3D diffuse tensor imaging important acquisition in diagnostic and preoperative planning of intracranial lesions

• Main Authors: R. E. Rizea, A. V. Ciurea, G. Onose
• Format: Article
• Language: English
• Published: London Academic Publishing 2012-06-01
• Series: Romanian Neurosurgery
• Subjects: diffusion tensor imaging; neurosurgery; tractography
• Online Access: https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/649
• ISSN: 1220-8841; 2344-4959

Diffusion tensor imaging (DTI) is a MRI technique that enables the measurement of the diffusion of water in tissue in order to produce neural tract images. DTI allows clinicians to look at anisotropic diffusion in white-matter tracts, but it is limited in demonstrating spatial and directional anisotropy. Advanced methods such as color coding and tractography (fiber tracking) have been used to investigate the directionality. The localization of tumors in relation to the white matter tracts (infiltration, deflection), has been one the most important initial applications. Tractography potentially solves a problem for a neurosurgeon in terms of minimizing functional damage and determining the extent of diffuse infiltration of pathologic tissue to minimize residual tumor volume. In this way, tractography facilitates preoperative planning. Tractographic images may help to clarify whether a tumor is compressing, abutting, or infiltrating the contiguous white-matter tracts. DTI identify different tumor components, and to differentiate tumor invasion from normal brain tissue or edema. The recent development of DTI allows for direct examination of the brain microstructure, and DTI has become a useful tool for investigation of brain disorders such as stroke, epilepsy, MS, brain tumors, and demyelinating disorders.