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Franco Pestilli

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13 papers

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YNICL Journal 2024 Journal Article

Diffusion tensor analysis of white matter tracts is prognostic of persisting post-concussion symptoms in collegiate athletes

Giulia Bertò
Lauren T. Rooks
Steven P. Broglio
Thomas A. McAllister
Michael A. McCrea
Paul F. Pasquina
Christopher Giza
Alison Brooks

BACKGROUND AND OBJECTIVES: After a concussion diagnosis, the most important issue for patients and loved ones is how long it will take them to recover. The main objective of this study is to develop a prognostic model of concussion recovery. This model would benefit many patients worldwide, allowing for early treatment intervention. METHODS: The Concussion Assessment, Research and Education (CARE) consortium study enrolled collegiate athletes from 30 sites (NCAA athletic departments and US Department of Defense service academies), 4 of which participated in the Advanced Research Core, which included diffusion-weighted MRI (dMRI) data collection. We analyzed the dMRI data of 51 injuries of concussed athletes scanned within 48 h of injury. All athletes were cleared to return-to-play by the local medical staff following a standardized, graduated protocol. The primary outcome measure is days to clearance of unrestricted return-to-play. Injuries were divided into early (return-to-play = 28 days) recovery based on the return-to-play clinical records. The late recovery group meets the standard definition of Persisting Post-Concussion Symptoms (PPCS). Data were processed using automated, state-of-the-art, rigorous methods for reproducible data processing using brainlife.io. All processed data derivatives are made available at https://brainlife.io/project/63b2ecb0daffe2c2407ee3c5/dataset. The microstructural properties of 47 major white matter tracts, 5 callosal, 15 subcortical, and 148 cortical structures were mapped. Fractional Anisotropy (FA) and Mean Diffusivity (MD) were estimated for each tract and structure. Correlation analysis and Receiver Operator Characteristic (ROC) analysis were then performed to assess the association between the microstructural properties and return-to-play. Finally, a Logistic Regression binary classifier (LR-BC) was used to classify the injuries between the two recovery groups. RESULTS: ) of 0.71 ± 0.09 SD was found. The top classification performance of the LR-BC was AUC = 0.90 obtained using the 16 statistically significant white matter tracts. DISCUSSION: Utilizing a free, open-source, and automated cloud-based neuroimaging pipeline and app (https://brainlife.io/docs/tutorial/using-clairvoy/), a prognostic model has been developed, which predicts athletes at risk for slow recovery (PPCS) with an AUC=0.90, balanced accuracy = 0.89, sensitivity = 1.0, and specificity = 0.79. The small number of participants in this study (51 injuries) is a significant limitation and supports the need for future large concussion dMRI studies and focused on recovery.

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YNIMG Journal 2022 Journal Article

Open and reproducible neuroimaging: From study inception to publication

Guiomar Niso
Rotem Botvinik-Nezer
Stefan Appelhoff
Alejandro De La Vega
Oscar Esteban
Joset A. Etzel
Karolina Finc
Melanie Ganz

Empirical observations of how labs conduct research indicate that the adoption rate of open practices for transparent, reproducible, and collaborative science remains in its infancy. This is at odds with the overwhelming evidence for the necessity of these practices and their benefits for individual researchers, scientific progress, and society in general. To date, information required for implementing open science practices throughout the different steps of a research project is scattered among many different sources. Even experienced researchers in the topic find it hard to navigate the ecosystem of tools and to make sustainable choices. Here, we provide an integrated overview of community-developed resources that can support collaborative, open, reproducible, replicable, robust and generalizable neuroimaging throughout the entire research cycle from inception to publication and across different neuroimaging modalities. We review tools and practices supporting study inception and planning, data acquisition, research data management, data processing and analysis, and research dissemination. An online version of this resource can be found at https://oreoni.github.io. We believe it will prove helpful for researchers and institutions to make a successful and sustainable move towards open and reproducible science and to eventually take an active role in its future development.

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YNIMG Journal 2021 Journal Article

Classifyber, a robust streamline-based linear classifier for white matter bundle segmentation

Giulia Bertò
Daniel Bullock
Pietro Astolfi
Soichi Hayashi
Luca Zigiotto
Luciano Annicchiarico
Francesco Corsini
Alessandro De Benedictis

Virtual delineation of white matter bundles in the human brain is of paramount importance for multiple applications, such as pre-surgical planning and connectomics. A substantial body of literature is related to methods that automatically segment bundles from diffusion Magnetic Resonance Imaging (dMRI) data indirectly, by exploiting either the idea of connectivity between regions or the geometry of fiber paths obtained with tractography techniques, or, directly, through the information in volumetric data. Despite the remarkable improvement in automatic segmentation methods over the years, their segmentation quality is not yet satisfactory, especially when dealing with datasets with very diverse characteristics, such as different tracking methods, bundle sizes or data quality. In this work, we propose a novel, supervised streamline-based segmentation method, called Classifyber, which combines information from atlases, connectivity patterns, and the geometry of fiber paths into a simple linear model. With a wide range of experiments on multiple datasets that span from research to clinical domains, we show that Classifyber substantially improves the quality of segmentation as compared to other state-of-the-art methods and, more importantly, that it is robust across very diverse settings. We provide an implementation of the proposed method as open source code, as well as web service.

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YNIMG Journal 2021 Journal Article

Tractography dissection variability: What happens when 42 groups dissect 14 white matter bundles on the same dataset?

Kurt G. Schilling
François Rheault
Laurent Petit
Colin B. Hansen
Vishwesh Nath
Fang-Cheng Yeh
Gabriel Girard
Muhamed Barakovic

White matter bundle segmentation using diffusion MRI fiber tractography has become the method of choice to identify white matter fiber pathways in vivo in human brains. However, like other analyses of complex data, there is considerable variability in segmentation protocols and techniques. This can result in different reconstructions of the same intended white matter pathways, which directly affects tractography results, quantification, and interpretation. In this study, we aim to evaluate and quantify the variability that arises from different protocols for bundle segmentation. Through an open call to users of fiber tractography, including anatomists, clinicians, and algorithm developers, 42 independent teams were given processed sets of human whole-brain streamlines and asked to segment 14 white matter fascicles on six subjects. In total, we received 57 different bundle segmentation protocols, which enabled detailed volume-based and streamline-based analyses of agreement and disagreement among protocols for each fiber pathway. Results show that even when given the exact same sets of underlying streamlines, the variability across protocols for bundle segmentation is greater than all other sources of variability in the virtual dissection process, including variability within protocols and variability across subjects. In order to foster the use of tractography bundle dissection in routine clinical settings, and as a fundamental analytical tool, future endeavors must aim to resolve and reduce this heterogeneity. Although external validation is needed to verify the anatomical accuracy of bundle dissections, reducing heterogeneity is a step towards reproducible research and may be achieved through the use of standard nomenclature and definitions of white matter bundles and well-chosen constraints and decisions in the dissection process.

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YNIMG Journal 2020 Journal Article

Triple visual hemifield maps in a case of optic chiasm hypoplasia

Khazar Ahmadi
Alessio Fracasso
Robert J. Puzniak
Andre D. Gouws
Renat Yakupov
Oliver Speck
Joern Kaufmann
Franco Pestilli

In humans, each hemisphere comprises an overlay of two visuotopic maps of the contralateral visual field, one from each eye. Is the capacity of the visual cortex limited to these two maps or are plastic mechanisms available to host more maps? We determined the cortical organization of the visual field maps in a rare individual with chiasma hypoplasia, where visual cortex plasticity is challenged to accommodate three hemifield maps. Using high-resolution fMRI at 7T and diffusion-weighted MRI at 3T, we found three hemiretinal inputs, instead of the normal two, to converge onto the left hemisphere. fMRI-based population receptive field mapping of the left V1–V3 at 3T revealed three superimposed hemifield representations in the left visual cortex, i. e. two representations of opposing visual hemifields from the left eye and one right hemifield representation from the right eye. We conclude that developmental plasticity including the re-wiring of local intra- and cortico-cortical connections is pivotal to support the coexistence and functioning of three hemifield maps within one hemisphere.

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NeurIPS Conference 2019 Conference Paper

Learning Macroscopic Brain Connectomes via Group-Sparse Factorization

Farzane Aminmansour
Andrew Patterson
Lei Le
Yisu Peng
Daniel Mitchell
Franco Pestilli
Cesar Caiafa
Russell Greiner

Mapping structural brain connectomes for living human brains typically requires expert analysis and rule-based models on diffusion-weighted magnetic resonance imaging. A data-driven approach, however, could overcome limitations in such rule-based approaches and improve precision mappings for individuals. In this work, we explore a framework that facilitates applying learning algorithms to automatically extract brain connectomes. Using a tensor encoding, we design an objective with a group-regularizer that prefers biologically plausible fascicle structure. We show that the objective is convex and has unique solutions, ensuring identifiable connectomes for an individual. We develop an efficient optimization strategy for this extremely high-dimensional sparse problem, by reducing the number of parameters using a greedy algorithm designed specifically for the problem. We show that this greedy algorithm significantly improves on a standard greedy algorithm, called Orthogonal Matching Pursuit. We conclude with an analysis of the solutions found by our method, showing we can accurately reconstruct the diffusion information while maintaining contiguous fascicles with smooth direction changes.

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YNICL Journal 2019 Journal Article

Quantifying nerve decussation abnormalities in the optic chiasm

Robert J. Puzniak
Khazar Ahmadi
Jörn Kaufmann
Andre Gouws
Antony B. Morland
Franco Pestilli
Michael B. Hoffmann

OBJECTIVE: The human optic chiasm comprises partially crossing optic nerve fibers. Here we used diffusion MRI (dMRI) for the in-vivo identification of the abnormally high proportion of crossing fibers found in the optic chiasm of people with albinism. METHODS: In 9 individuals with albinism and 8 controls high-resolution 3T dMRI data was acquired and analyzed with a set of methods for signal modeling [Diffusion Tensor (DT) and Constrained Spherical Deconvolution (CSD)], tractography, and streamline filtering (LiFE, COMMIT, and SIFT2). The number of crossing and non-crossing streamlines and their weights after filtering entered ROC-analyses to compare the discriminative power of the methods based on the area under the curve (AUC). The dMRI results were cross-validated with fMRI estimates of misrouting in a subset of 6 albinotic individuals. RESULTS: = 0.83, p = 0.012). The results show that streamline filtering methods in combination with probabilistic tracking, both optimized for the data at hand, can improve the detection of crossing in the human optic chiasm. CONCLUSIONS: Especially CSD-based tractography provides an efficient approach to detect structural abnormalities in the optic chiasm. The most realistic results were obtained with filtering methods with parameters optimized for the data at hand. SIGNIFICANCE: Our findings demonstrate a novel anatomy-driven approach for the individualized diagnostics of optic chiasm abnormalities.

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AAAI Conference 2019 Conference Paper

ReAl-LiFE: Accelerating the Discovery of Individualized Brain Connectomes on GPUs

Sawan Kumar
Varsha Sreenivasan
Partha Talukdar
Franco Pestilli
Devarajan Sridharan

Diffusion imaging and tractography enable mapping structural connections in the human brain, in-vivo. Linear Fascicle Evaluation (LiFE) is a state-of-the-art approach for pruning spurious connections in the estimated structural connectome, by optimizing its fit to the measured diffusion data. Yet, LiFE imposes heavy demands on computing time, precluding its use in analyses of large connectome databases. Here, we introduce a GPU-based implementation of LiFE that achieves 50-100x speedups over conventional CPU-based implementations for connectome sizes of up to several million fibers. Briefly, the algorithm accelerates generalized matrix multiplications on a compressed tensor through efficient GPU kernels, while ensuring favorable memory access patterns. Leveraging these speedups, we advance LiFE’s algorithm by imposing a regularization constraint on estimated fiber weights during connectome pruning. Our regularized, accelerated, LiFE algorithm (“ReAl-LiFE”) estimates sparser connectomes that also provide more accurate fits to the underlying diffusion signal. We demonstrate the utility of our approach by classifying pathological signatures of structural connectivity in patients with Alzheimer’s Disease (AD). We estimated million fiber whole-brain connectomes, followed by pruning with ReAl-LiFE, for 90 individuals (45 AD patients and 45 healthy controls). Linear classifiers, based on support vector machines, achieved over 80% accuracy in classifying AD patients from healthy controls based on their ReAl-LiFE pruned structural connectomes alone. Moreover, classification based on the ReAl-LiFE pruned connectome outperformed both the unpruned connectome, as well as the LiFE pruned connectome, in terms of accuracy. We propose our GPU-accelerated approach as a widely relevant tool for non-negative least squares optimization, across many domains.

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YNICL Journal 2018 Journal Article

Comparing fMRI activation during smooth pursuit eye movements among contact sport athletes, non-contact sport athletes, and non-athletes

Derek Kellar
Sharlene Newman
Franco Pestilli
Hu Cheng
Nicholas L. Port

Objectives: Though sub-concussive impacts are common during contact sports, there is little consensus whether repeat blows affect brain function. Using a "lifetime exposure" rather than acute exposure approach, we examined oculomotor performance and brain activation among collegiate football players and two control groups. Our analysis examined whether there are group differences in eye movement behavioral performance and in brain activation during smooth pursuit. Methods: = 51). Visual smooth pursuit was performed while undergoing fMRI imaging via a 3 Tesla scanner. Smooth pursuit eye movements to three stimulus difficulty levels were measured with regard to RMS error, gain, and lag. Results: No meaningful differences were found for any of the standard analyses used to assess smooth pursuit eye movements. For fMRI, greater activation was seen in the oculomotor region of the cerebellar vermis and areas of the FEF for football players as compared to either control group, who did not differ on any measure. Conclusion: Greater cerebellar activity among football players while performing an oculomotor task could indicate that they are working harder to compensate for some subtle, long-term subconcussive deficits. Alternatively, top athletes in a sport requiring high visual motor skill could have more of their cerebellum and FEF devoted to oculomotor task performance regardless of subconcussive history. Overall, these results provide little firm support for an effect of accumulated subconcussion exposure on brain function.

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YNIMG Journal 2018 Journal Article

Framework for shape analysis of white matter fiber bundles

Tanya Glozman
Lisa Bruckert
Franco Pestilli
Derek W. Yecies
Leonidas J. Guibas
Kristen W. Yeom

Diffusion imaging coupled with tractography algorithms allows researchers to image human white matter fiber bundles in-vivo. These bundles are three-dimensional structures with shapes that change over time during the course of development as well as in pathologic states. While most studies on white matter variability focus on analysis of tissue properties estimated from the diffusion data, e. g. fractional anisotropy, the shape variability of white matter fiber bundle is much less explored. In this paper, we present a set of tools for shape analysis of white matter fiber bundles, namely: (1) a concise geometric model of bundle shapes; (2) a method for bundle registration between subjects; (3) a method for deformation estimation. Our framework is useful for analysis of shape variability in white matter fiber bundles. We demonstrate our framework by applying our methods on two datasets: one consisting of data for 6 normal adults and another consisting of data for 38 normal children of age 11 days to 8. 5 years. We suggest a robust and reproducible method to measure changes in the shape of white matter fiber bundles. We demonstrate how this method can be used to create a model to assess age-dependent changes in the shape of specific fiber bundles. We derive such models for an ensemble of white matter fiber bundles on our pediatric dataset and show that our results agree with normative human head and brain growth data. Creating these models for a large pediatric longitudinal dataset may improve understanding of both normal development and pathologic states and propose novel parameters for the examination of the pediatric brain.

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YNICL Journal 2017 Journal Article

DTI measures identify mild and moderate TBI cases among patients with complex health problems: A receiver operating characteristic analysis of U.S. veterans

Keith L. Main
Salil Soman
Franco Pestilli
Ansgar Furst
Art Noda
Beatriz Hernandez
Jennifer Kong
Jauhtai Cheng

Standard MRI methods are often inadequate for identifying mild traumatic brain injury (TBI). Advances in diffusion tensor imaging now provide potential biomarkers of TBI among white matter fascicles (tracts). However, it is still unclear which tracts are most pertinent to TBI diagnosis. This study ranked fiber tracts on their ability to discriminate patients with and without TBI. We acquired diffusion tensor imaging data from military veterans admitted to a polytrauma clinic (Overall n =109; Age: M =47. 2, SD =11. 3; Male: 88%; TBI: 67%). TBI diagnosis was based on self-report and neurological examination. Fiber tractography analysis produced 20 fiber tracts per patient. Each tract yielded four clinically relevant measures (fractional anisotropy, mean diffusivity, radial diffusivity, and axial diffusivity). We applied receiver operating characteristic (ROC) analyses to identify the most diagnostic tract for each measure. The analyses produced an optimal cutpoint for each tract. We then used kappa coefficients to rate the agreement of each cutpoint with the neurologist's diagnosis. The tract with the highest kappa was most diagnostic. As a check on the ROC results, we performed a stepwise logistic regression on each measure using all 20 tracts as predictors. We also bootstrapped the ROC analyses to compute the 95% confidence intervals for sensitivity, specificity, and the highest kappa coefficients. The ROC analyses identified two fiber tracts as most diagnostic of TBI: the left cingulum (LCG) and the left inferior fronto-occipital fasciculus (LIF). Like ROC, logistic regression identified LCG as most predictive for the FA measure but identified the right anterior thalamic tract (RAT) for the MD, RD, and AD measures. These findings are potentially relevant to the development of TBI biomarkers. Our methods also demonstrate how ROC analysis may be used to identify clinically relevant variables in the TBI population.

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NeurIPS Conference 2017 Conference Paper

Unified representation of tractography and diffusion-weighted MRI data using sparse multidimensional arrays

Cesar Caiafa
Olaf Sporns
Andrew Saykin
Franco Pestilli

Recently, linear formulations and convex optimization methods have been proposed to predict diffusion-weighted Magnetic Resonance Imaging (dMRI) data given estimates of brain connections generated using tractography algorithms. The size of the linear models comprising such methods grows with both dMRI data and connectome resolution, and can become very large when applied to modern data. In this paper, we introduce a method to encode dMRI signals and large connectomes, i. e. , those that range from hundreds of thousands to millions of fascicles (bundles of neuronal axons), by using a sparse tensor decomposition. We show that this tensor decomposition accurately approximates the Linear Fascicle Evaluation (LiFE) model, one of the recently developed linear models. We provide a theoretical analysis of the accuracy of the sparse decomposed model, LiFESD, and demonstrate that it can reduce the size of the model significantly. Also, we develop algorithms to implement the optimisation solver using the tensor representation in an efficient way.

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NeurIPS Conference 2014 Conference Paper

Deconvolution of High Dimensional Mixtures via Boosting, with Application to Diffusion-Weighted MRI of Human Brain

Charles Zheng
Franco Pestilli
Ariel Rokem

Diffusion-weighted magnetic resonance imaging (DWI) and fiber tractography are the only methods to measure the structure of the white matter in the living human brain. The diffusion signal has been modelled as the combined contribution from many individual fascicles of nerve fibers passing through each location in the white matter. Typically, this is done via basis pursuit, but estimation of the exact directions is limited due to discretization. The difficulties inherent in modeling DWI data are shared by many other problems involving fitting non-parametric mixture models. Ekanadaham et al. proposed an approach, continuous basis pursuit, to overcome discretization error in the 1-dimensional case (e. g. , spike-sorting). Here, we propose a more general algorithm that fits mixture models of any dimensionality without discretization. Our algorithm uses the principles of L2-boost, together with refitting of the weights and pruning of the parameters. The addition of these steps to L2-boost both accelerates the algorithm and assures its accuracy. We refer to the resulting algorithm as elastic basis pursuit, or EBP, since it expands and contracts the active set of kernels as needed. We show that in contrast to existing approaches to fitting mixtures, our boosting framework (1) enables the selection of the optimal bias-variance tradeoff along the solution path, and (2) scales with high-dimensional problems. In simulations of DWI, we find that EBP yields better parameter estimates than a non-negative least squares (NNLS) approach, or the standard model used in DWI, the tensor model, which serves as the basis for diffusion tensor imaging (DTI). We demonstrate the utility of the method in DWI data acquired in parts of the brain containing crossings of multiple fascicles of nerve fibers.

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