Abstract
Purpose
The aim of this study was to present a tractography algorithm using a two-tensor unscented Kalman filter (UKF) to improve the modeling of the corticospinal tract (CST) by tracking through regions of peritumoral edema and crossing fibers.
Methods
Ten patients with brain tumors in the vicinity of motor cortex and evidence of significant peritumoral edema were retrospectively selected for the study. All patients underwent 3-T magnetic resonance imaging (MRI) including functional MRI (fMRI) and a diffusion-weighted data set with 31 directions. Fiber tracking was performed using both single-tensor streamline and two-tensor UKF tractography methods. A two-region-of-interest approach was used to delineate the CST. Results from the two tractography methods were compared visually and quantitatively. fMRI was applied to identify the functional fiber tracts.
Results
Single-tensor streamline tractography underestimated the extent of tracts running through the edematous areas and could only track the medial projections of the CST. In contrast, two-tensor UKF tractography tracked fanning projections of the CST despite peritumoral edema and crossing fibers. Based on visual inspection, the two-tensor UKF tractography delineated tracts that were closer to motor fMRI activations, and it was apparently more sensitive than single-tensor streamline tractography to define the tracts directed to the motor sites. The volume of the CST was significantly larger on two-tensor UKF than on single-tensor streamline tractography (\(p < 0.001\)).
Conclusion
Two-tensor UKF tractography tracks a larger volume CST than single-tensor streamline tractography in the setting of peritumoral edema and crossing fibers in brain tumor patients.
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Acknowledgments
National Institutes of Health (R21CA156943, P41EB015898, R21NS075728) to A.J.G.; National Institutes of Health (P41EB015902, R01MH074794, R21CA156943, P41EB015898, U01NS083223, U01CA199459, R03NS088301) to L.J.O.; National Institutes of Health (R01MH097979) to Y.R.; National Institutes of Health (P41EB015902, R01MH074794, R01AG042512) to O.P.; The Brain Science Foundation to Y.T.; Oversea Study Program of Guangzhou Elite Project to Z.C.
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The authors declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Declaration of Helsinki 1975, as revised in 2008. The study was approved by the Partners Healthcare Institutional Review Board, and written informed consent was obtained from all subjects prior to participation.
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Alexandra J. Golby and Lauren J. O’Donnell are senior co-authors.
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Chen, Z., Tie, Y., Olubiyi, O. et al. Corticospinal tract modeling for neurosurgical planning by tracking through regions of peritumoral edema and crossing fibers using two-tensor unscented Kalman filter tractography. Int J CARS 11, 1475–1486 (2016). https://doi.org/10.1007/s11548-015-1344-5
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DOI: https://doi.org/10.1007/s11548-015-1344-5