Diffusion MRI Of The Unfolded Hippocampus

The hippocampus is implicated in numerous neurological disorders and the ability to detect subtle or focal hippocampal abnormalities earlier in disease progression could significantly improve the treatment of patients. Ex vivo studies with ultra-high field have revealed that diffusion MRI (dMRI) can reveal microstructural variations within the hippocampal subfields and lamina, and may also be sensitive to intra-hippocampal pathways. However, translation to lower resolution in vivo dMRI studies of the hippocampus is challenging due to its complicated geometry. One novel way to overcome some of these obstacles is by transforming the usual Cartesian coordinates in an MRI image to coordinates that are crafted to curve themselves according to the complicated geometry of the hippocampus. This procedure allows us to virtually unfold the hippocampus into a thin sheet. In this work, we introduce an algorithm to map diffusion MRI data to this sheet, allowing us to overcome the difficulties associated with the hippocampus complicated geometry. We demonstrate how our method can be readily integrated into existing implementations of traditional tractography methods and how it leads to enhancements in the resulting tracts. Further, our results on high quality in vivo dMRI acquisitions show that unfolding the hippocampus leads to a more anatomically plausible modelling of the connectivity of the hippocampus as probed by probabilistic tractography, revealing key elements of the polysynaptic pathway and anterior-posterior connectivity gradients.