Magnetic Resonance in Medicine 54:419 – 428 (2005) Limitations of Apparent Diffusion Coefficient-Based Models in Characterizing Non-Gaussian Diffusion Chunlei Liu,1,2 Roland Bammer,1 and Michael E. Moseley1* Diffusion in complex heterogeneous structures, for example, the neural fiber system, is non-gaussian. Recently, several methods have been introduced to address the issue of nongaussian diffusion in multifiber systems. Some are based on apparent diffusion coefficient (ADC) analysis; and some are based on q-space analysis. Here, using a simple mathematic derivation, ADC-based models are shown to be mathematically self-inconsistent in the presence of non-gaussian diffusion. Monte Carlo simulation on restricted diffusion is applied to demonstrate the poor data fitting that can result from ADCbased models. Specific comparisons are performed between two generalized diffusion tensor imaging methods: one of them is based on ADC analysis, and the other is shown to be consistent with q-space formalism. The issue of imaging asymmetric microstructures is also investigated. Signal phase and spin exchange are necessary to resolve multiple orientations of an asymmetric structure. Magn Reson Med 54:419 – 428, 2005. © 2005 Wiley-Liss, Inc. Key words: magnetic resonance imaging; diffusion; diffusion tensor imaging; high angular resolution; probability density function; GDTI; HOT; ADC Diffusion tensor imaging (DTI) is a powerful technique for studying molecular diffusion processes in tissues (1). When the diffusion process is gaussian, the MR signal attenuates exponentially as a function of b-value. This signal behavior can be characterized by a second order diffusion tensor that is proportional to the variance of the molecular displacement during the MR experimental time. By measuring this diffusion tensor, DTI offers a useful tool for detecting tissue disease states, for example, the early stage of acute cerebral ischemia (2). However, the development of DTI-based tractography in the context of complex biologic structures has in turn revealed the limitations of DTI. Specifically, DTI can only resolve a single fiber direction within each imaging voxel (3– 6). However, at current MR resolution capabilities, it is not likely that a voxel contains a single fiber. Rather, it is more likely that a voxel contains a distribution of fiber orientations in one voxel. In this situation, the gaussian diffusion assumption is no longer valid. 1 Lucas MRS/I Center, Department of Radiology, Stanford University, Stanford, California, U.S.A. 2 Department of Electrical Engineering, Stanford University, Stanford, California, U.S.A. Grant sponsor: National Institute of Health; Grant numbers: NIH1R01NS35959, NIH-1R01EB2711; Grant sponsor: Oak Foundation; Grant sponsor: Center of Advanced MR Technology of Stanford; Grant number: NCRR P41 RR 09784; Grant sponsor: Lucas Foundation. *Correspondence to: Michael E. Moseley, Radiological Science Laboratory at the, Richard Lucas MRS/I Center, Department of Radiology, Stanford University, 1201 Welch Road, Stanford, CA 94305-5488, U.S.A. E-mail: [email protected] Received 25 October 2004; revised 4 February 2005; accepted 8 March 2005. DOI 10.1002/mrm.20579 Published online in Wiley InterScience (www.interscience.wiley.com). © 2005 Wiley-Liss, Inc. To resolve the issue of multiple fiber orientations, several methods have been proposed: (i) high angular resolution diffusion weighted imaging (HARD) methods based on ADC analysis (7–11); (ii) diffusion spectrum imaging (DSI) (12,13); (iii) a generalized diffusion tensor imaging (GDTI) using higher order tensor (HOT) statistics introduced by Liu et al. (which will be referred to here as GDTI-1) (14 –16); (iv) a GDTI method for mapping diffusivity profiles introduced by Özarslan et al. (which will be referred to here as GDTI-2) (17), and (v) q-ball imaging (QBI) (18,19). These methods can be tentatively divided into two basic categories according to their data analysis techniques. One relies on the analysis of apparent diffusion coefficient (ADC) and the other is based on q-space analysis. Note that q-space is the reciprocal spatial space defined through the Fourier transform of a probability density function (PDF) (20). Among the various aforementioned techniques, DSI and QBI are examples of the qspace approach; spherical harmonic decomposition of HARD data (9) and GDTI-2 are based on ADC analysis. Although the two GDTI methods are called the same, the underlying analytic concept is fundamentally different. GDTI-1 has been shown to be consistent with q-space imaging (14,15), whereas GDTI-2 relies on the analysis of ADC. One intrinsic difference between these two categories of techniques is that ADC-based methods rely on the assumption of Gaussian diffusion; whereas q-space analysis does not. All these methods require data acquisitions with high b-values (usually larger than 1000 s/mm2) to sensitize possible boundary effects on diffusion and, hence, differentiate between the fast and slow components in a fiber system. Moreover, data are acquired for many diffusion directions, typically on the order of 100 (7–11,15). The diffusion directions are usually uniformly distributed. By exploring the orientation-dependent diffusion information, these methods attempt to detect and model the underlying non-gaussian diffusion process. For example, using diffusion weighted images acquired at b ⫽ 1077 s/mm2, Tuch et al. showed that ADC profiles in regions of multiple fibers exhibited multiple local maxima or minima as a function of diffusion gradient orientation (7,10). Frank proposed an approach to characterize diffusion by decomposing the ADC profiles into spherical harmonics of various orders (9). He suggested that isotropic diffusion could be described by zeroth- and second-order harmonics and that multiple-fiber diffusion could be characterized by including fourth- and higher-order harmonics (9). In GDTI-2, on the other hand, the angular distribution of the ADC profile was fitted by elements of one higherorder tensor. Özarslan et al. also established a relationship between the higher-order tensor elements and the coefficients of spherical harmonic decomposition (17). 419 420 Liu et al. constant G during the diffusion encoding periods, Eq. [1] can be simplified to S ⫽ S 0具exp共⫺j␥␦G 䡠 共x 2 ⫺ x 1 兲兲典. FIG. 1. A schematic diagram of the diffusion-weighted spin-echo sequence. The two gradient pulses have a magnitude of G and a duration of ␦. The diffusion time is ⌬. x 1 and x 2 are the time-averaged initial and final positions of a given spin during the first and second diffusionencoding periods, respectively. Let q ⫽ ␥␦G, r ⫽ x 2 ⫺ x 1 and denote function p(r) the PDF of random variable r, then S ⫽ S0 Although tremendous progress has been made toward achieving better angular resolution of fiber structures, there has been little physical justification for those ADCbased techniques, such as spherical harmonic decomposition and GDTI-2, in the situation of non-gaussian diffusion. Here we evaluate the possible physical and mathematical foundations of the diffusion models that rely on ADC measurements. We demonstrate that a fundamental mathematical problem exists in the ADC-based approaches. For instance, self-contradiction can arise in the modeling of non-gaussian diffusion if the analysis is based on ADC measurement. We also show that in the presence of non-gaussian diffusion ADC measurements alone are insufficient to characterize the complex diffusion property. In addition to the mathematical proof, Monte Carlo simulation and numerical computation for restricted diffusion are also applied to illustrate the poor data fit of the ADC models. Furthermore, we investigate the possibility of imaging asymmetric fiber structures with GDTI-1. Asymmetric fibers can give rise to a unique type of nongaussian diffusion. As a result, this type of diffusion, in particular, cannot be characterized by ADC-based methods. THEORY Background The diffuse motion of water molecules in an inhomogeneous magnetic field causes signal dephasing, and averaging over the displacement distribution of all the spins results in signal attenuation. More specifically, if this diffusion is treated as a stochastic process, it can be described by the PDF of the spin displacement. For the most commonly used spin echo sequence as depicted in Fig. 1, the signal S can be described as an ensemble average of all spins (21): 冓 冉冕 TE/2 S ⫽ S 0 exp j␥ 0 G共t兲 䡠 x共t兲 dt ⫺ j␥ 冕 TE TE/2 冊冔 G共t兲 䡠 x共t兲 dt . [1] In this equation, S0 is the echo amplitude in the absence of the diffusion gradient; G(t) is the applied diffusion gradient vector; x(t) is a given spin’s position at time t; ␥ is the gyromagnetic ratio. Given that the amplitude of G(t) is a [2] 冕 p共r兲exp共⫺jq 䡠 r兲 dr. [3] Note that in this interpretation of q-space formalism, it is not required that the duration ␦ of diffusion-encoding gradient pulses be much smaller than the separation time ⌬ between two diffusion gradients (Fig. 1). Nevertheless, the finite duration of diffusion gradients causes p(r) to be the distribution function of a time-averaged displacement rather than the intrinsic spin displacement. When the gradient pulses approach delta functions, p(r) becomes the autocorrelation function of the spin density as described by Callaghan (20). Equation [3] shows that S/S0 is the characteristic function of p(r). It can be expanded using the cumulants of the random variable r (15,16,22): 冉 共⫺j兲Qi共1兲 qi 1 共⫺j兲2 Qi共2兲 q q S 1 1i 2 i 1 i 2 ⫽ exp ⫹ ⫹··· S0 1! 2! ⫹ 冊 q q . . . qi n 共⫺j兲n Qi共n兲 1i 2 . . . i n i 1 i 2 ⫹··· . n! [4] This is also a generalization of the Kramers–Moyal expansion in a multivariate case (23,24). The expansion coeffi. . . i are the nth order cumulants of the random cients Q i(n) 1i 2 n variable r. The Einstein’s summation rule is utilized to simplify the formula. Equation [4] can also be written as (14 –16) 冉冘 ⬁ m共b兲 ⫽ m共0兲exp n⫽2 冊 jn Di共n兲 b共n兲 , 1i 2 . . . i n i 1i 2 . . . i n [5] . . . i and b (n) . . . i are both tensors of order n. If where D i(n) i 1i 2 1i 2 n n r is gaussian distributed, only the second-order cumulant (2) Q i 1i 2 or the second-order diffusion tensor D i(2) is nonzero. 1i 2 This results in an exponential decay of signal intensity. However, if r is non-gaussian distributed, in general, no such exponential behavior exists. Furthermore, if r is distributed asymmetrically, the acquired MR signal is complex-valued according to Eq. [3]. The asymmetry information is contained in the odd-order cumulants. Although an asymmetrical PDF appears to be a clear violation of the principle of microscopic detailed balance, a possible breakdown of this principle in voxel imaging is studied in the following sections. ADC and Non-Gaussian Diffusion 421 be reduced by characterizing the surrogate ADC profile, using a finite number of tensor elements as given by (17) ADC-Based Diffusion Models ADC was originally defined for each voxel as (25) ADC ⫽ ⫺ 1 ln共S/S0 兲. b [7] where and are the azimuthal and polar angles of the diffusion-encoding direction in a spherical coordinate, respectively. The measured ADC profile can be further analyzed through spherical harmonic decomposition (9), 冘冘 ⬁ ADC共, 兲 ⫽ l a lmY lm共, 兲, [8] l⫽0 m⫽⫺l where Ylm represents the spherical harmonics, and alm represents the decomposition coefficient. The GDTI-2 recently introduced by Özarslan et al. utilizes a higher-order tensor to describe the signal equation for the diffusion experiment as 冘冘 冘 3 ln S ⫽ ln S0 ⫺ b ⫻ 3 3 3 ... D i1i2 . . . ilg i1g i2 . . . g il. [10] il⫽1 Özarslan et al. have shown that there is a direct relationship between the components of D i 1i 2 . . . i land the coefficients of spherical harmonic decomposition (17). By including only up to the second-order terms, both the spherical harmonic decomposition method and the GDTI-2 converge to the DTI model (9,17). Furthermore, it is assumed that when the diffusion is non-gaussian, higherorder terms (alm for spherical harmonic decomposition and D i 1i 2 . . . i l for GDTI-2) are required to describe the nonellipsoid-shape ADC profile, which can be extracted by solving Eq. [8] or [9]. Spherical harmonic decomposition and GDTI-2 are considered ADC-based diffusion models because they both require the existence of ADC. In the subsequent sections, we will show, however, that ADC-based models cannot characterize non-gaussian diffusion. ADC and Non-Gaussian Diffusion ADC-based models are based on the assumption that MR signal decays monoexponentially as a function of the bvalue. However, monoexponential behavior does not exist for every diffusion-encoding direction when the underlying diffusion process is non-gaussian. Consequently, ADC, generally, is not well defined for non-gaussian diffusion. Specifically, we will show that Eq. [7] implies that the projection of displacement r in any direction defined by (, ) is gaussian. Furthermore, we will show that if its projection in any direction is gaussian, then r itself must be a gaussian random vector. To proceed, write G ⫽ (G, , ) in the spherical coordinate, and r ⫽ (x, y, z) in the Cartesian coordinate; then Eq. [2] becomes S ⫽ S 0具exp共⫺j␥␦G共x cos sin ⫹ y sin sin ⫹ z cos 兲兲典. [11] r g ⫽ G 䡠 r/G ⫽ x cos sin ⫹ y sin sin ⫹ z cos , [12] Let 3 ... i 1 ⫽1 i 2 ⫽1 ADC共, 兲 ⫽ i1⫽1 i2⫽1 The word “apparent” in ADC was used in recognition of the fact that the measurement of diffusion may be distorted due to restricted molecular motion caused by cell membranes and other tissue compartments. If diffusion is the only motion present, ADC is equal to the self-diffusion coefficient D. When anisotropic diffusion is present, a scalar ADC is not sufficient to quantify the diffusion process. However, if the underlying diffusion process is gaussian, the signal behavior can be described by a diffusion tensor (a secondorder tensor). To determine the diffusion tensor, a minimum of six measurements is required. Note that if the diffusion process is non-gaussian, a second-order diffusion tensor is not sufficient because higher-order statistics, namely higher-order moments and cumulants, are required to characterize a non-gaussian random variable (26). With a second-order diffusion tensor, DTI cannot resolve multiple fiber orientations. In order to improve the angular resolution of fiber structure, Tuch et al. propose to measure ADC as a function of orientation (7,8), 1 ADC共, 兲 ⫽ ⫺ ln共S/S0 兲, b 冘冘 冘 3 [6] Di 1i 2 . . . i lgi 1gi 2 . . . gi l, [9] i l ⫽1 where D i 1i 2 . . . i l is an lth order tensor, and gi is the ith component of the unit gradient vector. This signal behavior is fundamentally different from that of GDTI-1 as given in Eq. [5]. In GDTI-1, the signal is a function of a series of . . . i n , whereas GDTI-2 ashigher-order b-tensors b i(n) 1i 2 sumes that there is a monoexponential relationship between signal amplitude and the b-value. This assumption implies that the last term on the right-hand side of the Eq. [9] represents a measurement of ADC and that the redundancy generated by measuring ADC in each direction can which is the projection of r in the direction of diffusion gradient G. Suppose Eq. [7] is the correct formula (i.e., suppose signal decays exponentially as a function of bvalue.), then, according to Eq. [4], all cumulants of rg of order three or more are zero. In other words, rg is a 1D gaussian random variable (26). Its variance (the same as the second-order cumulant) is r2g ⫽ 2 䡠 ADC(, ) 䡠 (⌬ ⫺ ␦/3). To show that the random displacement r is a 3D gaussian random vector, we observe that 422 Liu et al. x2cos 2 sin2 ⫹ 2y sin2 sin2 ⫹ z2 cos2 ⫹ 2xy cos sin sin2 ⫹ 2xz cos sin cos ⫹ 2yz sin sin cos ⫽ r2g. [13] 2 Here, x2 is the variance of x; xy is the covariance of x and y; and so on. Since r2g ⬎ 0, and Eq. [11] is true for any direction defined by (, ), the matrix ⌺⫽ 冋 2 x2 xy 2 yx 2y 2 2 zx zy 2 xz 2 yz z2 册 Smaller Voxel Size [14] is positive definite, which forms the covariance matrix of the random vector r. Furthermore, since all higher-order (greater than 2) cumulants of rg are zero, higher-order cumulants of r are also zero due to the linear relationship between rg and the components of r (27). To simplify the mathematical notations, Eq. [12] can be rewritten as r g ⫽ a ir i. [15] Here, ai is a trigonometric function of and , as given in Eq. [12], for example, a 1 ⫽ cos sin , and ri is the ith component of vector r. It has previously been shown that, under linear transformation, cumulants transform in the same way as contravariant tensors (27). Applying this transformation law for cumulants to Eq. [15], one obtains Q r共n兲 ⫽ a i1a i2 . . . a inQ i共n兲 , g 1i2 . . . in angle between each two adjacent branches is 120o. The cross sections of the tubes in both phantoms were square. The ends of the tubes were closed. The boundaries of the tubes were assumed to be impermeable. Within the tube, spins could diffuse freely. At the boundary, spins were elastically reflected. To evaluate the effect of voxel size in reconstructing the phantom structures— especially the Yshaped tube—two types of voxel size were simulated: one of 80 ⫻ 80 ⫻ 80 m3 and one of 500 ⫻ 500 ⫻ 500 m3. [16] where Q r(n) is the nth order cumulant of random variable g rg. Because Q r(n) ⫽ 0 for all n ⬎ 2, and Eq. [16] holds for g . . . i must be zero for every direction defined by (, ), Q i(n) 1i 2 n all n ⬎ 2. Hence, we have shown that r is a gaussian random vector with covariance matrix ⌺. In other words, for non-gaussian diffusion, generally, the signal does not decay exponentially as a function of the b-value. Monoexponential signal behavior is only the result of gaussian distributed random displacement (28). Because ADC-based models are developed based on the existence of an ADC along the diffusion direction, they are only suitable for analyzing gaussian diffusion. Moreover, for gaussian diffusion, the angular distribution of ADC has only six degrees of freedom, which is fully determined by a second-order symmetric tensor. Therefore, it is redundant to include higher-order terms in spherical harmonic decomposition or in GDTI-2. If experimental data are forced into this model, poor data fit would only result in the case of non-gaussian diffusion. Computer Simulation In order to illustrate the poor data fitting that could result from diffusion models based on ADC analysis, Monte Carlo simulation was performed on two phantoms: (1) a perpendicularly crossing tube (Phantom 1); and (2) a Yshaped tube (Phantom 2). In Phantom 1, the horizontal tube was along the x axis. In Phantom 2, the separation The width of the cross sections of both phantoms was 10 m. In both phantoms, each branch of the tube had a length of 80 m (Figs. 5a and 6a). A total of 6.5 ⫻ 106 spin trajectories with uniformly distributed starting positions were simulated by using a random walk technique (15). The time increment of the random walk was 0.01 ms. For an unrestricted diffusion, the diffusion coefficient D was set to be 2 ⫻ 10⫺3 mm2/s. The following MR parameters were used: ␦ ⫽ 30 ms, ⌬ ⫽ 40 ms, and TE ⫽ 80 ms. The maximum diffusion gradient strength was 40 mT/m. MR diffusion experiments were simulated on 400 uniformly distributed diffusion-encoding directions. The directions were generated by maximizing the least separation of 400 randomly selected points on the surface of a unit sphere and provided an optimal tessellation of a sphere. For each direction, 15 different b-values were used with a maximum of 2344 s/mm2. During the diffusion encoding period, which began at the first diffusion gradient and ended at the second gradient, the spins were allowed to diffuse anywhere within the tubes. At the echo time, the signal from the central voxel (80 ⫻ 80 ⫻ 80 m3, excluding the ends of tubes) was calculated, by summing only the signal contribution from spins located within the voxel at that moment. The voxel location was illustrated in the boxes of Figs. 5a and. 6a (15). Analyzing one voxel instead of the whole phantom simulates the effect of intervoxel diffusion. The simulated data were first analyzed using GDTI-2 as proposed by Özarslan et al. Using the standard least mean square algorithm a tensor of order 8 was estimated (17). The root mean square error (RMS) between the fitted curve and simulated data was also computed for each diffusion direction. The diffusivity profile was visualized with a parameterized 2-surface (17). A comparative evaluation was also performed on the same data set using GDTI-1 as proposed by Liu et al. Generalized diffusion tensors up to order 5 were estimated from which the PDF skewness map (29) was computed. The skewness map was computed as the difference between the PDF constructed by GDTI-1 and the corresponding gaussian PDF (14,15). Isosurface plots of the skewness map were generated using a value that equaled 5% of the maximum of the map. The true distribution of the spin’s random displacement was approximated by computing a 3D histogram of the random displacement. 1D histograms of the displacement projected along two selected directions were also computed. To assess whether the underlying diffusion is gaussian along these directions, these 1D histograms were fitted with a gaussian distribution function. The gaussian distribution function had the same variance as the spin’s displacement along these directions. ADC and Non-Gaussian Diffusion 423 FIG. 2. Phantom 1: two representative sets of fitted curves by GDTI-1 (as proposed by Liu et al.) and GDTI-2 (as proposed by Özarslan et al.) and the corresponding displacement distribution. In (a and b) the diffusion direction is (0.88, 0.078, 0.46). In (c and d) the direction is (⫺0.63, 0.53, ⫺0.57). (a) The simulated data does not follow exponential behavior. (b) The distribution of the spin displacement is non-gaussian. (c) The simulated data has an exponential behavior in this direction, and (d) the distribution of the spin displacement is gaussian. Larger Voxel Size The asymmetry information of a fiber structure is contained in the signal phase. Although voxel size does not affect the phase of a symmetric structure, it does affect that of an asymmetric structure. To evaluate the effect of voxel size on signal phase, a voxel size that was comparable to what is currently achievable (30) was also simulated for Phantom 2. The cross section of the tube had a width of 20 m; each branch had a length of 500 m (Fig. 7a). A total of 9.5 ⫻ 106 spin trajectories with uniformly distributed starting positions were simulated. The rest of the parameters were kept the same. RESULTS Smaller Voxel Size Figure 2 shows the fitted signal decay curves using both GDTI methods and the corresponding spin displacement distribution for Phantom 1 in two representative diffusion directions. In Fig. 2a and b, the data are acquired in the direction of (0.88, 0.078, 0.46); in Fig. 2c and d, the direction is (⫺0.63, 0.53, ⫺0.57). Figure 2a and c plots the signal behavior. The simulated data are marked with a cross. The curve fitted by GDTI-1 is indicated by a solid line; and the curve fitted by GDTI-2 is represented by a dotted line. In Fig. 2a, the simulated data are not an exponential function of the b-value. The curve fitted by GDTI-2 clearly does not agree with the data. The corresponding RMS is 0.23. GDTI-1 produces an overall good fit except for some b-values greater than 1500 s/mm2 and the RMS is 0.030. In Fig. 2c, both GDTI methods fit the simulated data well since the displacement distribution along this direction is nearly gaussian. GDTI-1 has an RMS of 0.021, while GDTI-2 has an RMS of 0.026, respectively. Figure 2b and d plots the distributions of the displacement projected along the two diffusion directions, respectively. The computed histogram is marked with a cross, and the fitted gaussian distribution is drawn using a solid line. Figure 2b shows a non-gaussian distributed spin displacement, which is consistent with the nonmonoexponential signal behavior plotted in Fig. 2a. This signal behavior also explains the poor fitting produced by GDTI-2. Figure 2d reveals a gaussian distributed random displacement, which is consistent with the exponential signal behavior plotted in Fig. 2c. Figure 3 shows both the magnitude and the signal phase simulated for Phantom 2. The diffusion direction is (⫺0.25, 0.83, ⫺0.49). The curve fitted by GDTI-1 is drawn in a solid line. Similar to Phantom 1, the magnitude data can be fit well by GDTI-1 (Fig. 3a). On the contrary, the magnitude data cannot be fit well by GDTI-2 as shown by the dotted line (Fig. 3a). Figure 3b plots the phase data, which are also fit by GDTI-1. The imperfection of the fit at larger b-values is caused by the limited number of higher-order tensors used (only tensors up to the fifth order were used.). Figure 3c illustrates that the distribution of the random displacement is non-gaussian and asymmetric. Figure 4 compares the RMS of both GDTI fits over all 400 diffusion directions for Phantom 1. The mean RMS over all the directions is 0.029 and 0.41 for GDTI-1 and GDTI-2, respectively. For Phantom 2, the mean RMS is 0.031 and 0.39 for GDTI-1 and GDTI-2, respectively. 424 Liu et al. using GDTI-1 with and without considering the signal phase. The histogram reveals the structure of the tube (Fig. 5b), whereas the shape of the diffusivity profile is inconsistent with the underlying phantom structure. The orientation of the maximum diffusivity does not agree with the directions of the tube (Fig. 5c and d). Both skewness maps reveal the same structure and are consistent with the phantom shape (Fig. 5e and f). Figure 6 shows the same set of plots for Phantom 2 with a voxel size of 80 ⫻ 80 ⫻ 80 m3. In this case, the isosurface plot of the histogram does not completely resemble the Y-shape phantom; small “knobs ” appear in the opposite direction of the extending tubes (Fig. 6b). ADC profiles have symmetric shapes and differ from the geometry of the phantom (Fig. 6c and d). The skewness map computed considering signal phase resembles the structure of the phantom, although some subtlety is lost (Fig. 6e). However, the skewness map reconstructed by using only the magnitude of the signal completely fails to show any orientation information (Fig. 6f). Larger Voxel Size Figure 7 shows simulation results obtained for Phantom 2 with a voxel size of 500 ⫻ 500 ⫻ 500 m3. Figure 7a plots a cross section of the phantom in the x–y plane, and the corresponding location of the voxel of interest. Fig. 7b shows an isosurface of the reconstructed skewness map. Note that Fig. 7b plots only the positive PDF difference. Positive PDF difference illustrates the location where probability increases. DISCUSSION We have shown that ADC-based models are mathematically self-inconsistent in the case of non-gaussian diffusion. The nonexponential signal behavior resulting from non-gaussian diffusion cannot be sufficiently described by ADC. Consequently, the non-gaussian diffusion process existing in complex biologic tissues cannot be fully characterized by ADC-based models. In this case, higher-order tensor statistics, namely higher-order cumulants of molecular random displacement, are required. Those higher order cumulants can be obtained by means of either GDTI-1 or q-space techniques. FIG. 3. Phantom 2: one representative set of fitted curves by GDTI-1 (as proposed by Liu et al.) and GDTI-2 (as proposed by Özarslan et al.) and the corresponding displacement distribution. The diffusion direction is (⫺0.25, 0.83, ⫺0.49). (a) The magnitude of the signal does not follow exponential behavior. (b) The phase of the signal is nonzero and is a smooth function of b-value. The imperfect fit in GDTI-1 is caused by the limited number of higher order tensors used. GDTI-2 only uses the magnitude of the signal; therefore, there is no phase available from GDTI-2 fit. (c) The distribution of the spin displacement is non-gaussian and asymmetric. Figure 5 shows the 3D histogram of spin displacement simulated for Phantom 1 with a voxel size of 80 ⫻ 80 ⫻ 80 m3, the ADC angular distribution, the diffusivity profile generated using GDTI-2, and skewness maps generated Limitations of ADC-Based Models The assumption of the existence of an ADC implies that the underlying diffusion process has to be at least approximately gaussian. Since a gaussian distribution has only six degrees of freedom, it is not necessary to include higher-order (greater than 2) terms in spherical harmonic decomposition, which requires more than six free variables, or in the signal equation of GDTI-2. Those higher-order terms, obtained from measured ADCs, are only the results of poor data fitting and do not bear much physical meaning. The poor quality of the data fit has been demonstrated here by Monte Carlo simulation. One may argue that with smaller b-value, the fitting can become acceptable. However, calculations based on data with b ⬍1000 s/mm2 also reveal poor fitting. ADC and Non-Gaussian Diffusion FIG. 4. The root mean square errors (RMS) between the fitted curves and simulated data over 400 diffusion directions for Phantom 1. The signal intensity is normalized by S0. The mean RMS in all the directions is 0.029 for GDTI-1. The mean RMS over all the directions is 0.41 for GDTI-2, which is about 14 times higher than that of GDTI-1. FIG. 5. Comparison of results for Phantom 1. (a) A cross section of the phantom in the x–y plane. Dimensions are in micrometers. (b) Isosurface of the 3D histogram of spin displacement. (c) ADC angular distribution. (d) The diffusivity profile computed using GDTI-2. The maximum diffusivity does not correspond to the directions of the tubes. (e) Skewness map computed with the complex signal using GDTI-1. Only positive skewness is plotted. (f) Skewness map computed with the magnitude of the signal using GDTI-1. The two skewness maps are similar because the phase of the signal is negligible. As expected, the maximum skewness (computed by cumulants up to fifth order) appears along the direction of the tubes. 425 426 Liu et al. FIG. 6. Comparison of results for Phantom 2. (a) A cross section of the phantom. Dimensions are in micrometers. (b) Isosurface of the 3D histogram of spin displacement. (c) ADC angular distribution. (d) The diffusivity profile computed using GDTI-2. The maximum diffusivity does not correspond to the directions of the tubes and suggests a completely wrong shape of the phantom. (e) Skewness map computed with the complex signal using GDTI-1 reflects the underlying shape of the phantom. Only positive skewness is plotted. (f) Skewness map computed with the magnitude of the signal using GDTI-1. With only the magnitude signal, the orientation information is completely lost. The phase is significant because of the asymmetry of the phantom. The main value of ADC-based diffusion models, such as the spherical harmonic decomposition method and GDTI-2, is providing a qualitative indication of fiber heterogeneity in white matter (18,31). Although ADC has no physical significance in the case of non-gaussian diffusion, it remains to be determined whether the geometric shape FIG. 7. Results from Phantom 2 with voxel size 500 ⫻ 500 ⫻ 500 m3. (a) A cross section of the phantom. Dimensions are in micrometers. (b) Skewness map computed with the complex signal using GDTI-1 reflects the underlying shape of the phantom. However, the result is less accurate because of the larger voxel size. of an ADC profile corresponds exactly to the shape of the underlying fiber structure or to the PDF of the displacement. So far, no systematic research has been conducted to establish the existence or nonexistence of such a relationship. One difficulty in establishing such a theoretic framework is the fact that the measured ADC is not unique for ADC and Non-Gaussian Diffusion non-gaussian diffusion. The geometry of the ADC profile is affected by the amount of diffusion-weighting applied (31) and the physical dimension of the fiber. However, if such a one-to-one correspondence indeed exists, then transformation rules can potentially be constructed to recover the fiber structure. Signal Equation for Non-Gaussian Diffusion The limitation of an ADC-based model stems from the assumption of an exponentially decaying signal. On the other hand, q-space imaging and GDTI-1 do not assume any specific signal behavior. In GDTI-1 specifically, the Bloch–Torrey signal equation is expanded by a series of higher order b-tensors (15,16), which is completely different from the GDTI-2 approach, in which the Bloch–Torrey signal is expanded as a simple exponential function of the . . . i in GDTI-1 b-value. The expansion coefficients D i(n) 1i 2 n are tensors of increasing orders, which have well-defined physical and statistical meanings. More specifically, the coefficients are proportional to the higher-order cumulants of the random displacement (15,16). In comparison, the expansion coefficients ADC(, ) in GDTI-2 are, in fact, ADCs measured in different diffusion directions. Our simulations demonstrated that higher-order b-tensors and higher-order diffusion tensors are required to characterize non-gaussian signal behavior (Fig. 2a and b). For a given non-gaussian diffusion and in some specific diffusion directions, the signal may decay exponentially as a function of the b-value. This decay happens only when the PDF projection of the random displacement is a gaussian function in those specific diffusion directions (Fig. 2c and d). In this simulation, only tensors up to an order of 5 are estimated using the GDTI-1 method. The quality of curve-fitting is good and can be improved by including higher-order terms. Imaging Asymmetric Structures The issue of resolving multiple fiber orientations in regions where fibers cross or merge has become increasingly important in fiber tractography (3). Currently, most diffusion imaging techniques, including techniques based on ADC models and the current implementation of q-space imaging, cannot resolve the orientations of asymmetric microstructures. The GDTI-1 formalism as given in Eq [5] reveals the fact that the asymmetric property of a microstructure is contained in the signal phase (16). By operating on the magnitude data, this information is lost and cannot be recovered in ADC-based models. The q-space principle can be extended to complex data and can potentially be used to image asymmetric microstructures. However, the current implementation of q-space imaging only utilizes the magnitude data (12,32), which automatically implies symmetric displacement profiles. In principle, GDTI-1 is a physically correct formalism with the capability of resolving the orientations of an asymmetric structure. In actual experiments, however, the accuracy of GDTI-1 is limited by signal-to-noise ratio and the ability of MRI systems to accurately measure the signal phase (15). As demonstrated in Figs. 5 and 6, the phase of the signal is crucial in the reconstruction of an asymmetric 427 PDF. When the phantom is symmetric, the signal phase is negligible; therefore, ignoring the phase does not affect the reconstructed phantom structure (Fig. 5e and f). On the other hand, when the phantom is asymmetric, ignoring the signal phase results in a complete lost of the asymmetry information (Fig. 6e and f). However, it is known that the signal phase is difficult to measure accurately in an in vivo diffusion experiment, since the diffusion-encoding gradient not only sensitizes the diffusion process but also any bulk physiologic motion incurred during the encoding period. The inaccurate signal phase problem can be alleviated by correcting for the phase error with a navigator echo (33,34) and averaging the signal over multiple acquisitions. Without the correct phase information, GDTI-1 cannot fully identify the asymmetric structure existing in the phantom. It should also be noted that in vivo q-space imaging suffers from the same problem and, therefore, operates on magnitude data as well. Overall, the preliminary simulation results presented in this research contribute to conveying an important insight and might be particularly important to better understand potential problems and limitations of diffusion MRI in the context of non-gaussian diffusion. Furthermore, to resolve an asymmetric microstructure, intervoxel diffusion must occur between imaging voxels during the diffusion encoding periods. This requirement usually is satisfied in brain tissues since neural fibers are interconnected. If the imaging voxel contains a structure with closed boundaries, then the PDF of the spin displacement will always be an even function because of the conservation of mass; and in the long time limit the PDF is the autocorrelation function of the underlying structure (20). In this situation, the asymmetry property is completely lost in the PDF. This lost of information is an intrinsic disadvantage of MR diffusion measurements as well as a common limitation of all the aforementioned methods. The amount of phase accumulated through the intervoxel diffusion is affected by the number of spins that experience this process. The more spins that remain within the same voxel during the encoding periods; the less phase can be accrued. Consequently, the signal phase is less significant for larger voxels, which can potentially compromise the ability of GDTI-1 to resolve asymmetric fiber structures. The exact condition under which the effect of intervoxel diffusion is nonnegligible is beyond the scope of this study. Nevertheless, based on limited simulation studies, GDTI-1 seems to be sensitive enough to resolve asymmetric structures in an experimentally realizable voxel size as well (Fig. 7b). CONCLUSION In this study, we have shown that exponential signal behavior in a diffusion-weighted MR experiment is the result of gaussian diffusion. ADC is only well defined for gaussian diffusion. However, ADC has no physical significance when the underlying diffusion is non-gaussian. To be mathematically consistent, only six independent variables are required in an ADC-based model. Because of the complex signal behavior, models relying on the ADC computation cannot correctly describe non-gaussian diffusion. Therefore, the application of ADC-based models should be 428 limited to gaussian diffusion. 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