Publications by authors named "Julio E Villalon‐Reina"

Introduction: Diffusion-weighted magnetic resonance imaging (dMRI) is sensitive to the microstructural properties of brain tissues and shows great promise in detecting the effects of degenerative diseases. However, many approaches analyze single measures averaged over regions of interest without considering the underlying fiber geometry.

Methods: We propose a novel macrostructure-informed normative tractometry (MINT) framework to investigate how white matter (WM) microstructure and macrostructure are jointly altered in mild cognitive impairment (MCI) and dementia.

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Alzheimer's disease (AD) is characterized by cognitive decline and memory loss due to the abnormal accumulation of amyloid-beta (Aβ) plaques and tau tangles in the brain; its onset and progression also depend on genetic factors such as the apolipoprotein E (APOE) genotype. Understanding how these factors affect the brain's neural pathways is important for early diagnostics and interventions. Tractometry is an advanced technique for 3D quantitative assessment of white matter tracts, localizing microstructural abnormalities in diseased populations in vivo.

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Article Synopsis
  • Generative AI models like Stable Diffusion and DALL-E can create high-quality synthetic images and are now being used in medical imaging, particularly for tasks like diagnostic classification.
  • We specifically trained latent diffusion models and denoising diffusion probabilistic models to generate synthetic Diffusion Tensor Imaging (DTI) maps, focusing on mean diffusivity from real 3D scans.
  • Our study evaluates the realism of these synthetic DTI maps and explores using them to enhance transfer learning in a 3D CNN for classifying Alzheimer's disease, potentially aiding in neuroimaging and clinical diagnostics.
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Normative models of brain metrics based on large populations are extremely valuable for detecting brain abnormalities in patients with dementia, psychiatric, or developmental conditions. Here we present the first large-scale normative model of the brain's white matter (WM) microstructure derived from 18 international diffusion MRI (dMRI) datasets covering almost the entire lifespan (totaling N=51,830 individuals; age: 3-80 years). We extracted regional diffusion tensor imaging (DTI) metrics using a standardized analysis and quality control protocol, and used Hierarchical Bayesian Regression (HBR) to model the statistical distribution of derived WM metrics as a function of age and sex, while modeling the site effect.

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Article Synopsis
  • Deep learning models using convolutional neural networks (CNNs) have been applied to classify Alzheimer's disease and assess dementia severity through 3D brain MRI scans, with a focus on improving interpretability using occlusion sensitivity analysis (OSA) and gradient-weighted class activation mapping (Grad-CAM).
  • The study investigates the effectiveness of these models, primarily trained on North American datasets, when applied to a different population in India (NIMHANS cohort), and assesses the advantages of utilizing a combined dataset for training.
  • Results demonstrate that feature localization aligns with established knowledge of Alzheimer's disease, indicating that OSA and Grad-CAM enhance interpretability by resolving diagnostic features at various scales.
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Brain Age Gap Estimation (BrainAGE) is an estimate of the gap between a person's chronological age (CA) and a measure of their brain's 'biological age' (BA). This metric is often used as a marker of accelerated aging, albeit with some caveats. Age prediction models trained on brain structural and functional MRI have been employed to derive BrainAGE biomarkers, for predicting the risk of neurodegeneration.

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Alzheimer's disease (AD) is characterized by cognitive decline and memory loss due to the abnormal accumulation of amyloid-beta (A) plaques and tau tangles in the brain; its onset and progression also depend on genetic factors such as the apolipoprotein E (APOE) genotype. Understanding how these factors affect the brain's neural pathways is important for early diagnostics and interventions. Tractometry is an advanced technique for 3D quantitative assessment of white matter tracts, localizing microstructural abnormalities in diseased populations .

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The progression of Parkinson's disease (PD) is associated with microstructural alterations in neural pathways, contributing to both motor and cognitive decline. However, conflicting findings have emerged due to the use of heterogeneous methods in small studies. Here we performed a large diffusion MRI study in PD, integrating data from 17 cohorts worldwide, to identify stage-specific profiles of white matter differences.

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Introduction: Diffusion MRI is sensitive to the microstructural properties of brain tissues, and shows great promise in detecting the effects of degenerative diseases. However, many approaches analyze single measures averaged over regions of interest, without considering the underlying fiber geometry.

Methods: Here, we propose a novel Macrostructure-Informed Normative Tractometry (MINT) framework, to investigate how white matter microstructure and macrostructure are jointly altered in mild cognitive impairment (MCI) and dementia.

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Article Synopsis
  • The study investigates how white matter (WM) microstructure develops and declines with age, creating reference curves to track these changes throughout the human lifespan using data from 40,898 subjects aged 3 to 95.
  • They employed diffusion MRI (dMRI) techniques and found that the ComBat-GAM method harmonized data most effectively, aligning with known WM maturation patterns.
  • The research also revealed that the ApoE4 gene, linked to dementia risk, affects WM microstructure even in healthy individuals, highlighting significant interactions between age and genetic factors across different brain regions.
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This study introduces the Deep Normative Tractometry (DNT) framework, that encodes the joint distribution of both macrostructural and microstructural profiles of the brain white matter tracts through a variational autoencoder (VAE). By training on data from healthy controls, DNT learns the normative distribution of tract data, and can delineate along-tract micro-and macro-structural abnormalities. Leveraging a large sample size via generative pre-training, we assess DNT's generalizability using transfer learning on data from an independent cohort acquired in India.

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Deep learning models based on convolutional neural networks (CNNs) have been used to classify Alzheimer's disease or infer dementia severity from T1-weighted brain MRI scans. Here, we examine the value of adding diffusion-weighted MRI (dMRI) as an input to these models. Much research in this area focuses on specific datasets such as the Alzheimer's Disease Neuroimaging Initiative (ADNI), which assesses people of North American, largely European ancestry, so we examine how models trained on ADNI, generalize to a new population dataset from India (the NIMHANS cohort).

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Reciprocal Copy Number Variants (CNVs) at the 16p11.2 locus confer high risk for autism spectrum disorder (ASD) and other neurodevelopmental disorders (NDDs). Morphometric MRI studies have revealed large and pervasive volumetric alterations in carriers of a 16p11.

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Article Synopsis
  • 22q11.2 deletion syndrome (22q11DS) is the most common microdeletion in humans, linked to reduced gray matter volume and neuropsychiatric issues like cognitive impairment and psychosis.
  • A study involving 783 participants (470 with 22q11DS and 313 controls) used advanced brain imaging techniques to identify specific patterns of gray matter volume covariance associated with this syndrome.
  • Results indicated that individuals with 22q11DS show unique structural brain abnormalities, particularly in the cerebellum, and these alterations follow distinct patterns rather than a widespread decline.
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Diffusion MRI (dMRI) can be used to probe microstructural properties of brain tissue and holds great promise as a means to non-invasively map Alzheimer's disease (AD) pathology. Few studies have evaluated multi-shell dMRI models such as neurite orientation dispersion and density imaging (NODDI) and mean apparent propagator (MAP)-MRI in cortical gray matter where many of the earliest histopathological changes occur in AD. Here, we investigated the relationship between CSF pTau and Aβ burden and regional cortical NODDI and MAP-MRI indices in 46 cognitively unimpaired individuals, 18 with mild cognitive impairment, and two with dementia (mean age: 71.

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Article Synopsis
  • Fiber orientation dispersion can be estimated using diffusion magnetic resonance imaging (dMRI), which is important for understanding brain structure.
  • The authors propose standard methods to compare different approaches for measuring orientation dispersion across various dMRI scans.
  • This study highlights the application of these metrics in examining how brain microstructure changes with age, which can help identify potential markers for brain diseases.
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We present , an unsupervised multi-step framework that can filter, denoise and subsample bundles derived from diffusion MRI-based whole-brain tractography. Our approach considers both the global bundle structure and local streamline-wise features. We apply to bundles generated from single-shell diffusion MRI data in an independent clinical sample of older adults from India using probabilistic tractography and the resulting 'cleaned' bundles can better align with the atlas bundles with reduced overreach.

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Diffusion MRI (dMRI) can be used to probe microstructural properties of brain tissue and holds great promise as a means to non-invasively map Alzheimer's disease (AD) pathology. Few studies have evaluated multi-shell dMRI models, such as neurite orientation dispersion and density imaging (NODDI) and mean apparent propagator (MAP)-MRI, in cortical gray matter where many of the earliest histopathological changes occur in AD. Here, we investigated the relationship between CSF pTau and Aβ burden and regional cortical NODDI and MAP-MRI indices in 46 cognitively unimpaired individuals, 18 with mild cognitive impairment, and two with dementia (mean age: 71.

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Whole-brain tractograms generated from diffusion MRI digitally represent the white matter structure of the brain and are composed of millions of streamlines. Such tractograms can have false positive and anatomically implausible streamlines. To obtain anatomically relevant streamlines and tracts, supervised and unsupervised methods can be used for tractogram clustering and tract extraction.

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Multi-site imaging studies can increase statistical power and improve the reproducibility and generalizability of findings, yet data often need to be harmonized. One alternative to data harmonization in the normative modeling setting is Hierarchical Bayesian Regression (HBR), which overcomes some of the weaknesses of data harmonization. Here, we test the utility of three model types, i.

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Disrupted iron homeostasis is associated with several neurodegenerative diseases, including Alzheimer's disease (AD), and may be partially modulated by genetic risk factors. Here we evaluated whether subcortical iron deposition is associated with ApoE genotype, which substantially affects risk for late-onset AD. We evaluated differences in subcortical quantitative susceptibility mapping (QSM), a type of MRI sensitive to cerebral iron deposition, between either ApoE4 (E3E4+E4E4) or ApoE2 (E2E3+E2E2) carriers and E3 homozygotes (E3E3) in 27,535 participants from the UK Biobank (age: 45-82 years).

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Deletions and duplications at the 22q11.2 locus are associated with significant neurodevelopmental and psychiatric morbidity. Previous diffusion-weighted magnetic resonance imaging (MRI) studies in 22q11.

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Article Synopsis
  • Understanding white matter in the brain is essential for grasping both healthy and diseased aging processes.
  • Researchers used diffusion-weighted magnetic resonance imaging (dMRI) on a large group of 15,628 adults aged 45-80 to study how age and sex influence white matter microstructure.
  • They employed advanced imaging models and created normative reference charts that highlight significant age and sex effects on white matter, which can inform future studies on brain aging.
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Article Synopsis
  • 22q11.2 deletion syndrome (22q11DS) is caused by a genetic deletion affecting 46 genes, leading to significant brain structure changes, although the specific genetic processes are still unclear.
  • A study comparing 232 individuals with 22q11DS to 290 healthy individuals revealed reduced surface area in certain brain regions and increased cortical thickness in others, with particular genes like DGCR8 and AIFM3 linked to these changes.
  • The research highlights the value of integrating brain anatomy and gene expression data to better understand the complex genetic influences on brain development in 22q11DS.
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The Enhancing NeuroImaging Genetics through Meta-Analysis copy number variant (ENIGMA-CNV) and 22q11.2 Deletion Syndrome Working Groups (22q-ENIGMA WGs) were created to gain insight into the involvement of genetic factors in human brain development and related cognitive, psychiatric and behavioral manifestations. To that end, the ENIGMA-CNV WG has collated CNV and magnetic resonance imaging (MRI) data from ~49,000 individuals across 38 global research sites, yielding one of the largest studies to date on the effects of CNVs on brain structures in the general population.

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