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Abstract #1043

Free water elimination using a bi-tensor model improves test-retest reproducibility of diffusion tensor imaging indices in the brain:  a longitudinal multisite reliability study of healthy elderly subjects

Angela Albi1, Ofer Pasternak2, Ludovico Minati1,3, Moira Marizzoni4, Giovanni Frisoni4,5, David Bartrés-Faz6, Núria Bargalló7, Beatriz Bosch8, Paolo Maria Rossini9,10, Camillo Marra11, Bernhard Müller12, Ute Fiedler12, Jens Wiltfang12,13, Luca Roccatagliata14,15, Agnese Picco16, Flavio Mariano Nobili16, Oliver Blin17, Julien Sein18, Jean-Philippe Ranjeva18, Mira Didic19,20, Stephanie Bombois21, Renaud Lopes21, Régis Bordet21, Hélène Gros-Dagnac22,23, Pierre Payoux22,23, Giada Zoccatelli24, Franco Alessandrini24, Alberto Beltramello24, Antonio Ferretti25,26, Massimo Caulo25,26, Marco Aiello27, Carlo Cavaliere27, Andrea Soricelli27,28, Lucilla Parnetti29, Roberto Tarducci30, Piero Floridi31, Magda Tsolaki32, Manos Constantinidis33, Antonios Drevelegas34, and Jorge Jovicich1

1Center for Mind/Brain Sciences (CIMEC), University of Trento, Rovereto, Trento, Rovereto (Trento), Italy, 2Departments of Psychiatry and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, Boston, MA, United States, 3Scientific Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy, Milan, Italy, 4LENITEM Laboratory of Epidemiology, Neuroimaging, & Telemedicine — IRCCS San Giovanni di Dio-FBF, Brescia, Italy, Brescia, Italy, 5Memory Clinic and LANVIE, Laboratory of Neuroimaging of Aging, University Hospitals and University of Geneva, Geneva, Switzerland, Geneva, Switzerland, 6Department of Psychiatry and Clinical Psychobiology, Universitat de Barcelona and IDIBAPS, Barcelona, Spain, Barcelona, Spain, 7Department of Neuroradiology and Magnetic Resonance Image core Facility, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain, Barcelona, Spain, 8Alzheimer's Disease and Other Cognitive Disorders Unit, Department of Neurology, Hospital Clínic, and IDIBAPS, Barcelona, Spain, Barcelona, Spain, 9Deptartment Geriatrics, Neuroscience & Orthopaedics, Catholic University, Policlinic Gemelli, Rome, Italy, Rome, Italy, 10IRCSS S.Raffaele Pisana, Rome, Italy, Rome, Italy, 11Center for Neuropsychological Research, Catholic University, Rome, Italy, Rome, Italy, 12LVR-Clinic for Psychiatry and Psychotherapy, Institutes and Clinics of the University Duisburg-Essen, Essen, Germany, Essen, Germany, 13Department of Psychiatry and Psychotherapy, University Medical Center (UMG), Georg August University, Göttingen, Germany, Göttingen, Germany, 14Department of Neuroradiology, IRCSS San Martino University Hospital and IST, Genoa, Italy, Genoa, Italy, 15Department of Health Sciences, University of Genoa, Genoa, Italy, Genoa, Italy, 16Department of Neuroscience, Ophthalmology, Genetics and Mother–Child Health (DINOGMI), University of Genoa, Genoa, Italy, Genoa, Italy, 17Pharmacology, Assistance Publique — Hôpitaux de Marseille, Aix-Marseille University — CNRS, UMR 7289, Marseille, France, Marseille, France, 18CRMBM–CEMEREM, UMR 7339, Aix Marseille Université — CNRS, Marseille, France, Marseille, France, 19APHM, CHU Timone, Service de Neurologie et Neuropsychologie, Marseille, France, Marseille, France, 20Aix Marseille Université, Inserm, INS UMR_S 1106, 13005, Marseille, France, Marseille, Italy, 21Université de Lille, Inserm, CHU Lille, U1171 - Degenerative and vascular cognitive disorders, F-59000 Lille, France, Lille, France, 22INSERM, Imagerie cérébrale et handicaps neurologiques, UMR 825, Toulouse, France, Toulouse, France, 23Université de Toulouse, UPS, Imagerie cérébrale et handicaps neurologiques, UMR 825, CHU Purpan, Place du Dr Baylac, Toulouse Cedex 9, France, Toulouse, France, 24Department of Neuroradiology, General Hospital, Verona, Italy, Verona, Italy, 25Department of Neuroscience Imaging and Clinical Sciences, University “G. d'Annunzio” of Chieti, Italy, Chieti, Italy, 26Institute for Advanced Biomedical Technologies (ITAB), University “G. d'Annunzio” of Chieti, Italy, Chieti, Italy, 27IRCCS SDN, Naples, Italy, Naples, Italy, 28University of Naples Parthenope, Naples, Italy, Naples, Italy, 29Section of Neurology, Centre for Memory Disturbances, University of Perugia, Perugia, Italy, Perugia, Italy, 30Medical Physics Unit, Perugia General Hospital, Perugia, Italy, Perugia, Italy, 31Neuroradiology Unit, Perugia General Hospital, Perugia, Italy, Perugia, Italy, 323rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece, Thessaloniki, Greece, 33Interbalkan Medical Center of Thessaloniki, Thessaloniki, Greece, Thessaloniki, Greece, 34Interbalkan Medical Center of Thessaloniki, Thessaloniki, Greece Department of Radiology, Aristotle University of Thessaloniki, Thessaloniki, Greece, Thessaloniki, Greece

Brain diffusion tensor imaging (DTI) provides in-vivo characterization of white matter tissue microstructure. In this study we demonstrate that free water elimination in brain diffusion MRI significantly improves the test-retest reproducibility of DTI metrics (fractional anisotropy, axial, radial and mean diffusivity) in a multsite 3T setting. This work has important clinical applications since the improved reliability may provide increased sensitivity in longitudinal studies quantifying white matter neurophysiological processes related to disease stage/progression and treatment responses.

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