Table 1. Definition and Interpretation of Diffusion Tensor Imaging (DTI) and Neurite Orientation Dispersion and Density Imaging (NODDI) Metrics in the Context of Traumatic Brain Injury (TBI).
Metric | Description of measurement | Interpretation in TBI |
---|---|---|
DTI diffusion metrics | ||
Fractional anisotropy | Scalar value from 0 to 1, 0 = isotropic diffusion (equal in all directions) | Reduced fractional anisotropy,10,11,12,13,14 white matter tract disorganization15 |
Mean diffusivity | Scalar measure of water molecule diffusion within a voxel | Higher mean diffusivity, increased cellularity, edema, and necrosis10,11,12,13,16 |
Axial diffusivity | Magnitude of diffusion parallel to fiber tracts | Reduced axial diffusivity, axonal injury, diminished axonal caliber, or less coherent axon orientation17 |
Radial diffusivity | Coefficient of diffusion perpendicular to the main fiber orientation | Increased radial diffusivity,18,19,20 demyelination21 |
NODDI diffusion metrics | ||
ICVF | Fraction of tissue water restricted within neuritis, amount of neurites | Reduced ICVF, axonal loss or demyelination22,23,24,25; increased ICVF, axonal swelling in acute phase and regeneration in recovery phase14,26,27 |
ODI | Variability of neurite orientations, neurite spatial arrangement from 0 (parallel) to 1 (random) | Increased ODI, axonal dispersion or disorganization23,25; reduced ODI, reduced axonal complexity or glial scarring14,28 |
ISOVF | Fraction of tissue water confined within neurites | Increased ISOVF, tissue atrophy leading to expanded cerebrospinal fluid spaces14,22 |
Abbreviations: ICVF, intracellular volume fraction; ISOVF, isotropic volume fraction; ODI, orientation dispersion index.