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Principal Investigator  
Principal Investigator's Name: Seina Yoshida
Institution: Juntendo University
Department: Radiology
Country:
Proposed Analysis: The prevalence of neurodegenerative diseases is increasing as human longevity increases. The objective biomarkers that enable the staging and early diagnosis of neurodegenerative diseases are eagerly anticipated. It has recently become possible to determine pathological changes in the brain without autopsy with the advancement of diffusion magnetic resonance imaging techniques. Diffusion magnetic resonance imaging is a robust tool used to evaluate brain microstructural complexity and integrity, axonal order, density, and myelination via the micron-scale displacement of water molecules diffusing in tissues. Diffusion tensor imaging, a type of diffusion magnetic resonance imaging technique is widely utilized in clinical and research settings; however, it has several limitations. To overcome these limitations, cutting-edge diffusion magnetic resonance imaging techniques, such as diffusional kurtosis imaging, neurite orientation dispersion and density imaging, and free water imaging, have been recently proposed and applied to evaluate the pathology of neurodegenerative diseases. We focused on the main applications, findings, and future directions of advanced diffusion magnetic resonance imaging techniques in patients with Alzheimer's and Parkinson's diseases, the first and second most common neurodegenerative diseases, respectively. However, the reproducibility and reliability of the results of studies using advanced diffusion MRI techniques are quite low because of the low statistical power caused by small sample sizes. Therefore, the utility of FWI, DKI, and NODDI as biomarkers for neurodegenerative diseases should be established based on strong evidence from multi-site studies with larger sample sizes to improve their statistical power. Although several large-scale multi-site studies are underway, MRI scanners and acquisition parameters are highly diverse and depend on the specific imaging site [140]. These differences across study sites might lead to low reproducibility and reliability in advanced diffusion MRI studies. Therefore, it is necessary to reduce inter-site variability in diffusion MRI metrics by standardizing MRI methods including MRI scanners and acquisition parameters and harmonizing multi-site diffusion MRI data.
Additional Investigators