Biology subjects

Nir, T. M.

Publications and source records attributed to Nir, T. M..

At least 19 recordsLinked to original sources

bioRxiv2026

Regional choroid plexus calcifications and their associations with aging, brain structure, and disease

The choroid plexus (CP) maintains brain homeostasis through cerebrospinal fluid production and formation of the blood-cerebrospinal fluid barrier, and its dysfunction has been linked with aging and neurological disease. CP dysfunction may involve both enlargement and calcific tissue change, which may reflect distinct processes; yet population neuroimaging has focused on lateral ventricle CP volume, which cannot directly identify calcified tissue. Using quantitative susceptibility mapping (QSM) in 30,012 UK Biobank participants, we conducted, to our knowledge, the first large scale multi-ventricular study of CP calcification (CPcal), quantifying the lateral (LV), third (3rdV) and fourth (4thV) ventricles. We examined associations with age and sex, endocrine, nutritional and metabolic, mental and behavioral, nervous system, and circulatory diagnoses; family history of Alzheimer's disease and related dementias (ADRD); cardiometabolic traits; and brain macrostructure, white matter microstructure, and subcortical susceptibility. CPcal increased with age (largest association: LV, r = 0.191) and was greater in males in the LV and 3rdV (d = 0.249-0.359) and more prevalent in the 4thV (OR = 1.274). Greater CPcal was associated with endocrine and metabolic, psychiatric, nervous system, and circulatory disorders, with the strongest and most consistent associations observed in the 3rdV (d = 0.097 - 0.125) and persisted after adjustment for ventricular volume, particularly for diabetes (d = 0.303) and tobacco use disorder (d = 0.314). Maternal ADRD family history was associated with greater LV CPcal (d = 0.063). CPcal was also associated with cortical and subcortical volumes (r = 0.033 - 0.046), white matter microstructure (r = 0.017 - 0.042), and subcortical susceptibility (r = -0.064 - 0.131). QSM-derived CPcal is a scalable, radiation-free imaging phenotype that complements volumetry by characterizing calcific CP tissue, which is associated with cardiometabolic health, brain aging, and neurodegenerative risk, particularly in the third ventricle.

neuroscience↗

bioRxiv2026

FastEBM: Fast, Scalable, and Uncertainty-Aware Event-Based Disease Progression Modeling

Event-based models (EBMs) are used to infer ordering of biomarker alteration patterns with respect to disease progression. However, EBM approaches rely on computationally expensive permutation-based inference, assumptions of feature independence, and likelihood optimization that can limit scalability and stability in high-dimensional settings. Here, we introduce Fast Event-Based Model (FastEBM), a scalable, uncertainty aware, Markov- chain-based framework that reformulates disease progression inference as a subject-ordering problem on a data-driven diffusion manifold. The progression uncertainty, used to derive positional variance diagrams, is quantified using first-passage-time variability derived directly from the inferred Markov process. Using synthetic experiments varying feature dimensionality, cohort size, noise level, and feature-correlation structure, we compared FastEBM with established methods, including Gaussian mixture model EBM (GMM-EBM), kernel density estimation EBM (KDE-EBM), and discriminative EBM (DEBM). FastEBM achieved the best accuracy and runtime. In low-subject/high-dimensional stress tests, FastEBM retained event-order recovery. FastEBM remained robust in simulations containing correlated and redundant features after decorrelation and feature-group handling. We applied FastEBM to real-world data to characterize biomarker progression in Alzheimers disease. First, we evaluated a low-dimensional multi- modal dataset from The Alzheimers Disease Prediction Of Longitudinal Evolution (TAD- POLE) challenge. Second, to demonstrate high-dimensional disease progression mapping, we applied FastEBM to regional cortical tau-PET data from the Alzheimers Disease Neuroimaging Initiative (ADNI). In both cases, FastEBM recovered progression patterns broadly consistent with the literature, also revealing lateralized progression trends. These results show that diffusion-based Markov geometry provides a scalable and robust alternative to conventional event-based modeling. FastEBM is available at: https://github.com/sjusc07/FastEBM.

bioinformatics↗

bioRxiv2026

Comparing Harmonization Approaches for Protocol-Related Variability in Multisite Diffusion MRI Data

Diffusion MRI (dMRI) enables assessment of white matter microstructural abnormalities in Alzheimers disease (AD), and multisite datasets enable more robust modeling of non-biological variation that can confound analyses. The Alzheimers Disease Neuroimaging Initiative (ADNI) includes over 10 dMRI protocols, necessitating robust methods to model protocol-related variability when pooling data. Here, we compared three harmonization approaches: (1) mixed-effects models, (2) ComBat-GAM, and (3) eHarmonize, a reference-based lifespan method. We assessed their ability to reduce protocol-related variability in diffusion tensor imaging fractional anisotropy (FA) and mean diffusivity (MD) while preserving associations with cognitive impairment (CI), and amyloid-beta (A{beta}) and tau PET burden in 1,086 ADNI3/4 participants. All approaches yielded more closely aligned FA/MD distributions across protocols. Associations with clinical indicators of CI were highly consistent across approaches, whereas PET associations were less widespread and more variable. Overall, multiple strategies effectively modeled protocol-related variability while preserving AD-related associations.

neuroscience↗

bioRxiv2026

SPECTRA: Spatial Inference for Tractometry Toward Precision Mapping of White Matter Microstructure

Diffusion MRI tractometry characterizes white matter microstructure along fiber bundles, but standard along-tract profiling collapses measurements across the bundle cross-section, obscuring radial heterogeneity and producing spatially inconsistent units of inference. We present SPECTRA (Spatial Inference for Tractometry), a framework designed to address these limitations through a unified design of parameterization and statistical inference. First, we propose a 2D bundle parameterization that extends along-tract profiling to include a radial dimension defined on the atlas bundle. Second, we develop a two-stage hierarchical false discovery rate (hFDR) procedure for multi-bundle inference, which aggregates evidence at a coarser spatial scale before proceeding to finer-grained inference, with spatial scales derived from a Matern kernel. Across extensive simulation conditions, we found that hFDR improves statistical power and reduces the sample size required to detect effects compared to global FDR correction, while maintaining appropriate error control. We further characterized how sensitivity-specificity tradeoffs depend on sample size, the magnitude, spatial extent, and configurations of effects, thereby providing practical guidance for tractometry study design. In an empirical analysis of mild cognitive impairment and dementia in more than 4,000 subjects across 63 bundles, SPECTRA revealed spatially localized patterns that were absent in 1D profiles. Together, these results demonstrate that spatially resolved parameterization and adaptive error control jointly enable precise mapping of white matter microstructure in large-scale tractometry studies. SPECTRA is openly available as a Python package.

neuroscience↗

bioRxiv2026

Along-Tract Microstructural Alterations Associated with Stimulant Misuse Localized using Diffusion MRI Tractometry

Diffusion brain MRI (dMRI) studies of substance use disorders have reported widespread but modest white matter (WM) microstructural alterations with limited anatomical specificity. Here, we applied segment-wise along-tract 3D tractometry to brain dMRI scans to localize fine-scale WM alterations associated with stimulant misuse using two complementary analytical frameworks: Bundle Analytics (BUAN) and Medial Tractography Analysis (MeTA). We analyzed 3D profiles of widely-used diffusion metrics across 33 major WM bundles in independent cohorts of cocaine (74 cases;58 controls) and amphetamine (22 cases;18 controls) users, testing the statistical associations with brain microstructure of pooled stimulant effects, substance-specific effects, and direct comparisons between stimulant classes. Segment-wise analyses revealed focal differences localized to specific tract segments rather than uniform differences along entire bundles. In pooled stimulant misuse, convergent findings across analysis pipelines were localized to hippocampal pathways and were consistent with altered microstructural organization. Amphetamines misuse showed a broader pattern of segment-wise differences across commissural, projection, and association pathways, involving altered axonal organization. No robust segment-wise differences were detected for cocaine misuse or between stimulant classes. These results show that WM alterations are spatially localized and reproducible across tractometry frameworks, highlighting the value of along-tract 3D mapping for improving anatomical specificity in addiction neuroimaging.

neuroscience↗

bioRxiv2026

Distributional and Centile Calibration of Diffusion Tensor Imaging Normative Models as Training Sample Sizes Increase to 40,000 Subjects

Normative modeling (NM) is a powerful framework for quantifying individual deviations in brain structure and function relative to a population reference. However, its clinical utility depends on well-calibrated models trained on heterogeneous datasets such as those found in neuroimaging. Here, we systematically examine the effect of training sample size on the distributional and centile calibration of hierarchical Bayesian regression (HBR)-based NMs. Using multisite 3D diffusion MRI scans of the brain from 54,583 subjects, spanning almost the entire lifespan (age: 4-91 years), we trained NMs of white matter fractional anisotropy, a key microstructural metric, on subsamples ranging from 5,000 to 40,000 subjects. HBR was modeled with a Sinh-Arcsinh likelihood. Model calibration was evaluated using Kernelized Stein Discrepancy (KSD) to assess distributional agreement of Z-scores with the standard normal distribution; we also used Mean Absolute Centile Error (MACE) to quantify centile accuracy. Both metrics showed consistent and substantial improvements as the training sample size increased, indicating reduced posterior uncertainty and improved estimation of distributional parameters, particularly at the centile extremes. These results demonstrate that large training cohorts are essential for well-calibrated NMs derived from heterogeneous neuroimaging data and highlight the importance of large-scale data aggregation for reliable individual-level inference.

bioinformatics↗

bioRxiv2026

Tractometry-Based Quantification of Along-Tract White-Matter Hemispheric Asymmetry in Alzheimer's Disease

White-matter hemispheric asymmetry is a fundamental property of human brain organization and is known to change in aging, neurodevelopment, and neurodegenerative disorders. Tractometry analyzes diffusion-derived microstructural measures along the full length of tracts, localizing changes to specific tract-segments rather than collapsing tracts into a single value. Yet, existing frameworks lack a principled way to quantify left-right hemispheric asymmetries along homologous tracts. Here, we introduce an asymmetry-aware tractometry framework that integrates a symmetric white-matter atlas with BUAN (Bundle Analytics) to enable anatomically consistent, along-tract comparison of homologous pathways. By defining homologous bundles with a shared template and consistent orientation, each left-hemisphere segment is directly matched to its right-hemisphere counterpart, enabling principled, segment-wise comparison and revealing spatially localized asymmetries along-tract. Applying this framework to diffusion MRI data from the Alzheimers Disease Neuroimaging Initiative (ADNI) comprising 1,215 subjects, we demonstrate how this approach reveals systematic left-right asymmetries across major white-matter pathways and show how these patterns differentiate cognitively normal (CN) individuals from those with mild cognitive impairment (MCI) and dementia. This method provides a sensitive and anatomically grounded tool for studying hemispheric specialization and its disruption in aging and disease, and establishes a general approach for asymmetry-aware tractometry in population neuroimaging studies.

neuroscience↗

bioRxiv2025

Assessing the Influence of Tractography Methods on White Matter Microstructure and Tractometry Analysis in Alzheimer's Disease

Tractometry enables detailed mapping of white matter microstructure along individual tracts and is widely used to study disease effects such as those seen in Alzheimers disease (AD). However, how different tractography algorithms influence tractometry outcomes remains unclear. Here, we compared whole-brain deterministic and probabilistic tractography using the BUndle ANalytics (BUAN) framework in the Alzheimers Disease Neuroimaging Initiative (ADNI) dataset, including 118 AD and 728 cognitively normal (CN) participants. Both approaches revealed the expected pattern of lower fractional anisotropy (FA) and higher mean, radial, and axial diffusivity (MD, RD, AxD) in AD, consistent with white matter degeneration. Despite broadly similar global trends, substantial bundle-level differences emerged between the two tractography methods. Probabilistic tracking produced stronger and more spatially extended effects in the fornix, a small and highly curved limbic pathway vulnerable to AD-related degeneration, whereas deterministic tracking showed greater sensitivity in the posterior segments of the right superior longitudinal fasciculus (SLF R). These discrepancies highlight that the choice of tractography algorithm can alter detecting disease effects, emphasizing the need for cross-method validation to ensure the robustness and interpretability of along-tract measures.

neuroscience↗

bioRxiv2025

Evaluating Sample-Size Efficiency and Sensitivity of Tractometry in Alzheimer's Disease

Tractometry allows quantitative analysis of white matter microstructure along the brains fiber tracts, but the impact of study design parameters--such as sample size and along-tract resolution--on sensitivity and specificity is not well understood. In this study, we conducted tractometry bootstrap analysis using linear-mixed models across four diffusion tensor imaging (DTI) metrics to systematically evaluate how these factors affect the detection of dementia- and amyloidrelated effects. While coarser along-tract segments yield greater sensitivity and higher mean effect sizes, finer segments tend to produce higher peak effect sizes, revealing more spatially localized effects. Dementia-related effects were more widespread and detectable with fewer subjects, whereas amyloid-related effects were more subtle and localized, requiring larger cohorts to detect them. These findings highlight that tractometry offers improved spatial specificity and can reliably detect small, fine-scale effects, but study design should be tailored to specific research questions, considering the expected spatial extent and magnitude of effects, to optimize sample size efficiency and interpretability.

neuroscience↗

bioRxiv2025

DTI versus NODDI White Matter Microstructural Biomarkers of Alzheimer's Disease

Diffusion MRI (dMRI) is a powerful tool to assess white matter (WM) microstructural abnormalities in Alzheimers disease (AD). The fourth phase of the Alzheimers Disease Neuroimaging Initiative (ADNI) now includes multiple multishell dMRI protocols, enabling both traditional and advanced dMRI model analyses. There is a need to evaluate whether multishell data offer deeper insights into WM pathology in AD than more widely available single-shell data by overcoming single-shell model limitations. Here, we fit single-shell DTI and multishell NODDI to dMRI data from 533 ADNI3/4 participants to assess their sensitivity to key clinical indicators of AD such as cognitive impairment, amyloid-beta and tau PET burden. Overall, we found that NODDI offered no major advantages in detecting cognitive impairment and tau pathology, but NODDI was marginally more sensitive to amyloid pathology.

neuroscience↗

bioRxiv2025

Streamline Density Normalization: A Robust Approach to Mitigate Bundle Variability in Multi-Site Diffusion MRI

Tractometry enables quantitative analysis of tissue microstructure is sensitive to variability introduced during tractography and bundle segmentation. Differences in processing parameters and bundle geometry can lead to inconsistent streamline reconstructions and sampling, ultimately affecting the reproducibility of tractometry analysis. In this study, we introduce Streamline Density Normalization (SDNorm), a supervised two-step method designed to reduce variability in bundle reconstructions. SDNorm first computes streamline weights using linear regression to match a subjects bundle to a template streamline density map, then iteratively prunes streamlines to achieve a target density using a novel metric called effective Streamline Point Density (eSPD). We evaluate SDNorm across multiple bundles and acquisition protocols in dMRI data from a subset of subjects from Alzheimers Disease Neuroimaging Initiative and demonstrate that it can significantly reduce variability in streamline density, improve consistency in along-tract microstructure profiles, and provide useful metrics for automated bundle quality control. These results suggest that SDNorm can help enhance the reproducibility and robustness of bundle reconstruction across heterogeneous image acquisition protocols and tractography settings, making it well-suited for large-scale and multi-site neuroimaging studies.

neuroscience↗

bioRxiv2025

White Matter Tract Vulnerability to Amyloid Pathology on the Alzheimer's Disease Continuum

Alzheimers disease (AD) is marked by progressive cognitive decline and memory loss, due to the abnormal accumulation of amyloid-beta (A{beta}) plaques, which facilitate the spread of tau pathology, and a gradually spreading pattern of neuronal loss. Understanding how amyloid positivity affects the brains neural pathways is critical for understanding how the brain changes with AD pathology. Tractometry offers a powerful approach for the in vivo, 3D quantitative assessment of white matter tracts, enabling the localization of microstructural abnormalities in diseased populations and those at risk. In this study, we applied BUAN (Bundle Analytics) tractometry to multi-cohort diffusion MRI data from a total of 1,908 participants: 606 participants in ADNI3 (Alzheimers Disease Neuroimaging Initiative Phase 3) and 1,302 participants from the HABS-HD (Health and Aging Brain Study-Health Disparities). Using BUAN and along-tract statistical analysis, we assessed the localized effects of amyloid positivity on white-matter pathways, which may be further influenced by downstream tau accumulation. Amyloid positivity was quantified via amyloid-sensitive positron emission tomography (PET). BUAN enables tract-specific quantification of white matter microstructure and supports statistical testing along the full length of fiber bundles to detect subtle, spatially localized associations. We present 3D visualizations of tractwise amyloid associations, highlighting distinct patterns of white matter degeneration in AD.

neuroscience↗

bioRxiv2025

Deterministic versus Probabilistic Tractography: Impact on White Matter Bundle Shape

In diffusion MRI-based tractography, deterministic and probabilistic algorithms reconstruct white matter using distinct strategies, yet their impact on bundle morphology remains uncertain. Using bundle shape similarity analysis, we compared both methods for the left arcuate fasciculus (AF_L) (The left arcuate fasciculus is a critical white matter tract that connects language comprehension and production areas in the human brain, enabling fluent language processing) across four datasets: Alzheimers Disease Neuroimaging Initiative (ADNI), Human Connectome Project-Aging (HCP-A), National Institute of Mental Health and Neurosciences (NIMHANS), and Pediatric Imaging, Neurocognition, and Genetics (PING). Probabilistic tractography consistently produced higher inter-subject shape similarity, by capturing broader anatomical trajectories and enhancing reproducibility. However, this extensive coverage may obscure subtle pathological variations critical for clinical detection. Bundle shape similarity analysis with atlas corroborated these findings, showing stronger alignment for probabilistic tracking and highlighting its utility in quantitative quality control. These results emphasize the need to balance morphological consistency with sensitivity to neuroanatomical variation when selecting tractography methods for research and clinical applications.

neuroscience↗

bioRxiv2024

Lifespan Normative Modeling of Brain Microstructure

Normative models of brain metrics based on large populations could be extremely valuable for detecting brain abnormalities in patients with a variety of disorders, including degenerative, psychiatric and neurodevelopmental conditions, but no such models exist for the brains white matter (WM) microstructure. Here we present a large-scale normative model of brain WM microstructure - based on 19 international diffusion MRI datasets covering almost the entire lifespan (totaling N=54,583 individuals; age: 4-91 years). We extracted regional diffusion tensor imaging (DTI) metrics using a standardized analysis and quality control protocol and used hierarchical Bayesian regression (HBR) to model the statistical distribution of derived WM metrics as a function of age and sex. We extracted the average lifespan trajectories and corresponding centile curves for each WM region. We illustrate the utility of the method by applying it to detect and visualize profiles of WM microstructural deviations in a variety of contexts: in mild cognitive impairment, Alzheimers disease, and 22q11.2 deletion syndrome - a neurogenetic condition that markedly increases risk for schizophrenia. The resulting large-scale model provides a common reference to identify disease effects on the brains microstructure in individuals or groups, and to compare disorders, and discover factors affecting WM abnormalities. The derived normative models are a valuable resource publicly available to the community, adaptable and extendable to future datasets as the available data expands.

neuroscience↗

bioRxiv2024

BundleAGE: Predicting White Matter Age using Along-Tract Microstructural Profiles from Diffusion MRI

Brain Age Gap Estimation (BrainAGE) is an estimate of the gap between a persons chronological age (CA) and a measure of their brains biological age (BA). This metric is often used as a marker of accelerated aging, albeit with some caveats. Age prediction models trained on brain structural and functional MRI have been employed to derive BrainAGE biomarkers, for predicting the risk of neurodegeneration. While voxel-based and along-tract microstructural maps from diffusion MRI have been used to study brain aging, no studies have evaluated along-tract microstructure for computing BrainAGE. In this study, we train machine learning models to predict a persons age using along-tract microstructural profiles from diffusion tensor imaging. We were able to demonstrate differential aging patterns across different white matter bundles and microstructural measures. The novel Bundle Age Gap Estimation (BundleAGE) biomarker shows potential in quantifying risk factors for neurodegenerative diseases and aging, while incorporating finer scale information throughout white matter bundles.

neuroscience↗

bioRxiv2024

Amyloid, Tau, and APOE in Alzheimer's Disease: Impact on White Matter Tracts

Alzheimers disease (AD) is characterized by cognitive decline and memory loss due to the abnormal accumulation of amyloid-beta (A{beta}) plaques and tau tangles in the brain; its onset and progression also depend on genetic factors such as the apolipoprotein E (APOE) genotype. Understanding how these factors affect the brains neural pathways is important for early diagnostics and interventions. Tractometry is an advanced technique for 3D quantitative assessment of white matter tracts, localizing microstructural abnormalities in diseased populations in vivo. In this work, we applied BUAN (Bundle Analytics) tractometry to 3D diffusion MRI data from 730 participants in ADNI3 (phase 3 of the Alzheimers Disease Neuroimaging Initiative; age range: 55-95 years, 349M/381F, 214 with mild cognitive impairment, 69 with AD, and 447 cognitively healthy controls). Using along-tract statistical analysis, we assessed the localized impact of amyloid, tau, and APOE genetic variants on the brains neural pathways. BUAN quantifies microstructural properties of white matter tracts, supporting along-tract statistical analyses that identify factors associated with brain microstructure. We visualize the 3D profile of white matter tract associations with tau and amyloid burden in Alzheimers disease; strong associations near the cortex may support models of disease propagation along neural pathways. Relative to the neutral genotype, APOE{varepsilon} 3/{varepsilon}3, carriers of the AD-risk conferring APOE{varepsilon} 4 genotype show microstructural abnormalities, while carriers of the protective{varepsilon} 2 genotype also show subtle differences. Of all the microstructural metrics, mean diffusivity (MD) generally shows the strongest associations with AD pathology, followed by axial diffusivity (AxD) and radial diffusivity (RD), while fractional anisotropy (FA) is typically the least sensitive metric. Along-tract microstructural metrics are sensitive to tau and amyloid accumulation, showing the potential of diffusion MRI to track AD pathology and map its impact on neural pathways.

neuroscience↗

bioRxiv2024

Microstructural Mapping of Neural Pathways in Alzheimer's Disease using Macrostructure-Informed Normative Tractometry

IntroductionDiffusion MRI is sensitive to the microstructural properties of brain tissues, and shows great promise in detecting the effects of degenerative diseases. However, many approaches analyze single measures averaged over regions of interest, without considering the underlying fiber geometry. MethodsHere, we propose a novel Macrostructure-Informed Normative Tractometry (MINT) framework, to investigate how white matter microstructure and macrostructure are jointly altered in mild cognitive impairment (MCI) and dementia. We compare MINT-derived metrics with univariate metrics from diffusion tensor imaging (DTI), to examine how fiber geometry may impact interpretation of microstructure. ResultsIn two multi-site cohorts from North America and India, we find consistent patterns of microstructural and macrostructural anomalies implicated in MCI and dementia; we also rank diffusion metrics sensitivity to dementia. DiscussionWe show that MINT, by jointly modeling tract shape and microstructure, has potential to disentangle and better interpret the effects of degenerative disease on the brains neural pathways.

neuroscience↗

bioRxiv2024

Reference curves for harmonizing multi-site regional diffusion MRI metrics across the lifespan

Age-related white matter (WM) microstructure maturation and decline occur throughout the human lifespan, complementing the process of gray matter development and degeneration. Here, we create normative lifespan reference curves for global and regional WM microstructure by harmonizing diffusion MRI (dMRI)-derived data from ten public datasets (N = 40,898 subjects; age: 3-95 years; 47.6% male). We tested three harmonization methods on regional diffusion tensor imaging (DTI) based fractional anisotropy (FA), a metric of WM microstructure, extracted using the ENIGMA-DTI pipeline. ComBat-GAM harmonization provided multi-study trajectories most consistent with known WM maturation peaks. Lifespan FA reference curves were validated with test-retest data and used to assess the effect of the ApoE4 risk factor for dementia in WM across the lifespan. We found significant associations between ApoE4 and FA in WM regions associated with neurodegenerative disease even in healthy individuals across the lifespan, with regional age-by-genotype interactions. Our lifespan reference curves and tools to harmonize new dMRI data to the curves are publicly available as eHarmonize (https://github.com/ahzhu/eharmonize).

neuroscience↗