High definition fiber tracking images accurately reflect brain fiber anatomy

July 20, 2012 By Anita Srikameswaran, University of Pittsburgh Medical Center

High definition fiber tracking, or HDFT, provides colorful, detailed images of the brain’s fiber network that accurately reflect brain anatomy observed in surgical and laboratory studies, according to a new report from the University of Pittsburgh School of Medicine in the August issue of Neurosurgery. The findings support the notion that HDFT scans can provide valuable insight into patient symptoms and the prospect for recovery from brain injuries, and can help surgeons plan their approaches to remove tumors and abnormal blood vessels in the brain.

In deep surgery, the neurosurgeon may need to cut or push brain fiber tracts, meaning the neuronal cables connecting the critical brain areas, in order to get to a mass, said Juan Fernandez-Miranda, M.D., assistant professor, Department of Neurological Surgery, Pitt School of Medicine. Depending on the location of the tumor and the surgical path the surgeon takes to get to it, fiber tracts that control abilities such as language, memory and motor function could be injured.

“Standard scans such as  MRI or CT can show us where a mass lies in the brain, but they cannot tell us whether a lesion is compressing or pushing aside brain fibers, or if it has already destroyed them,” Dr. Fernandez-Miranda said. “While the symptoms the patient is experiencing might give us some hints, we cannot be certain prior to surgery whether removing the mass will disrupt important brain pathways either near it or along our surgical route through brain tissue to get to it.

“Our study shows that HDFT is an imaging tool that can show us these fiber tracts so that we can make informed choices when we plan surgery,” he said.

A sophisticated MR scanner is used to obtain data for HDFT images, which are based on the diffusion of water through brain cells that transmit nerve impulses. Like a cable of wires, each tract is composed of many fibers and contains millions of neuronal connections. Other MR-based fiber tracking techniques, such as diffusion tensor imaging, cannot accurately follow a set of fibers when they cross another set, nor can they reveal the endpoints of the tract on the surface of the brain, said co-author Walter Schneider, Ph.D., professor, Learning and Research Development Center (LRDC), Department of Psychology, University of Pittsburgh, who led the team that developed HDFT.

For the new study, Dr. Fernandez-Miranda and his colleagues obtained HDFT scans of 36 patients with brain lesions, including cancers, and six neurologically healthy individuals. They also dissected the fiber tracts, such as the language and motor pathways, of 20 normal post-mortem human brains.

They found that HDFT correctly replicated important anatomical features, including the peaks and valleys of brain tissue; a region called the centrum semiovale where multiple fiber tracts cross; the sharp curvature of the optic radiations that carry information to the visual cortex; and the endpoints on the brain’s surface of the branches of the arcuate fasciculus, which is involved in language processing.

For the second part of the study, the team conducted HDFT scans in 36 patients prior to surgery, along with the imaging studies that are typically done as part of the pre-operative planning process. They then compared fiber involvement predicted by HDFT with what they found during surgery.

“The scans accurately distinguished between displacement and destruction of fibers by the mass,” said study co-author Robert Friedlander, M.D., professor and UPMC chair in Pitt’s Department of Neurological Surgery. “Post-operative HDFT scans also revealed where surgical incisions had been made, further validating the technique’s imaging power.”

He added it is not yet known how much fiber loss must occur to appear as a disruption or to cause symptoms, or what constitutes irreversible brain damage.

“Although there is more work we must do to optimally develop the technique, HDFT has great potential as a tool for neurosurgeons, neurologists and rehabilitation experts,” Dr. Friedlander said. “It is a practical way of doing computer-based dissection of the brains of our patients that can help us decide what the least invasive route to a mass will be, and what the consequences might be of being aggressive or conservative in the removal of a lesion.”

The team is continuing to assess HDFT’s potential in a variety of studies. Co-authors include Sudhir Pathak, M.S., M.Sc., Kevin Jarbo, B.S., and Timothy Verstynen, Ph.D., LRDC; Jonathan Engh, M.D., and Arlan Mintz, M.D.,  Department of Neurological Surgery, Pitt School of Medicine; Fernando Boada, M.D., Ph.D., Magnetic Resonance Research Center, Department of Radiology, Pitt School of Medicine; and Frank Yeh, M.D., Ph.D., Department of Biomedical Engineering, Carnegie Mellon University.

Explore further: New high definition fiber tracking reveals damage caused by traumatic brain injury

More information: journals.lww.com/neurosurgery/ … of_the_Human.36.aspx

Related Stories

New high definition fiber tracking reveals damage caused by traumatic brain injury

March 2, 2012
A powerful new imaging technique called High Definition Fiber Tracking (HDFT) will allow doctors to clearly see for the first time neural connections broken by traumatic brain injury (TBI) and other disorders, much like X-rays ...

Fraunhofer MEVIS: New procedure to make brain surgery safer

May 27, 2011
To increase patient safety in clinical practice and minimize risks and damage that may arise during surgery, computer support and digital medical imaging are key technologies. Before brain operations, neurosurgeons can now ...

IoP Neuroscientists develop new 'Brain' App

March 30, 2012
A team of neuroscientists from the Institute of Psychiatry (IoP) at King’s College London have developed a digital atlas of the human brain for iPad. The ‘Brain’ App is the first of its kind, and is based on ...

Combination PET-MRI scanner expands imaging frontiers

February 16, 2012
(Medical Xpress) -- Scientists at Washington University School of Medicine are using a new imaging device that simultaneously performs positron-emission tomography (PET) and magnetic resonance imaging (MRI) scans, producing ...

Recommended for you

Research reveals atomic-level changes in ALS-linked protein

January 18, 2018
For the first time, researchers have described atom-by-atom changes in a family of proteins linked to amyotrophic lateral sclerosis (ALS), a group of brain disorders known as frontotemporal dementia and degenerative diseases ...

Fragile X finding shows normal neurons that interact poorly

January 18, 2018
Neurons in mice afflicted with the genetic defect that causes Fragile X syndrome (FXS) appear similar to those in healthy mice, but these neurons fail to interact normally, resulting in the long-known cognitive impairments, ...

How your brain remembers what you had for dinner last night

January 17, 2018
Confirming earlier computational models, researchers at University of California San Diego and UC San Diego School of Medicine, with colleagues in Arizona and Louisiana, report that episodic memories are encoded in the hippocampus ...

Recording a thought's fleeting trip through the brain

January 17, 2018
University of California, Berkeley neuroscientists have tracked the progress of a thought through the brain, showing clearly how the prefrontal cortex at the front of the brain coordinates activity to help us act in response ...

Midbrain 'start neurons' control whether we walk or run

January 17, 2018
Locomotion comprises the most fundamental movements we perform. It is a complex sequence from initiating the first step, to stopping when we reach our goal. At the same time, locomotion is executed at different speeds to ...

Miles Davis is not Mozart: The brains of jazz and classical pianists work differently

January 16, 2018
Keith Jarret, world-famous jazz pianist, once answered in an interview when asked if he would ever be interested in doing a concert where he would play both jazz and classical music: "No, that's hilarious. [...] It's like ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.