DTI Flashcards

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1
Q

What is the role of DTI?

A

1) In-vivo quantification of tissue microstructure integrity

2) Virtual reconstruction of white matter pathways

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2
Q

What is Einstein’s equation?

A

This governs the displacement of water molecules:

r^2 = 6Dt, where D is the co-efficient of of free water and t is temperature.

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3
Q

How far does water diffuse?

A

1 micrometer in all directions per millisecond if the movement of water is isotropic

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4
Q

What is ADC?

A

Apparent diffusion coefficient is the diffusion of water in the brain in a specific direction i.e. ADC along a WM fiber tract > perpendicular to a WM fiber tract

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5
Q

What is the diffusion tensor?

A

A mathematically derived description of the overall displacement of water molecules in 3D space that is visualised as the diffusion ellipsoid

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6
Q

What factors make up the diffusion tensor?

A

Eigenvalues along the 3 principle eigenvectors

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7
Q

How is the mean diffusivity calculated?

A

Average of the 3 eigenvalues

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8
Q

What is a normal mean diffusivity in the brain?

A

0.5-2 micro mm^2 per second

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9
Q

What is FA?

A

Fractional isotropy

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10
Q

How is FA calculated?

A

Compares the diffusion tensor as a ratio of the mean diffusivity for that voxel i.e. the degree of anistropy between 0 = isotropic to 1 = anisotropy

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11
Q

What is axial diffusivity?

A

The diffusivity along the principle direction of the diffusion tensor (orientation of maximal diffusivity)

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12
Q

What is radial diffusivity?

A

The diffusivity perpendicular to the principle direction of the diffusion tensor

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13
Q

What is the main assumption when using DTI to reconstruct WM fiber tracts?

A

That the principle axis of the diffusion tensor is the same as the predominant fibre orientation within each voxel

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14
Q

How are streamline generated?

A

By reconstructing continuity between voxels using the principle axis of the diffusion tensor

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15
Q

What does the number of streamlines tell you?

A

This acts as a surrogate measure of tract volume but is not a measure of the number of axonal fibres

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16
Q

What effect does cytotoxic vs vasogenic oedema have on mean diffusivity?

A

Cytotoxic oedema reduces this (as increase in intracellular water which has hindered diffusion) whilst vasogenic oedema increases it (as increased extracellular water which has unhindered diffusion).

17
Q

What is the effect of vasogenic oedema on FA?

A

Reduced as extracellular water has isotropic diffusion

18
Q

What effect does a tumour have on diffusivity?

A

Patchy reduction in diffusivity dependent on the increased cellularity restricting diffusion and necrosis increasing it.