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Summary of current challenges for DT imaging

Current ChallengesCurrent SolutionsFuture Directions
AcquisitionLow resolutionHigher static/gradient field
PROPELLER
Parallel acquisition
Distortions by EPIPostprocessing correctionsPROPELLER
Parallel acquisition
Cardiac/CSF pulsationCardiac triggeringCardiac triggering in routine practice
Robust estimate of the DTMore averagesHigher static field
Optimized sequence parameters
Increased number of DW directions
Postprocessing and analysisSubjectivity of the ROI approachTraining of the neurologistRegistration to standard space
Histogram analysis
Correlations of DT derived metrics with clinical histopathologyROI and histogram analysis of MD and FA mapsInclude analysis of eigenvalues
Focus on systems that have a functional significance (ie, specific fiber tracts)
Voxel based assessment after normalization to standard space to avoid a priori hypotheses
Acquisition and analysisCrossing/merging fibersMulticompartment models
Q-space formalism
High angular resolution
  • Note:—PROPELLER indicates periodically rotated overlapping parallel lines with enhanced reconstruction; EPI, echo-planar imaging; DT, diffusion tensor; DW, diffusion-weighted; ROI, region of interest; MD, mean diffusivity; FA, fractional anisotropy.