IntroductionDSI Studio provides several diffusion metrics. The following sections will explain their definition and biological implications
DTIbased metricsfa : fractional anisotropy
ad : axial diffusivity
rd : radial diffusivity (the average of two radial eigenvalues)
md : mean diffusivity (the average of all eigen values). The diffusivity (either RD, MD, or AD) calculated in DSI Studio has a unit of 10 ^{3} mm ^{2}/s.
txx, txy, txz, tyy, tyz, tzz the 6 entry of the tensor matrix.
A diffusion tensor can provide fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity (RD), and mean diffusivity (MD).
AD, denoted by λ parallel, quantifies how fast water diffuses along the axonal fibers. It is estimated by λ1, the first eigenvalue of the tensor. RD, denoted by λ perpendicular, quantified how fast water diffuses across the axonal bundles. It is estimated by (λ2+λ3)/2, the average of the second and third eigenvalues of the tensor. MD is the diffusivity average from the three eigenvalue of the tensor. It is often regarded as an approximation of the overall ADC. FA is a fraction derived from the ratio between λ1, λ2, and λ3. It has a value ranged from 0 (isotropic) to 1(totally anisotropic).
In general, good myelinated fibers have high FA and low RD (Chang 2017). When there is demyelination, RD changes dramatically (Song, 2002). If there is axonal loss, the AD drops (Song 2003). Many studies have used RD specifically for myelination citing the demyelination studies. However, the fact that demyelination has RD change does not mean that good myelination is also reflected by RD (Change 2017). The interpretation of RD requires additional caution.
GFA is calculated from an ODF function. The definition is documented in the qball imaging paper [3]. GFA has a high correlation with FA (Fritzsche, K. H., et al. (2010). Neuroimage 51(1): 242251.), and it also suffers from the same partial volume effect as FA. The value deceases in fiber crossing or voxels with CSF partial volume. GFA values may not be comparable across different reconstruction methods since the sharpness of ODF may differ due to the reconstruction method used. It may not be comparable if different bvalue and diffusion sampling scheme are used. Studies using GFA should be conducted in a careful control manner to make sure that the results are not due to other confounding factors.
Numerous studies have investigated the relation between diffusivity and pathological conditions. Axonal injury: AD ↓(Budde et al., 2007; Song et al., 2003) Demyelination: RD ↑ (Budde et al., 2007; Song et al., 2002; Song et al., 2005) Myelination: FA (Chang, 2017), RD (partly, Chang, 2017). Tumor: ADC↓(Gauvain et al., 2001; Kono et al., 2001; Sugahara et al., 1999) Immune cell infiltration: ADC↓ Vasogenic edema: ADC↑ Cytotoxic edema: ADC↓ Hemorrhage: ADC↓
GQIbased metricsqa : quantitative anisotropy (QA), an anisotropy measured based on restricted diffusion. qa0 represents the QA value for the most prominent fiber orientations, and qa1 the second, ...etc.
iso : isotropic diffusion component derive from GQI analysis
nqa : normalized QA, scaled from QA so that the maximum nqa of a subject is one.
rdi, nrdi : an index quantifying the density of restricted diffusion given a displacement distance (L). nRDI quantifies nonrestricted diffusion. ( Fang‐Cheng, et al. Magnetic resonance in medicine 77.2 (2017): 603612 ).
GQI provides QA and ISO. QA is calculated from the peak orientations on a spin distribution function (SDF). Each peak orientation defines a QA value. The definition for QA is defined in the generalized qsampling imaging paper [9]. One should note that QA is defined for each fiber orientation, whereas FA and GFA are defined for each voxel. This forms a big difference in fiber tracking, since QA can be used to filter out false fibers in crossing fiber scenario. QA scales with spin density and MRI signals and thus it has "arbitrary unit". This causes consistency problem in comparing QA values between scans. DSI Studio has adopts several strategies to calibrate QA , but sometimes the calibration may not be accurate enough, causing a large variability in QA. A solution to this problem is to scales the maximum QA value of a subject to 1 so that QA may be more comparable across the subject. This gives "NQA". NQA assumes that all subjects share the same compactness of the white matter bundle.
The isotropic value of the ODF [9], termed "ISO", is the minimum distribution value of an ODF. It represent background isotropic diffusion contributed from CSF or nondirectional restricted diffusion (e.g. diffusion within or between cells). In multishell scheme, ISO is more correlated with restricted nondirectional diffusion because of the higher bvalue weighting, whereas in grid scheme, ISO has more weighting from free water diffusion. To separate restricted iso from nonrestsricted iso, GQI has a derived method called "restricted diffusion imaging" (RDI), which provides a spectrum of RDI measures estimating restricted or nonrestricted diffusion.
Difference between DTI and GQIA common question for GQI users is "how does GQI differ from DTI?" The following are several highlights. A PowerPoint slide is also available at the bottom of the page if you would like to include in your presentation.
Restricted diffusion versus overall diffusion
The DTI model does not (or not able to) specify restricted diffusion contributed by axonal myelination. The consequence is that FA, AD, MD will reflect a portfolio of biological changes including edema, inflammation, or just a superimposing crossing fiber (see Yeh FC et al. PLoS ONE 8(11): e80713.2013). Using DTI metrics will results in a large variation due to the complexity of the real world biological changes, and often time a large sample size is needed to find statistical significance.
GQI has a length parameter (termed diffusion sampling lengh ratio) to specify the distance scale for restricted diffusion to be evaluated. As a result, QA is quantifying the anisotropy of restricted diffusion and thus more robust against inflammation and edema. A neurosurgery study has shown that QA is robust against peritumoral edema and contributes to more reliable tractography (Zhang, et al. Neurosurgery, 73(6), 10441053. 2013).
Diffusion rate versus diffusion density
All tensor derived measurements, including FA, AD, RD, are based on "diffusivity", which by definition measures the "rate" of diffusion. The biggest drawback of using diffusivity is that nonerestricted and restricted diffusion are always mixed due to Brownian motion. Separating them will require complicated model fitting (e.g., fitting multiple tensor) and usually does not work well for low SNR data (common in high bvalue acquisitions).
In comparison, GQI and QSDR quantifies diffusion "density". They are based on the qspace imaging to quantify the density of restricted and lessrestricted diffusion. The separation of restricted and lessrestricted diffusion can be readily achieved in an simple analytical linear relation. The performance is better than DTI in low SNR condition. The derived metrics (e.g. QA, ISO) is measuring the density of diffusing water, and thus QA is measuring the density of anisotropic diffusing water.
Fiberspecific versus voxelbased
QA quantified anisotropy for each fiber population, whereas FA is shared by all fiber population within a voxel. QA is a fiberspecific measurement and defined per fiber population and thus offers a measurement for each of them. By contrast, FA is defined per voxel, and all fiber populations within a voxel will share the same measurement. If there are crossing fibers, FA will decrease, whereas QA is less affected. Sensitivity to physiological differences
In application, diffusivity measurements such as FA/AD/RD/MD are more sensitive to pathological conditions, whereas density measurements such as QA/ISO/RDI are more sensitive to individual/physiological difference (see Yeh et al. PLoS Comput Biol 12(11): e1005203, where local connectome fingerprint is a type of density measurement).
To better understand this difference, we can compare axons to water pipes. If the pipes are in good condition, they will have similar water transfusion rate (diffusivity will remain similar), even though the amount of water (density) being transfused can vary a lot. This indicates that diffusivity is good for detecting whether the structural is still intact, while the density measurement is good for quantifying the "connectivity" because it quantifies the total quantity of the diffusing water. Under this paradigm, we can figure out that diffusivity measures such as FA may not vary a lot between subjects, whereas density measures will differ substantially. This is shown in Yeh et al. PLoS Comput Biol 12(11): e1005203. where the individuality can be better characterized by densitybased measurements, not diffusivity measurements.
It is noteworthy that since GQI's SDF reveals high individuality, the intersubject variance of SDF can be very high (this does not mean that SDF is unreliable). As a result, connectometry is most suitable for a longitudinal study, though a crosssectional study can also be benefited by connectometry analysis.
How to interpret QA and FA resultsThe differences in QA include (1) the isotropic diffusion component is removed to eliminate the free water effect. (see https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0080713 ), and (2) QA includes differences in the density of diffusion spins so that it is more sensitive. Therefore: FA decreases while QA stays the same: likely tissue edema but not necessarily a substantial structural change in the axons. FA stays the same while QA decreases: a substantial change of diffusion pattern in the tissue without obvious structural differences (e.g., my hypothesis: transient permeability change in myelin due to neuroplasticity). Both FA and QA decrease: neuronal change such as demyelination, axonal loss, and/or edema.
QA measures the spin density of anisotropy diffusion along a fiber pathway. In voxels with more than one fiber population, each one will have its QA measured independently. QA is different from diffusivitybased measurements such as FA, ADC, RD in that diffusivity measures the "rate" of diffusion (how fast water diffuses), whereas QA measures the "amount" of diffusing water using the Fourier relation of the "qspace imaging". This measurement of QA is based on a modelfree nonparametric method to quantify diffusion distribution. In comparison. FA is derived from diffusivities measured in the diffusion tensor model.
Studies have compared the performance between FA and QA. A phantom study has shown that QA is more robust to the free water effect and partial volume of crossing fibers. (Yeh, PloS one 8.11, 2013). A clinical casebased study has shown that QAbased tractography is more robust against peritumoral edema. (Zhang ,Neurosurgery 73.6 (2013): 10441053.) A more recent study (Yeh, PLoS computational biology 12.11, 2016).showed that SDF provides a unique structural characterization that can reliably identify individuals (termed local connectome fingerprint). Its reproducibility and uniqueness is higher than diffusivitybased measurements.

Updating...
ć Frank Yeh, Nov 7, 2019, 6:47 AM
