Accurate Bayesian segmentation of thalamic nuclei using diffusion MRI and an improved histological atlas
Henry F.J. Tregidgo,
Sonja Soskic,
Juri Althonayan,
Chiara Maffei,
Koen Van Leemput,
Polina Golland,
Ricardo Insausti,
Garikoitz Lerma-Usabiaga,
César Caballero-Gaudes,
Pedro M. Paz-Alonso,
Anastasia Yendiki,
Daniel C. Alexander,
Martina Bocchetta,
Jonathan D. Rohrer,
Juan Eugenio Iglesias
Affiliations
Henry F.J. Tregidgo
Corresponding author.; Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, UK
Sonja Soskic
Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, UK
Juri Althonayan
Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, UK
Chiara Maffei
Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, USA
Koen Van Leemput
Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, USA; Department of Health Technology, Technical University of Denmark, Denmark
Polina Golland
Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology, USA
Ricardo Insausti
Human Neuroanatomy Laboratory, University of Castilla-La Mancha, Spain
Garikoitz Lerma-Usabiaga
BCBL. Basque Center on Cognition, Brain and Language, Spain; Ikerbasque, Basque Foundation for Science, Bilbao, Spain
César Caballero-Gaudes
BCBL. Basque Center on Cognition, Brain and Language, Spain
Pedro M. Paz-Alonso
BCBL. Basque Center on Cognition, Brain and Language, Spain; Ikerbasque, Basque Foundation for Science, Bilbao, Spain
Anastasia Yendiki
Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, USA
Daniel C. Alexander
Centre for Medical Image Computing, Department of Computer Science, University College London, UK
Martina Bocchetta
Dementia Research Centre, Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, University College London, UK; Centre for Cognitive and Clinical Neuroscience, Department of Life Sciences, College of Health, Medicine and Life Sciences, Brunel University London, UK
Jonathan D. Rohrer
Dementia Research Centre, Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, University College London, UK
Juan Eugenio Iglesias
Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, UK; Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, USA; Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology, USA
The human thalamus is a highly connected brain structure, which is key for the control of numerous functions and is involved in several neurological disorders. Recently, neuroimaging studies have increasingly focused on the volume and connectivity of the specific nuclei comprising this structure, rather than looking at the thalamus as a whole. However, accurate identification of cytoarchitectonically designed histological nuclei on standard in vivo structural MRI is hampered by the lack of image contrast that can be used to distinguish nuclei from each other and from surrounding white matter tracts. While diffusion MRI may offer such contrast, it has lower resolution and lacks some boundaries visible in structural imaging. In this work, we present a Bayesian segmentation algorithm for the thalamus. This algorithm combines prior information from a probabilistic atlas with likelihood models for both structural and diffusion MRI, allowing segmentation of 25 thalamic labels per hemisphere informed by both modalities. We present an improved probabilistic atlas, incorporating thalamic nuclei identified from histology and 45 white matter tracts surrounding the thalamus identified in ultra-high gradient strength diffusion imaging. We present a family of likelihood models for diffusion tensor imaging, ensuring compatibility with the vast majority of neuroimaging datasets that include diffusion MRI data. The use of these diffusion likelihood models greatly improves identification of nuclear groups versus segmentation based solely on structural MRI. Dice comparison of 5 manually identifiable groups of nuclei to ground truth segmentations show improvements of up to 10 percentage points. Additionally, our chosen model shows a high degree of reliability, with median test-retest Dice scores above 0.85 for four out of five nuclei groups, whilst also offering improved detection of differential thalamic involvement in Alzheimer’s disease (AUROC 81.98%). The probabilistic atlas and segmentation tool will be made publicly available as part of the neuroimaging package FreeSurfer (https://freesurfer.net/fswiki/ThalamicNucleiDTI).