain tissue sampling, linking neuroimaging to neuropathology for better understanding of white matter lesions in aging and neurodegenerative diseases.

Area of Science:

  • Neuroimaging and Neuropathology
  • Translational Research in Aging and Neurodegenerative Diseases

Background:

  • White matter lesions are common biomarkers in aging and neurodegenerative diseases.
  • Current imaging methods have limitations in characterizing the underlying pathology of white matter lesions.

Purpose of the Study:

  • To develop and validate a comprehensive workflow for precise MRI-guided histological sampling of white matter lesions.
  • To bridge the gap between neuroimaging and neuropathology for a clearer understanding of lesion pathology.

Main Methods:

  • Integrated agar-sucrose brain embedding, 7 Tesla (7T) MRI acquisition, and 3D-printed cutting guides.
  • Employed semiautomated MRI-blockface alignment for precise spatial matching between imaging and histology.
  • Utilized standardized protocols for reproducible brain sectioning and lesion sampling.

Main Results:

  • The workflow demonstrated reproducible brain sectioning with minimized imaging artifacts.
  • Achieved precise spatial alignment between MRI and histological samples.
  • High-resolution MRI data facilitated accurate white matter lesion detection and sampling, reducing variability.

Conclusions:

  • Developed a cost-effective and scalable workflow linking neuroimaging to histological analysis.
  • The framework enhances the understanding of white matter lesion pathology.
  • Holds significant potential for advancing translational research in aging and neurodegenerative diseases.

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