Assessment of precision and accuracy of brain white matter microstructure using combined diffusion MRI and

Santiago Coelho1,2, Ying Liao1,2, Filip Szczepankiewicz3

  • 1Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, New York, USA.

Human Brain Mapping
|November 25, 2025
PubMed

Insights

This study introduces an advanced MRI protocol for brain white matter, improving tissue microstructure analysis by combining diffusion and relaxation measurements. The new method offers enhanced sensitivity and specificity for detailed imaging.

Area of Science:

  • Magnetic Resonance Imaging (MRI)
  • Biophysics
  • Neuroimaging

Background:

  • Diffusion MRI (dMRI) and relaxometry provide complementary information on tissue microstructure.
  • Joint modeling of diffusion and relaxation is gaining interest for comprehensive tissue characterization.
  • Brain white matter (WM) microstructure is complex and benefits from advanced imaging techniques.

Purpose of the Study:

  • To design and evaluate an optimal diffusion-relaxometry MRI protocol for brain white matter.
  • To assess the sensitivity, specificity, and reproducibility of the proposed protocol.
  • To compare the performance of a variable echo time (TE) protocol against fixed-TE and diffusion-only protocols.

Main Methods:

  • Development of a variable-TE MRI protocol sampling multiple b-values and B-tensor shapes.
  • Inclusion of subsets for fixed-TE and two-shell dMRI protocols within the variable-TE framework.
  • Validation using synthetic data and experiments in six healthy volunteers.

Main Results:

  • The variable-TE protocol (27 min) captures both diffusion and T2 relaxation, unlike shorter diffusion-only protocols.
  • It enables estimation of the free water fraction and compartmental T2 relaxation times.
  • Joint diffusion-relaxation measurements improved sensitivity and specificity for WM microstructure parameters.

Conclusions:

  • The designed variable-TE diffusion-relaxometry MRI protocol enhances the characterization of brain white matter microstructure.
  • This approach provides complementary information beyond diffusion-only methods.
  • The protocol demonstrates high sensitivity, specificity, and reproducibility with voxelwise coefficients of variation below 10%.