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Abstract #1361

Two-axon population (TAP) modelling for large axon diffusion imaging in the peripheral nervous system

Francesco Grussu1,2, Ratthaporn Boonsuth1, Marco Battiston1, Claudia A. M. Gandini Wheeler-Kingshott1,3,4, and Marios C. Yiannakas1
1NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, Faculty of Brain Sciences, University College London, London, United Kingdom, 2Radiomics Group, Vall d’Hebron Institute of Oncology, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain, 3Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy, 4Digital Neuroscience Centre, IRCCS Mondino Foundation, Pavia, Italy

Synopsis

Keywords: Diffusion Modeling, Microstructure, Sciatic nerve, axon radius, Multiple Sclerosis

Motivation: The stick (zero-radius cylinder), a standard diffusion MRI model for the intra-axonal brain white matter signal, may not be suitable in the peripheral nervous system (PNS), due to co-existence of small and large axons.

Goal(s): To test the feasibility of replacing the stick model with a two-axon population (TAP) approach, accounting for large axons, in the PNS.

Approach: We compared TAP versus standard stick modelling in simulations, and derived TAP metrics in the sciatic nerve in vivo.

Results: TAP enables more accurate parameter fitting than stick modelling, and is shown to be feasible in vivo in healthy controls and multiple sclerosis patients.

Impact: We propose two-axon population (TAP) diffusion-weighted MRI, a method tailored for imaging of the peripheral nervous system, characterised by co-existence of small and large axons. TAP may enable more accurate microstructural imaging than standard approaches, providing non-invasive markers of neurophysiology.

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Keywords