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Updated: Aug 6, 2026

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A Standardized Pipeline for Examining Human Cerebellar Grey Matter Morphometry using Structural Magnetic Resonance Imaging
Published on: February 4, 2022
Comparative Systematic Analysis of Gray Matter Biophysical Models on a Public Dataset
Santiago Mezzano1,2,3, Quentin Uhl1,2, Tommaso Pavan1,2
1Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Magnetic Resonance in Medicine
|July 17, 2026
Summary
This study compared four gray matter (GM) diffusion models (NEXI, SMEX, SANDI, SANDIX) using in vivo human data. NEXI and SMEX showed the best fit and consistent anatomical patterns for GM microstructure analysis.
Area of Science:
- Neuroimaging
- Diffusion MRI (dMRI)
- Biophysical modeling
Background:
- Gray matter (GM) microstructure characterization is crucial in neuroimaging.
- Advanced diffusion MRI (dMRI) models like NEXI, SMEX, SANDI, and SANDIX aim to capture complex microstructural features.
- These models account for soma contributions and inter-compartment exchange in the dMRI signal.
Purpose of the Study:
- To provide a comparative evaluation of four leading GM diffusion models: NEXI, SMEX, SANDI, and SANDIX.
- To assess their performance in estimating cortical microstructure metrics.
- To understand the trade-offs between biological specificity, model complexity, and fitting robustness.
Main Methods:
- Utilized the Connectome Diffusion Microstructure Dataset (CDMD), a public in vivo human dataset with two diffusion times.
- Estimated cortical microstructure metrics in 26 healthy subjects using the Gray Matter Swiss Knife (GMSK) toolbox.
- Evaluated goodness of fit, anatomical patterns, and consistency with prior research.
Main Results:
- All four models produced GM parameter estimates consistent with previous studies.
- NEXI and SMEX demonstrated similar cortical anatomical patterns and regional distributions across diffusion times.
- NEXI exhibited the best goodness of fit, followed by SMEX, SANDIX, and SANDI, with SANDI showing high dependence on diffusion time and fitting algorithm.
Conclusions:
- Estimating exchange models from two diffusion times is feasible.
- Model selection involves balancing biological specificity, complexity, and fitting robustness for clinical and research applications.
- This comparative analysis informs the choice of dMRI models for GM microstructure research.

