Automated cerebral cortex segmentation based solely on diffusion tensor imaging for investigating cortical anisotropy.

To extract Diffusion Tensor Imaging (DTI) parameters from the human cortex, the inner and outer boundaries of the cortex are usually defined on 3D-T1-weighted images and then applied to the co-registered DTI. However, this analysis requires the acquisition of an additional high-resolution structural image that may not be practical in various imaging studies. Here an automatic cortical boundary segmentation method was developed to work directly only on the native DTI images by using fractional anisotropy (FA) maps and mean diffusion weighted images (DWI), the latter with acceptable gray-white matter image contrast. This new method was compared to the conventional cortical segmentations generated from high-resolution T1 structural images in 5 participants. In addition, the proposed method was applied to 15 healthy young adults (10 cross-sectional, 5 test-retest) to measure FA, MD, and radiality of the primary eigenvector across the cortex on whole-brain 1.5 mm isotropic images acquired in 3.5 min at 3T. The proposed method generated reasonable segmentations of the cortical boundaries for all individuals and large proportions of the proposed method segmentations (more than 85%) were within ±1 mm from those generated with the conventional approach on higher resolution T1 structural images. Both FA (0.15) and MD (0.77 × 10 mm/s) extracted halfway between the cortical boundaries were relatively stable across the cortex, although focal regions such as the posterior bank of the central sulcus, anterior insula, and medial temporal lobe showed higher FA. The primary eigenvectors were primarily oriented radially to the middle cortical surface, but there were tangential orientations in the sulcal fundi as well as in the posterior bank of the central sulcus. The proposed method demonstrates the feasibility and accuracy of cortical analysis in native DTI space while avoiding the acquisition of other imaging contrasts like 3D T1-weighted scans.