Prevalence of white matter pathways coming into a single white matter voxel orientation: The bottleneck issue in tractography

Kurt G. Schilling, Chantal M. W. Tax, Francois Rheault, Bennett A. Landman, Adam W. Anderson, Maxime Descoteaux, Laurent Petit
Human Brain Mapping. 2021-12-17; :
DOI: 10.1002/hbm.25697

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Schilling KG(1)(2), Tax CMW(3)(4), Rheault F(5), Landman BA(1)(2)(5)(6), Anderson
AW(1)(2)(6), Descoteaux M(7), Petit L(8).

Author information:
(1)Department of Radiology & Radiological Science, Vanderbilt University Medical
Center, Nashville, Tennessee, USA.
(2)Vanderbilt University Institute of Imaging Science, Vanderbilt University
Medical Center, Nashville, Tennessee, USA.
(3)Cardiff University Brain Research Imaging Centre (CUBRIC), Cardiff University,
Cardiff, United Kingdom, Cardiff, UK.
(4)Image Sciences Institute, University Medical Center Utrecht, Utrecht, The
Netherlands.
(5)Department of Electrical Engineering and Computer Science, Vanderbilt
University, Nashville, Tennessee, USA.
(6)Department of Biomedical Engineering, Vanderbilt University, Nashville,
Tennessee, USA.
(7)Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department,
Université de Sherbrooke, Sherbrooke, Quebec, Canada.
(8)Groupe d’Imagerie Neurofonctionnelle, Institut Des Maladies
Neurodégénératives, CNRS, CEA University of Bordeaux, Bordeaux, France.

Characterizing and understanding the limitations of diffusion MRI fiber tractography is a prerequisite for  methodological advances and innovations which will allow these techniques to accurately map the connections of the human brain. The so-called “crossing fiber problem” has received tremendous attention and has continuously triggered the community to develop novel approaches for disentangling distinctly oriented fiber populations. Perhaps an even greater challenge occurs when multiple white matter bundles converge within a single voxel, or throughout a single brain region, and share the same parallel orientation, before diverging and continuing towards their final cortical or sub-cortical terminations. These so-called “bottleneck” regions contribute to the ill-posed nature of the tractography process, and lead to both false positive and false negative estimated connections. Yet, as opposed to the extent of crossing fibers, a thorough characterization of bottleneck regions has not been performed.
The aim of this study is to quantify the prevalence of bottleneck regions. To do this, we use diffusion tractography to segment known white matter bundles of the brain, and assign each bundle to voxels they pass through and to specific orientations within those voxels (i.e. fixels). We demonstrate that bottlenecks occur in greater than 50-70% of fixels in the white matter of the human brain. We find that all projection, association, and commissural fibers contribute to, and are affected by, this phenomenon, and show that even regions traditionally considered “single fiber voxels” often contain multiple fiber populations. Together, this study shows that a majority of white matter presents bottlenecks for tractography which may lead to incorrect or erroneous estimates of brain connectivity or quantitative tractography (i.e., tractometry), and underscores the need for a paradigm shift in the process of tractography and bundle segmentation for studying the fiber pathways of the human brain.

© 2021 The Authors. Human Brain Mapping published by Wiley Periodicals LLC.

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