Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography

Background: Diffusion imaging tractography is increasingly used to trace critical fiber tracts in brain tumor patients to reduce the risk of post-operative neurological deficit. However, the effects of peritumoral edema pose a challenge to conventional tractography using the standard diffusion tenso...

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Main Authors: Zhenrui Chen, Yanmei Tie, Olutayo Olubiyi, Laura Rigolo, Alireza Mehrtash, Isaiah Norton, Ofer Pasternak, Yogesh Rathi, Alexandra J. Golby, Lauren J. O'Donnell
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158215000510
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author Zhenrui Chen
Yanmei Tie
Olutayo Olubiyi
Laura Rigolo
Alireza Mehrtash
Isaiah Norton
Ofer Pasternak
Yogesh Rathi
Alexandra J. Golby
Lauren J. O'Donnell
author_facet Zhenrui Chen
Yanmei Tie
Olutayo Olubiyi
Laura Rigolo
Alireza Mehrtash
Isaiah Norton
Ofer Pasternak
Yogesh Rathi
Alexandra J. Golby
Lauren J. O'Donnell
author_sort Zhenrui Chen
collection DOAJ
description Background: Diffusion imaging tractography is increasingly used to trace critical fiber tracts in brain tumor patients to reduce the risk of post-operative neurological deficit. However, the effects of peritumoral edema pose a challenge to conventional tractography using the standard diffusion tensor model. The aim of this study was to present a novel technique using a two-tensor unscented Kalman filter (UKF) algorithm to track the arcuate fasciculus (AF) in brain tumor patients with peritumoral edema. Methods: Ten right-handed patients with left-sided brain tumors in the vicinity of language-related cortex and evidence of significant peritumoral edema were retrospectively selected for the study. All patients underwent 3-Tesla magnetic resonance imaging (MRI) including a diffusion-weighted dataset with 31 directions. Fiber tractography was performed using both single-tensor streamline and two-tensor UKF tractography. A two-regions-of-interest approach was applied to perform the delineation of the AF. Results from the two different tractography algorithms were compared visually and quantitatively. Results: Using single-tensor streamline tractography, the AF appeared disrupted in four patients and contained few fibers in the remaining six patients. Two-tensor UKF tractography delineated an AF that traversed edematous brain areas in all patients. The volume of the AF was significantly larger on two-tensor UKF than on single-tensor streamline tractography (p < 0.01). Conclusions: Two-tensor UKF tractography provides the ability to trace a larger volume AF than single-tensor streamline tractography in the setting of peritumoral edema in brain tumor patients.
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spelling doaj.art-db02cee53001402ca9859cba957bf4512022-12-22T03:07:33ZengElsevierNeuroImage: Clinical2213-15822015-01-017C81582210.1016/j.nicl.2015.03.009Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractographyZhenrui Chen0Yanmei Tie1Olutayo Olubiyi2Laura Rigolo3Alireza Mehrtash4Isaiah Norton5Ofer Pasternak6Yogesh Rathi7Alexandra J. Golby8Lauren J. O'Donnell9Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USABackground: Diffusion imaging tractography is increasingly used to trace critical fiber tracts in brain tumor patients to reduce the risk of post-operative neurological deficit. However, the effects of peritumoral edema pose a challenge to conventional tractography using the standard diffusion tensor model. The aim of this study was to present a novel technique using a two-tensor unscented Kalman filter (UKF) algorithm to track the arcuate fasciculus (AF) in brain tumor patients with peritumoral edema. Methods: Ten right-handed patients with left-sided brain tumors in the vicinity of language-related cortex and evidence of significant peritumoral edema were retrospectively selected for the study. All patients underwent 3-Tesla magnetic resonance imaging (MRI) including a diffusion-weighted dataset with 31 directions. Fiber tractography was performed using both single-tensor streamline and two-tensor UKF tractography. A two-regions-of-interest approach was applied to perform the delineation of the AF. Results from the two different tractography algorithms were compared visually and quantitatively. Results: Using single-tensor streamline tractography, the AF appeared disrupted in four patients and contained few fibers in the remaining six patients. Two-tensor UKF tractography delineated an AF that traversed edematous brain areas in all patients. The volume of the AF was significantly larger on two-tensor UKF than on single-tensor streamline tractography (p < 0.01). Conclusions: Two-tensor UKF tractography provides the ability to trace a larger volume AF than single-tensor streamline tractography in the setting of peritumoral edema in brain tumor patients.http://www.sciencedirect.com/science/article/pii/S2213158215000510Arcuate fasciculusDiffusion tensor imagingPeritumoral edemaTractographyNeurosurgical planning
spellingShingle Zhenrui Chen
Yanmei Tie
Olutayo Olubiyi
Laura Rigolo
Alireza Mehrtash
Isaiah Norton
Ofer Pasternak
Yogesh Rathi
Alexandra J. Golby
Lauren J. O'Donnell
Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography
NeuroImage: Clinical
Arcuate fasciculus
Diffusion tensor imaging
Peritumoral edema
Tractography
Neurosurgical planning
title Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography
title_full Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography
title_fullStr Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography
title_full_unstemmed Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography
title_short Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography
title_sort reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two tensor unscented kalman filter tractography
topic Arcuate fasciculus
Diffusion tensor imaging
Peritumoral edema
Tractography
Neurosurgical planning
url http://www.sciencedirect.com/science/article/pii/S2213158215000510
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