Analysis of cortical dysplasias using b-tensor encoding diffusion MRI in an animal model

Abstract

Cortical dysplasias are malformations of cortical development characterized by disorganization of the cyto- and myeloarchitecture of the neocortex. They are a common cause of epilepsy and their diagnosis through conventional imaging can often be challenging, hindering surgical treatments. Diffusion-weighted magnetic resonance imaging (dMRI) has the ability to infer tissue properties at the microscopic scale, making it a promising technique for detection of cortical dysplasias. This study aims to assess the microarchitecture of the cerebral cortex in a murine model of cortical dysplasia using dMRI acquired with b-tensor encoding. Pregnant Sprague-Dawley rats were administered either carmustine (BCNU) or saline solution on day 15 of gestation. Their offspring were imaged at 120 days of age using a 7 tesla scanner, acquiring diffusion-sensitive images with b-tensor encoding. Images were processed with Q-space trajectory imaging with positivity constraints (QTI+) to derive various metrics along a curvilinear coordinate system across the neocortex. After scanning, the brains were processed for immunofluorescence and histological examinations. Experimental animals exhibited a significant reduction of microscopic fractional anisotropy (µFA) and anisotropic kurtosis (K shear ) in the middle and lateral cortical layers compared to the control animals. Immunofluorescence and histological analysis showed decreased and dysorganized myelinated fibers, and an increase of glial processes in BCNU-treated animals. Given the applicability of b-tensor encoding in clinical scanners, this approach holds promise for improving detection of focal cortical dysplasias in patients with epilepsy.