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Villalon-Reina, J. E.

Publications and source records attributed to Villalon-Reina, J. E..

At least 19 recordsLinked to original sources

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.

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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.

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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.

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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.

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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.

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Using Diffusion Transformers to Generate Synthetic Diffusion Scalar Maps for Data Augmentation

Generation of high-quality synthetic brain MRI data could be beneficial for advancing neuroimaging research, particularly when access to large-scale, labeled datasets is limited. In this work, we leverage a pretrained Diffusion Transformer (DiT) architecture to synthesize 3D mean diffusivity (MD) scalar maps from the Cam-CAN dataset. To adapt the DiT model--originally trained on 2D natural images--for 3D neuroimaging data, we implemented a preprocessing strategy that tiles 2D slices from 3D volumes into composite 2D images, enabling effective finetuning. The quality of the generated synthetic images was evaluated using Multi-Scale Structural Similarity (MS-SSIM) and Maximum Mean Discrepancy (MMD) metrics, demonstrating high fidelity and anatomical coherence. To assess the utility of synthetic data in downstream tasks, we conducted transfer learning experiments for dementia classification on the ADNI dataset. A sex classification model, trained on both real and synthetic Cam-CAN data, was repurposed for this task, showing that synthetic samples can enhance model performance. These results highlight the potential of diffusion-based generative models for augmenting neuroimaging datasets and supporting clinical applications.

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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.

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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.

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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.

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Gene dosage effects of 22q11.2 copy number variants on in-vivo measures of white matter axonal density and dispersion

22q11.2 deletion (22qDel) and duplication (22qDup) carriers have an increased risk of neurodevelopmental disorders and exhibit altered brain structure, including white matter microstructure. However, the underlying cellular architecture and age-related changes contributing to these white matter alterations remain poorly understood. Neurite orientation dispersion and density imaging (NODDI) was used on mixed cross-sectional and longitudinal data to examine group differences and age-related trajectories in measures of axonal density (i.e., intracellular volume fraction; ICVF), axonal orientation (orientation dispersion index; ODI) and free water diffusion (isotropic volume fraction; ISO) in 50 22qDel (n scans = 69, mean age = 20.7, age range = 7.4-51.1, 64.0% female) and 24 22qDup (n scans = 34, mean age = 21.6, age range = 8.3-49.4, 54.2% female) carriers, and 890 controls (n scans = 901, mean age = 21.9, age range = 7.8-51.1, 54.5% female). The results showed widespread gene dosage effects, with higher ICVF in 22qDel and lower ICVF in 22qDup compared to controls, and region-specific effects of the 22qDel and 22qDup on ODI and ISO measures. However, 22qDel and 22qDup carriers did not exhibit altered age-related trajectories relative to controls. Observed differences in ICVF suggest higher white matter axonal density in 22qDel and lower axonal density in 22qDup compared to controls. Conversely, differences in ODI are highly localized, indicating region-specific effects on axonal dispersion in white matter. We do not find evidence for altered developmental trajectories of axonal density or dispersion among 22q11.2 CNV carriers, suggesting stable disruptions to neurodevelopmental events before childhood.

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Synthetic Diffusion Tensor Imaging Maps Generated by 2D and 3D Probabilistic Diffusion Models: Evaluation and Applications

Diffusion tensor imaging (DTI) is a key neuroimaging modality for assessing brain tissue microstructure, yet high-quality acquisitions are costly, time-intensive, and prone to artifacts. To address data scarcity and privacy concerns - and to augment the available data for training deep learning methods - synthetic DTI generation has gained interest. Specifically, denoising diffusion probabilistic models (DDPMs) have emerged as a promising approach due to their superior fidelity, diversity, controllability, and stability compared to generative adversarial networks (GANs) and variational autoencoders (VAEs). In this work, we evaluate the quality, fidelity and added value for downstream applications of synthetic DTI mean diffusivity (MD) maps generated by 2D slice-wise and 3D volume-wise DDPMs. We evaluate their computational efficiency and utility for data augmentation in two downstream tasks: sex classification and dementia classification using 2D and 3D convolutional neural networks (CNNs). Our findings show that 3D synthesis outperforms 2D slice-wise generation in downstream tasks. We present a benchmark analysis of synthetic diffusion-weighted imaging approaches, highlighting key trade-offs in image quality, diversity, efficiency, and downstream performance.

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Evaluating Synthetic Diffusion MRI Maps created with Diffusion Denoising Probabilistic Models

Generative AI models, such as Stable Diffusion, DALL-E, and MidJourney, have recently gained widespread attention as they can generate high-quality synthetic images by learning the distribution of complex, high-dimensional image data. These models are now being adapted for medical and neuroimaging data, where AI-based tasks such as diagnostic classification and predictive modeling typically use deep learning methods, such as convolutional neural networks (CNNs) and vision transformers (ViTs), with interpretability enhancements. In our study, we trained latent diffusion models (LDM) and denoising diffusion probabilistic models (DDPM) specifically to generate synthetic diffusion tensor imaging (DTI) maps. We developed models that generate synthetic DTI maps of mean diffusivity by training on real 3D DTI scans, and evaluating realism and diversity of the synthetic data using maximum mean discrepancy (MMD) and multi-scale structural similarity index (MS-SSIM). We also assess the performance of a 3D CNN-based sex classifier, by training on combinations of real and synthetic DTIs, to check if performance improved when adding the synthetic scans during training, as a form of data augmentation. Our approach efficiently produces realistic and diverse synthetic data, potentially helping to create interpretable AI-driven maps for neuroscience research and clinical diagnostics.

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Comparison of Explainable AI Models for MRI-based Alzheimer's Disease Classification

Deep learning models based on convolutional neural networks (CNNs) have been used to classify Alzheimers disease or infer dementia severity from 3D T1-weighted brain MRI scans. Here, we examine the value of adding occlusion sensitivity analysis (OSA) and gradient-weighted class activation mapping (Grad-CAM) to these models to make the results more interpretable. Much research in this area focuses on specific datasets such as the Alzheimers Disease Neuroimaging Initiative (ADNI) or National Alzheimers Coordinating Center (NACC), which assess people of North American, predominantly European ancestry, so we examine how well models trained on these data generalize to a new population dataset from India (NIMHANS cohort). We also evaluate the benefit of using a combined dataset to train the CNN models. Our experiments show feature localization consistent with knowledge of AD from other methods. OSA and Grad-CAM resolve features at different scales to help interpret diagnostic inferences made by CNNs.

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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.

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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.

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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.

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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).

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Brain Age Analysis and Dementia Classification using Convolutional Neural Networks trained on Diffusion MRI: Tests in Indian and North American Cohorts

Deep learning models based on convolutional neural networks (CNNs) have been used to classify Alzheimers disease or infer dementia severity from T1-weighted brain MRI scans. Here, we examine the value of adding diffusion-weighted MRI (dMRI) as an input to these models. Much research in this area focuses on specific datasets such as the Alzheimers Disease Neuroimaging Initiative (ADNI), which assesses people of North American, largely European ancestry, so we examine how models trained on ADNI, generalize to a new population dataset from India (the NIMHANS cohort). We first benchmark our models by predicting "brain age" - the task of predicting a persons chronological age from their MRI scan and proceed to AD classification. We also evaluate the benefit of using a 3D CycleGAN approach to harmonize the imaging datasets before training the CNN models. Our experiments show that classification performance improves after harmonization in most cases, as well as better performance for dMRI as input.

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