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Research ArticlePediatric Neuroimaging
Open Access

Atlas-Based Quantification of DTI Measures in a Typically Developing Pediatric Spinal Cord

S. Shahrampour, B. De Leener, M. Alizadeh, D. Middleton, L. Krisa, A.E. Flanders, S.H. Faro, J. Cohen-Adad and F.B. Mohamed
American Journal of Neuroradiology September 2021, 42 (9) 1727-1734; DOI: https://doi.org/10.3174/ajnr.A7221
S. Shahrampour
aFrom the Departments of Radiology (S.S., M.A., D.M., F.B.M.)
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B. De Leener
dDepartment of Computer Engineering and Software Engineering (B.D.L.)
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M. Alizadeh
aFrom the Departments of Radiology (S.S., M.A., D.M., F.B.M.)
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D. Middleton
aFrom the Departments of Radiology (S.S., M.A., D.M., F.B.M.)
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L. Krisa
bOccupational Therapy (L.K.)
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A.E. Flanders
cRadiology (A.E.F., S.H.F.), Thomas Jefferson University, Philadelphia, Pennsylvania
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S.H. Faro
cRadiology (A.E.F., S.H.F.), Thomas Jefferson University, Philadelphia, Pennsylvania
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J. Cohen-Adad
eNeuroPoly Lab (J.C.-A.), Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, Quebec, Canada
fFunctional Neuroimaging Unit (J.C.-A.), Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, Université de Montréal, Montreal, Quebec, Canada
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F.B. Mohamed
aFrom the Departments of Radiology (S.S., M.A., D.M., F.B.M.)
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  • FIG 1.
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    FIG 1.

    Overview of the template registration pipeline. Initially, T2-weighted scans are registered to the template (upper row). Diffusion-weighted data acquired during the same scan session are then registered to the anatomic data, and PAM50 objects are warped to diffusion data (lower row) to generate the pediatric WM spinal cord atlas.

  • FIG 2.
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    FIG 2.

    Spinal cord WM atlas. A, An atlas of spinal white matter tracts. B, Generated white matter atlas of the pediatric spinal cord overlaid on a b0 image. The selected tracts are labeled with multiple colors: 1) right lateral corticospinal tract, 2) left lateral corticospinal tract, 3) right fasciculus cuneatus, 4) left fasciculus cuneatus, 5) right fasciculus gracilis, 6) left fasciculus gracilis, yellow: gray matter, light blue; unlabeled white matter. C, The C3 level is marked green on the sagittal T2-weighted scan.

  • FIG 3.
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    FIG 3.

    Violin plots of normative FA (A), MD (B), AD (C), and RD (D) indices averaged across 30 healthy pediatric subjects for 34 ROIs. ROIs are subdivided in to 30 WM tracts; 3 combined labels of DF, LF, and VF; and 1 label for the entire WM. IVST indicates lateral vestibulospinal tract; vRST, ventral reticulospinal tract; FC, fasciculus cuneatus; ICST, lateral corticospinal tract; TST, tectospinal tract; SL, spinal lemniscus (spinothalamic and spinoreticular tracts); FG, fasciculus gracilis; SOT, spino-olivary tract; mLF, medial longitudinal tract; vCST, ventral corticospinal tract; vIRST, ventrolateral reticulospinal tract; IRST, lateral reticulospinal tract; RST, rubrospinal tract; vSCT, ventral spinocerebellar tract; mRST, medial reticulospinal tract; WM, white matter; DF, dorsal column; LF, lateral funiculi; VF, ventral funiculi; L, left; R, right.

  • FIG 4.
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    FIG 4.

    Linear regression plots showing the relationship between age and FA (A), MD (B), AD (C), and RD (D) in the ventral, lateral, and dorsal funiculi. Solid lines indicate the age-related trend, and dashed lines indicate 95% confidence intervals.

Tables

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  • Results of DTI normative values for 6 selected tracts illustrated in Fig 2B

    GroupWM TractsFA (Average) (SD)MD (Average) (SD)RD (Average) (SD)AD (Average) (SD)
    1Right lateral corticospinal tract0.56 (SD, 0.09)1.27 (SD, 0.20)0.87 (SD, 0.24)2.09 (SD, 0.27)
    2Left lateral corticospinal tract0.60 (SD, 0.08)1.17 (SD, 0.14)0.78 (SD, 0.18)1.95 (SD, 0.24)
    3Right fasciculus cuneatus0.64 (SD, 0.08)1.14 (SD, 0.18)0.72 (SD, 0.18)2.00 (SD, 0.31)
    4Left fasciculus cuneatus0.66 (SD, 0.08)1.13 (SD, 0.15)0.68 (SD, 0.18)2.05 (SD, 0.26)
    5Right fasciculus gracilis0.65 (SD, 0.06)1.20 (SD, 0.19)0.72 (SD, 0.20)2.16 (SD, 0.33)
    6Left fasciculus gracilis0.66 (SD, 0.07)1.20 (SD, 0.19)0.72 (SD, 0.20)2.15 (SD, 0.31)
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American Journal of Neuroradiology: 42 (9)
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Cite this article
S. Shahrampour, B. De Leener, M. Alizadeh, D. Middleton, L. Krisa, A.E. Flanders, S.H. Faro, J. Cohen-Adad, F.B. Mohamed
Atlas-Based Quantification of DTI Measures in a Typically Developing Pediatric Spinal Cord
American Journal of Neuroradiology Sep 2021, 42 (9) 1727-1734; DOI: 10.3174/ajnr.A7221

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Atlas-Based Quantification of DTI Measures in a Typically Developing Pediatric Spinal Cord
S. Shahrampour, B. De Leener, M. Alizadeh, D. Middleton, L. Krisa, A.E. Flanders, S.H. Faro, J. Cohen-Adad, F.B. Mohamed
American Journal of Neuroradiology Sep 2021, 42 (9) 1727-1734; DOI: 10.3174/ajnr.A7221
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