Anthony J. Sherbondy

Anatomical properties of the arcuate fasciculus predict phonological and reading skills in children

For more than a century, neurologists have hypothesized that the arcuate fasciculus carries signals that are essential for language function; however, the relevance of the pathway for particular behaviors is highly controversial. The primary objective of this study was to use diffusion tensor imaging to examine the relationship between individual variation in the microstructural properties of arcuate fibers and behavioral measures of language and reading skills. A second objective was to use novel fiber-tracking methods to reassess estimates of arcuate lateralization. In a sample of 55 children, we found that measurements of diffusivity in the left arcuate correlate with phonological awareness skills and arcuate volume lateralization correlates with phonological memory and reading skills. Contrary to previous investigations that report the absence of the right arcuate in some subjects, we demonstrate that new techniques can identify the pathway in every individual. Our results provide empirical support for the role of the arcuate fasciculus in the development of reading skills.

Identifying the human optic radiation using diffusion imaging and fiber tractography.

Measuring the properties of the white matter pathways from retina to cortex in the living human brain will have many uses for understanding visual performance and guiding clinical treatment. For example, identifying the Meyers loop portion of the optic radiation (OR) has clinical significance because of the large number of temporal lobe resections. We use diffusion tensor imaging and fiber tractography (DTI-FT) to identify the most likely pathway between the lateral geniculate nucleus (LGN) and the calcarine sulcus in sixteen hemispheres of eight healthy volunteers. Quantitative population comparisons between DTI-FT estimates and published postmortem dissections match with a spatial precision of about 1 mm. The OR can be divided into three bundles that are segmented based on the direction of the fibers as they leave the LGN: Meyers loop, central, and direct. The longitudinal and radial diffusivities of the three bundles do not differ within the measurement noise; there is a small difference in the radial diffusivity between the right and left hemispheres. We find that the anterior tip of Meyers loop is 28 +/- 3 mm posterior to the temporal pole, and the population range is 1 cm. Hence, it is important to identify the location of this bundle in individual subjects or patients.

Fast volume segmentation with simultaneous visualization using programmable graphics hardware

Segmentation of structures from measured volume data, such as anatomy in medical imaging, is a challenging data-dependent task. In this paper, we present a segmentation method that leverages the parallel processing capabilities of modern programmable graphics hardware in order to run significantly faster than previous methods. In addition, collocating the algorithm computation with the visualization on the graphics hardware circumvents the need to transfer data across the system bus, allowing for faster visualization and interaction. This algorithm is unique in that it utilizes sophisticated graphics hardware functionality (i.e., floating point precision, render to texture, computational masking, and fragment programs) to enable fast segmentation and interactive visualization.

Exploring connectivity of the brain's white matter with dynamic queries

Diffusion tensor imaging (DTI) is a magnetic resonance imaging method that can be used to measure local information about the structure of white matter within the human brain. Combining DTI data with the computational methods of MR tractography, neuroscientists can estimate the locations and sizes of nerve bundles (white matter pathways) that course through the human brain. Neuroscientists have used visualization techniques to better understand tractography data, but they often struggle with the abundance and complexity of the pathways. In this paper, we describe a novel set of interaction techniques that make it easier to explore and interpret such pathways. Specifically, our application allows neuroscientists to place and interactively manipulate box or ellipsoid-shaped regions to selectively display pathways that pass through specific anatomical areas. These regions can be used in coordination with a simple and flexible query language which allows for arbitrary combinations of these queries using Boolean logic operators. A representation of the cortical surface is provided for specifying queries of pathways that may be relevant to gray matter structures and for displaying activation information obtained from functional magnetic resonance imaging. By precomputing the pathways and their statistical properties, we obtain the speed necessary for interactive question-and-answer sessions with brain researchers. We survey some questions that researchers have been asking about tractography data and show how our system can be used to answer these questions efficiently.

ConTrack: Finding the most likely pathways between brain regions using diffusion tractography

Magnetic resonance diffusion-weighted imaging coupled with fiber tractography (DFT) is the only non-invasive method for measuring white matter pathways in the living human brain. DFT is often used to discover new pathways. But there are also many applications, particularly in visual neuroscience, in which we are confident that two brain regions are connected, and we wish to find the most likely pathway forming the connection. In several cases, current DFT algorithms fail to find these candidate pathways. To overcome this limitation, we have developed a probabilistic DFT algorithm (ConTrack) that identifies the most likely pathways between two regions. We introduce the algorithm in three parts: a sampler to generate a large set of potential pathways, a scoring algorithm that measures the likelihood of a pathway, and an inferential step to identify the most likely pathways connecting two regions. In a series of experiments using human data, we show that ConTrack estimates known pathways at positions that are consistent with those found using a high quality deterministic algorithm. Further we show that separating sampling and scoring enables ConTrack to identify valid pathways, known to exist, that are missed by other deterministic and probabilistic DFT algorithms.

Computer-based system for the virtual-endoscopic guidance of bronchoscopy

The standard procedure for diagnosing lung cancer involves two stages: three-dimensional (3D) computed-tomography (CT) image assessment, followed by interventional bronchoscopy. In general, the physician has no link between the 3D CT image assessment results and the follow-on bronchoscopy. Thus, the physician essentially performs bronchoscopic biopsy of suspect cancer sites blindly. We have devised a computer-based system that greatly augments the physicians vision during bronchoscopy. The system uses techniques from computer graphics and computer vision to enable detailed 3D CT procedure planning and follow-on image-guided bronchoscopy. The procedure plan is directly linked to the bronchoscope procedure, through a live registration and fusion of the 3D CT data and bronchoscopic video. During a procedure, the system provides many visual tools, fused CT-video data, and quantitative distance measures; this gives the physician considerable visual feedback on how to maneuver the bronchoscope and where to insert the biopsy needle. Central to the system is a CT-video registration technique, based on normalized mutual information. Several sets of results verify the efficacy of the registration technique. In addition, we present a series of test results for the complete system for phantoms, animals, and human lung-cancer patients. The results indicate that not only is the variation in skill level between different physicians greatly reduced by the system over the standard procedure, but that biopsy effectiveness increases.

800Exploration of the brain's white matter pathways with dynamic queries

Diffusion tensor imaging (DTI) is a magnetic resonance imaging method that can be used to measure local information about the structure of white matter within the human brain. Combining DTI data with the computational methods of MR tractography, neuroscientists can estimate the locations and sizes of nerve bundles (white matter pathways) that course through the human brain. Neuroscientists have used visualization techniques to better understand tractography data, but they often struggle with the abundance and complexity of the pathways. We describe a novel set of interaction techniques that make it easier to explore and interpret such pathways. Specifically, our application allows neuroscientists to place and interactively manipulate box-shaped regions (or volumes of interest) to selectively display pathways that pass through specific anatomical areas. A simple and flexible query language allows for arbitrary combinations of these queries using Boolean logic operators. Queries can be further restricted by numerical path properties such as length, mean fractional anisotropy, and mean curvature. By precomputing the pathways and their statistical properties, we obtain the speed necessary for interactive question-and-answer sessions with brain researchers. We survey some questions that researchers have been asking about tractography data and show how our system can be used to answer these questions efficiently.

Automatic axis generation for virtual bronchoscopic assessment of major airway obstructions

Virtual bronchoscopy (VB) has emerged as a paradigm for more effective 3D CT image evaluation. Systematic evaluation of a 3D CT chest image using VB techniques, however, requires precomputed guidance data. This guidance data takes the form of central axes, or centerlines, through the major airways. We propose an axes-generation algorithm for VB assessment of 3D CT chest images. For a typical high-resolution 3D CT chest image, the algorithm produces a series of airway-tree axes, corresponding airway cross-sectional area measurements, and a segmented airway tree in a few minutes on a standard PC. Results for phantom and human airway-obstruction cases demonstrate the efficacy of the algorithm. Also, the algorithm is demonstrated in the context of VB-based 3D CT assessment.

Micro track: an algorithm for concurrent projectome and microstructure estimation

This paper presents MicroTrack, an algorithm that combines global tractography and direct microstructure estimation using diffusion-weighted imaging data. Previous work recovers connectivity via tractography independently from estimating microstructure features, such as axon diameter distribution and density. However, the two estimates have great potential to inform one another given the common assumption that microstructural features remain consistent along fibers. Here we provide a preliminary examination of this hypothesis. We adapt a global tractography algorithm to associate axon diameter with each putative pathway and optimize both the set of pathways and their microstructural parameters to find the best fit of this holistic white-matter model to the MRI data. We demonstrate in simulation that, with a multi-shell HARDI acquisition, this approach not only improves estimates of microstructural parameters over voxel-by-voxel estimation, but provides a solution to long standing problems in tractography. In particular, a simple experiment demonstrates the resolution of the well known ambiguity between crossing and kissing fibers. The results strongly motivate further development of this kind of algorithm for brain connectivity mapping.

System for Live Virtual-Endoscopic Guidance of Bronchoscopy

The standard procedure for diagnosing lung cancer involves D computed tomography CT assessment followed by interventional bronchoscopy In general the physician has no link between the CT assessment results and the follow on bronchoscopy Thus the physician essentially performs bronchoscopic biopsy of suspect cancer sites blindly We have devised a computer based system that greatly augments the physician s vision during bronchoscopy The system uses techniques from computer graphics and com puter vision to enable detailed D CT procedure plan ning and follow on image guided bronchoscopy The procedure plan is directly linked to the bronchoscope procedure through a live fusion of the D CT data and bronchoscopic video During a procedure the physician receives considerable visual feedback on how to maneuver the bronchoscope and where to insert the biopsy needle We have performed a series of con trolled phantom and animal tests in addition to using the system on a large number of human lung cancer patients Results indicate that not only is the varia tion in skill level between di erent physicians greatly reduced but that their accuracy increases