🤖 AI Summary
Quantifying micrometer-scale axonal pathologies—such as swellings and beading—in traumatic brain injury (TBI) remains challenging due to the lack of noninvasive, rapid, and quantitative diffusion MRI (dMRI) methods.
Method: This study introduces scattering theory into dMRI modeling for the first time, analytically deriving two key geometric parameters governing intra-axonal water diffusion and establishing a cross-scale quantitative mapping from micrometer-scale axonal structure to millimeter-scale clinical dMRI signals. We propose a time-varying dMRI framework that accelerates computation by over four orders of magnitude, enabling sub-second prediction of sensitivity metrics.
Results: In a rat TBI model, our method achieves high-accuracy, noninvasive detection of early axonal injury without requiring computationally prohibitive full-scale numerical simulations. By bridging microscopic pathology and macroscopic imaging, this work establishes a novel paradigm for mechanistic investigation and clinical diagnosis of neurodegenerative and traumatic neurological disorders.
📝 Abstract
Early diagnosis and noninvasive monitoring of neurological disorders require sensitivity to elusive cellular-level alterations that occur much earlier than volumetric changes observable with the millimeter-resolution of medical imaging modalities. Morphological changes in axons, such as axonal varicosities or beadings, are observed in neurological disorders, as well as in development and aging. Here, we reveal the sensitivity of time-dependent diffusion MRI (dMRI) to axonal morphology at the micrometer scale. Scattering theory uncovers the two parameters that determine the diffusive dynamics of water in axons: the average reciprocal cross-section and the variance of long-range cross-sectional fluctuations. This theoretical development allowed us to predict dMRI metrics sensitive to axonal alterations across tens of thousands of axons in seconds rather than months of simulations in a rat model of traumatic brain injury. Our approach bridges the gap between micrometers and millimeters in resolution, offering quantitative, objective biomarkers applicable to a broad spectrum of neurological disorders.