Project Background/Rationale: Diffusion imaging has gained importance in the past decade as a valuable means of depicting white matter injury caused by various disease processes. Diffusion imaging holds particular promise for evaluation of individuals who have experienced traumatic brain injury (TBI) because damage to white matter pathways is considered to be an important component in the causation of the many types of neurocognitive impairment that can result from TBI. Diffusion imaging can be performed using a number of different imaging techniques, and no single technique is universally recognized as the single best method. As a result, development of large pools of data is hampered by the fact that combining imaging studies obtained by multiple techniques results in an inhomogeneous data set that is difficult to analyze. Analytical difficulties arise even in data obtained from two scanners made by the same manufacturer and having the same field strength if different image acquisition protocols, imaging software packages and imaging equipment (e.g., head coils) are used. Project Objectives: If diffusion imaging is to be developed as a means to evaluate Veterans with suspected TBI, a uniform type of image acquisition is needed across the different types of imaging systems available within the VA hospital network. To construct such a system, a means is needed to establish exactly how one scanner differs from another (or from itself over the course of time). Then, modification of imaging sequences and, as needed, hardware and software components, can be performed to allow more uniform data acquisition across scanners. In this proposal, we will use diffusion imaging phantoms to evaluate differences between scanners with the goal of providing acquisition techniques that will data to be compared across different patient groups and combined into large data collections. Our objective is to provide a means for the many different scanners across the

Public Health Relevance

Diffusion tensor imaging (DTI) is an MR imaging technique that holds promise as a means to evaluate brain white matter in individuals who have experienced traumatic brain injury (TBI). However, DTI measurements of white matter can vary considerably within the same patient when he or she is scanned on different MR scanners or even on the same MR scanner at different times. This proposal will evaluate two types of DTI phantoms that will provide ?ground truth? DTI measurements that will allow DTI scans in patients to be calibrated and differences between scanners to be measured. These phantoms will allow, for the first time, serial DTI measurements in a patient over time and on different scanners to be accurately compared.

Agency
National Institute of Health (NIH)
Institute
Veterans Affairs (VA)
Type
Non-HHS Research Projects (I01)
Project #
5I01RX001880-02
Application #
9032373
Study Section
Brain Injury (RRDB)
Project Start
2015-01-01
Project End
2016-12-31
Budget Start
2016-01-01
Budget End
2016-12-31
Support Year
2
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Michael E Debakey VA Medical Center
Department
Type
DUNS #
078446044
City
Houston
State
TX
Country
United States
Zip Code
77030
Cifu, David X; Diaz-Arrastia, Ramon; Williams, Rick L et al. (2015) The VA/DoD Chronic Effects of Neurotrauma Consortium: An Overview at Year 1. Fed Pract 32:44-48