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FIBER BUNDLE LENGTH IN CEREBRAL WHITE MATTER                      27



          FUTURE APPLICATIONS AND NEW                   stages of technological advancement, research to
          INNOVATIONS OF qtDTI TECHNOLOGY               date has provided novel insights into cerebral white
            As a novel method, qtDTI remains in the early   matter integrity in adult populations. Overall, qtDTI
          stages of development, and research is needed to   represents a potentially useful tool in future investi-
          examine reproducibility and reliability. Studies   gations of white matter fiber bundles in healthy and
          including histological techniques and known markers   clinical populations.
          of white matter pathology (e.g., WMH) will support
          the validity of the approach. Furthermore, qtDTI   ACKNOWLEDGMENTS
          technology has the potential to broaden our under-  Study Funding. Supported by National Institutes of
          standing of the associations between white matter
          integrity and cognitive development in children. It is   Health/National Institute of Neurological Disorders
                                                        and Stroke grant number R01 NS052470 and R01
          also possible that these metrics (i.e., FBL) can be used   NS039538 and National Institutes of Health/National
          to improve sensitivity to injury and abnormal devel-  Institute of Mental Health grant R21 MH090494.
          opment. However, studies in newborns and children   Recruitment database searches were supported in
          are necessary to determine the applicability of qtDTI   part by National Institutes of Health/National Center
          metrics in this population, particularly in relation to   for Research Resources grant UL1 TR000448. The
          work on myelin water fraction mapping (18). There   authors declare that they have no conflict of interest.
          is also much knowledge to gain by going beyond the
          relatively simple single tensor model to explore more
          complex diffusion models. Such methods can poten-  REFERENCES
          tially improve the reconstruction of crossing bundles   1.   Alexander, A.L.; Lee, J.E.; Lazar, M.; Field, A.S. Diffusion
          and enable the quantitation of features such as fiber   tensor imaging of the brain. Neurotherapeutics
          dispersion and free water contamination. Current   4(3):316-329; 2007.
          efforts to address these limitations include tractog-  2.  Allen, J.S.; Bruss, J.; Brown, C.K.; Damasio, H. Normal
          raphy methods that utilize more complex models   neuroanatomical variation due to age: the major lobes
          (11), such as constrained spherical convolution (50),   and a parcellation of the temporal region. Neurobiol.
          ball-and-sticks diffusion model (8), and neurite ori-  Aging 26:1245-1260; 2005.
                                                           Baker, L. M.; Laidlaw, D. H.; Conturo, T. E.; Hogan, J.;
          entation dispersion and density imaging (53). Finally,   3.   Zhao, Y.; Luo, X.; Correia, S.; Cabeen, R.; Lane, E.M.;
          there is a great deal to learn about the relationship   Heaps, J.M.; Bolzenius, J; Salminen, L.E.; Akbudak,
          between qtDTI and other imaging modalities. In   E.; McMichael, A.R.; Usher, C.; Behrman, A.; Paul,
          particular, the combination of qtDTI and functional   R.H. White matter changes with age utilizing quanti-
          MRI has the potential to provide a much more com-  tative diffusion MRI. Neurology 83(3):247-252; 2014.
          plete model of brain integrity, as it would provide a   4.   Basser, P. J.; Pajevic, S.; Pierpaoli, C.; Duda, J.; Aldroubi,
          parallel view of both structural and functional brain   A. In vivo fiber tractography using DT‐MRI data.
          integrity.                                       Magn. Reson. Med. 44(4):625-632; 2000.
                                                       5.   Beaulieu, C. The basis of anisotropic water diffusion in
                                                           the nervous system–a technical review. NMR Biomed.
          SUMMARY                                          15(7‐8):435-455; 2002.
            qtDTI is a relatively novel imaging approach that   6.   Behrman-Lay, A. M.; Usher, C.; Conturo, T. E.; Correia,
          exhibits high potential to advance our current under-  S.; Laidlaw, D. H.; Lane, E. M.; Bolenzius, J.; Heaps,
          standing of the organization and function of the   J.M.; Salminen, L.E.; Baker, L.M.; Cabeen, R.; Akbudak,
          human brain. Although traditional DTI metrics pro-   E.; Luo, X.; Yan, P.; Paul, R.H. Fiber bundle length and
          vide important information about white matter    cognition: a length-based tractography MRI study.
          integrity within a single voxel, qtDTI technology   7.   Brain Imaging Behav. 9(4):765-775; 2015.
                                                           Behrens, T. E.J; Woolrich, M. W.; Jenkinson, M.;
          has facilitated the examination of specific detail about   Johansen‐Berg, H.; Nunes, R. G.; Clare, S.; Matthews,
          the direction and curvature of white matter pathways   P.M.; Brady, J.M.; Smith, S. M. Characterization and
          in vivo. While this method is currently in the early   propagation of uncertainty in diffusion‐weighted MR
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