8
Three-Dimensional Diffusion Tensor Microscopy of Fixed Mouse Hearts Yi Jiang, 1,2 * Kumar Pandya, 3 Oliver Smithies, 3 and Edward W. Hsu 1,2 The relative utility of 3D, microscopic resolution assessments of fixed mouse myocardial structure via diffusion tensor imag- ing is demonstrated in this study. Isotropic 100-m resolution fiber orientation mapping within 5.5° accuracy was achieved in 9.1 hr scan time. Preliminary characterization of the diffusion tensor primary eigenvector reveals a smooth and largely linear angular rotation across the left ventricular wall. Moreover, a higher level of structural hierarchy is evident from the organized secondary and tertiary eigenvector fields. These findings are consistent with the known myocardial fiber and laminar struc- tures reported in the literature and suggest an essential role of diffusion tensor microscopy in developing quantitative atlases for studying the structure–function relationships of mouse hearts. Magn Reson Med 52:453– 460, 2004. © 2004 Wiley-Liss, Inc. Key words: diffusion tensor imaging; myocardial fiber structure; mouse; MR microscopy The fiber anatomy of the myocardium is known to have a profound impact on the electrical and mechanical proper- ties of both normal and diseased hearts (1,2). Precise knowledge of the tissue fiber structure will contribute significantly in elucidating the complex structure–func- tion relationships of the organ, especially in biomedical engineering studies based on the so-called “morphologi- cally accurate” modeling. Advances in molecular biology have provided unprecedented opportunities to use versa- tile small animal (e.g., mouse) platforms (3– 6) for studying genotypes and phenotypes of myocardial development, damage, or repair associated with specific pathologies. Due to the small size of the mouse heart (with overall volume typically less than 250 mm 3 ), an efficient means to accurately and quantitatively characterize the tissue fiber structure at high or microscopic-resolution would be of great benefit. Most early studies of myocardial fiber structures were based on conventional histological techniques (7–11), which are not only destructive, but also labor-intensive. By probing the tissue microstructure via its influence on the diffusion of water, MR diffusion tensor imaging (DTI) (12) has been advanced as a promising nondestructive alternative to characterize the structure of ordered tissues such as the brain white matter (13–15), myocardium (16 – 22), other musculature (23), and cartilage (24). The under- lying hypothesis in DTI is that the direction of fastest water diffusion coincides with the local tissue fiber orien- tation. Reports show evidence that validates a direct cor- relation between fiber orientations measured by DTI and conventional histology for freshly excised (16), perfused (17), and fixed myocardium (18). In 3D space, the generalized diffusion tensor is a sym- metric, second-order 3 3 matrix. A complete solution to the six independent parameters, plus an extra term for the diffusion-independent magnetization, requires that the DTI dataset consists of a minimum of seven images. The tradeoffs between scan time and the image signal-to-noise ratio (SNR), aggravated by the nature of diffusion sensiti- zation (i.e., via signal attenuation) and the inadvertent T 2 weighting during the diffusion encoding gradient pulses, have made the SNR of DTI inherently low. Improvements in the acquisition methodology, such as optimized diffu- sion encoding gradient directional schemes (25) and par- allel (26) and novel rapid imaging techniques (27), have been helpful, but practical applications of DTI continue to be hampered by relatively low spatial resolution because DTI is often compromised for faster scan time, improved SNR, or a combination of both. In addition to the general SNR considerations of DTI, high-resolution DTI of the mouse heart is further compli- cated by the relatively low degree of diffusion anisotropy in the tissue as measured by, for example, the fractional anisotropy (FA) index (28). Compared to the reported brain white matter FA of 0.4 – 0.9 (13–15), myocardium has FA values in the range of 0.1– 0.6 (17,20,21). (Larger FA values correspond to a greater degree of diffusion anisot- ropy.) It is known that image noise causes disproportion- ate larger diffusion tensor measurement errors of eigenval- ues, anisotropy indices, and eigenvector direction esti- mates in tissues with low FA than those with high FA (28 –30). Consequently, for the same desired degree of accuracy, DTI fiber orientation mapping in the myocar- dium would impose a more stringent SNR requirement than in the brain white matter. Given these technical challenges, the goals of this study were to 1) investigate and demonstrate the relative utility of DTI in obtaining microscopic resolution measurements of myocardial fiber orientation, and 2) provide a prelimi- nary description of the myocardial fiber structure in the mouse heart. Specifically, the utility of DTI is evaluated in terms of fiber orientation measurement accuracy for a given choice of imaging parameters (e.g., voxel size, TR, NEX), which in this study corresponds to 100 m isotropic spatial resolution with scan time of 9 hr. 1 Department of Biomedical Engineering, Duke University, Durham, North Carolina. 2 Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina. 3 Department of Pathology and Laboratory Medicine, University of North Caro- lina, Chapel Hill, North Carolina. Grant sponsor: Whitaker Foundation; Grant number: RG-01-0438; Grant sponsor: National Institutes of Health; Grant numbers: NIH/NCRR P41 RR05959 (to Y.J., E.W.H.); NIH-5R01HL71266-32 (OS) (to K.P., O.S.); Grant sponsor: American Heart Association (to K.P.). *Correspondence to: Yi Jiang, Department of Biomedical Engineering, Box 90281, Duke University, Durham, NC 27708-0281. E-mail: [email protected] Received 19 December 2003; revised 23 April 2004; accepted 26 April 2004. DOI 10.1002/mrm.20191 Published online in Wiley InterScience (www.interscience.wiley.com). Magnetic Resonance in Medicine 52:453– 460 (2004) © 2004 Wiley-Liss, Inc. 453

Three-dimensional diffusion tensor microscopy of fixed mouse hearts

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Page 1: Three-dimensional diffusion tensor microscopy of fixed mouse hearts

Three-Dimensional Diffusion Tensor Microscopy of FixedMouse Hearts

Yi Jiang,1,2* Kumar Pandya,3 Oliver Smithies,3 and Edward W. Hsu1,2

The relative utility of 3D, microscopic resolution assessmentsof fixed mouse myocardial structure via diffusion tensor imag-ing is demonstrated in this study. Isotropic 100-�m resolutionfiber orientation mapping within 5.5° accuracy was achieved in9.1 hr scan time. Preliminary characterization of the diffusiontensor primary eigenvector reveals a smooth and largely linearangular rotation across the left ventricular wall. Moreover, ahigher level of structural hierarchy is evident from the organizedsecondary and tertiary eigenvector fields. These findings areconsistent with the known myocardial fiber and laminar struc-tures reported in the literature and suggest an essential role ofdiffusion tensor microscopy in developing quantitative atlasesfor studying the structure–function relationships of mousehearts. Magn Reson Med 52:453–460, 2004. © 2004 Wiley-Liss,Inc.

Key words: diffusion tensor imaging; myocardial fiber structure;mouse; MR microscopy

The fiber anatomy of the myocardium is known to have aprofound impact on the electrical and mechanical proper-ties of both normal and diseased hearts (1,2). Preciseknowledge of the tissue fiber structure will contributesignificantly in elucidating the complex structure–func-tion relationships of the organ, especially in biomedicalengineering studies based on the so-called “morphologi-cally accurate” modeling. Advances in molecular biologyhave provided unprecedented opportunities to use versa-tile small animal (e.g., mouse) platforms (3–6) for studyinggenotypes and phenotypes of myocardial development,damage, or repair associated with specific pathologies.Due to the small size of the mouse heart (with overallvolume typically less than 250 mm3), an efficient means toaccurately and quantitatively characterize the tissue fiberstructure at high or microscopic-resolution would be ofgreat benefit.

Most early studies of myocardial fiber structures werebased on conventional histological techniques (7–11),which are not only destructive, but also labor-intensive.By probing the tissue microstructure via its influence onthe diffusion of water, MR diffusion tensor imaging (DTI)

(12) has been advanced as a promising nondestructivealternative to characterize the structure of ordered tissuessuch as the brain white matter (13–15), myocardium (16–22), other musculature (23), and cartilage (24). The under-lying hypothesis in DTI is that the direction of fastestwater diffusion coincides with the local tissue fiber orien-tation. Reports show evidence that validates a direct cor-relation between fiber orientations measured by DTI andconventional histology for freshly excised (16), perfused(17), and fixed myocardium (18).

In 3D space, the generalized diffusion tensor is a sym-metric, second-order 3 � 3 matrix. A complete solution tothe six independent parameters, plus an extra term for thediffusion-independent magnetization, requires that theDTI dataset consists of a minimum of seven images. Thetradeoffs between scan time and the image signal-to-noiseratio (SNR), aggravated by the nature of diffusion sensiti-zation (i.e., via signal attenuation) and the inadvertent T2

weighting during the diffusion encoding gradient pulses,have made the SNR of DTI inherently low. Improvementsin the acquisition methodology, such as optimized diffu-sion encoding gradient directional schemes (25) and par-allel (26) and novel rapid imaging techniques (27), havebeen helpful, but practical applications of DTI continue tobe hampered by relatively low spatial resolution becauseDTI is often compromised for faster scan time, improvedSNR, or a combination of both.

In addition to the general SNR considerations of DTI,high-resolution DTI of the mouse heart is further compli-cated by the relatively low degree of diffusion anisotropyin the tissue as measured by, for example, the fractionalanisotropy (FA) index (28). Compared to the reportedbrain white matter FA of 0.4–0.9 (13–15), myocardium hasFA values in the range of 0.1–0.6 (17,20,21). (Larger FAvalues correspond to a greater degree of diffusion anisot-ropy.) It is known that image noise causes disproportion-ate larger diffusion tensor measurement errors of eigenval-ues, anisotropy indices, and eigenvector direction esti-mates in tissues with low FA than those with high FA(28–30). Consequently, for the same desired degree ofaccuracy, DTI fiber orientation mapping in the myocar-dium would impose a more stringent SNR requirementthan in the brain white matter.

Given these technical challenges, the goals of this studywere to 1) investigate and demonstrate the relative utilityof DTI in obtaining microscopic resolution measurementsof myocardial fiber orientation, and 2) provide a prelimi-nary description of the myocardial fiber structure in themouse heart. Specifically, the utility of DTI is evaluated interms of fiber orientation measurement accuracy for agiven choice of imaging parameters (e.g., voxel size, TR,NEX), which in this study corresponds to 100 �m isotropicspatial resolution with scan time of �9 hr.

1Department of Biomedical Engineering, Duke University, Durham, NorthCarolina.2Center for In Vivo Microscopy, Duke University Medical Center, Durham,North Carolina.3Department of Pathology and Laboratory Medicine, University of North Caro-lina, Chapel Hill, North Carolina.Grant sponsor: Whitaker Foundation; Grant number: RG-01-0438; Grantsponsor: National Institutes of Health; Grant numbers: NIH/NCRR P41RR05959 (to Y.J., E.W.H.); NIH-5R01HL71266-32 (OS) (to K.P., O.S.); Grantsponsor: American Heart Association (to K.P.).*Correspondence to: Yi Jiang, Department of Biomedical Engineering, Box90281, Duke University, Durham, NC 27708-0281. E-mail: [email protected] 19 December 2003; revised 23 April 2004; accepted 26 April 2004.DOI 10.1002/mrm.20191Published online in Wiley InterScience (www.interscience.wiley.com).

Magnetic Resonance in Medicine 52:453–460 (2004)

© 2004 Wiley-Liss, Inc. 453

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MATERIALS AND METHODS

Specimen Preparation

All procedures were carried out under protocols approvedby the Institutional Animal Care and Use Committees ofthe University of North Carolina. Two 8-month-old malemice of 129/ola strain were used for these procedures.After the mice were euthanized the hearts from the ani-mals were surgically isolated. Each isolated heart wasfixed overnight in 4% paraformaldehyde at 4°C. In prepa-ration for MR imaging, the intact heart was placed inside aplastic tube immersed with fomblin (Ausimont, NJ), a lowdielectric, low signal perfluoropolyether for susceptibilitymatching.

DTI Acquisition

Imaging experiments were conducted on a 9.4 T MR in-strument (Oxford Instruments, Oxford, UK) interfacedwith a Signa console (General Electric NMR Instruments,Fremont, CA) with 17°C bore temperature. The sampletube was inserted in a custom-made 14-mm-diameter so-lenoid RF coil with long axis of the heart parallel to thecoil axis. A standard diffusion-weighted spin-echo pulsesequence was used to acquire 3D volume images (12.8 �12.8 � 12.8 mm FOV, 500 ms TR, 15.6 ms TE). Diffusionencoding was performed using a pair of half-sine gradientpulses (5.0 ms width, 7.5 ms separation, and 50 G/cmnominal gradient amplitude, which corresponds to a b-value of 1.13 � 103 s/mm2). A reduced encoding DTImethodology (31) was employed, such that each datasetconsisted of a fully encoded 128 � 128 � 128 (readout �phase � slice) matrix-size b0 (i.e., b � 0) and 12 reducedencoded (128 � 64 � 64) diffusion-weighted images sen-sitized in each of an optimized set of 12 directions (25).The acquisition time for each complete DTI dataset was�9.1 hr.

Each reduced encoded diffusion-weighted image was re-constructed to 128 � 128 � 128 matrix size by a reduced-encoding imaging via generalized series reconstruction(RIGR) algorithm (32), using the b0 image as the constrainingreference. The robustness of RIGR lies in that it offers maxi-mal continuity between the constraining reference and re-duced encoding data in the k-space, and that generalizedseries often allows a faster convergence of the reconstructedimage than conventional Fourier series. For DTI, RIGR hasbeen shown to provide significant improvements in dataacquisition-time efficiency (i.e., fiber mapping accuracy for aconstant total scan time) than zero-filling interpolation, di-rection data replacement (i.e., keyhole) reconstruction tech-niques, or proportionally reducing the number of full-encod-ing images in the dataset (31).

Diffusion tensors were estimated off-line on a pixel-by-pixel basis via nonlinear least-squares curve-fitting accordingto the signal intensity attenuation equation (12). Subse-quently, the computed diffusion tensors were diagonalized,and the eigenvalues in descending order were labeled as theprimary, secondary, and tertiary eigenvalues.

Characterization of Myocardial Structure

The eigenvectors corresponding to the primary, secondary,and tertiary diffusion tensor eigenvalues were taken to be the

local myocardial fiber orientation (16), the sheet direction ofthe myocardial laminae, and the normal direction of thesheet structure (17), respectively. Although the structuraldirectional information is fully embedded in the eigenvec-tors, for more intuitive visualization each eigenvector wasconverted to a pair of angles (two angles are needed to rep-resent a given direction in 3D space) in a local cylindricalcoordinate system (17,22). For each location on the left ven-tricle (LV), the coordinate system consists of three orthogonalreference planes (Fig. 1a): 1) transverse or short-axis plane,which corresponds to the imaging slice plane; 2) tangentialor circumferential plane, which is parallel to the epicardialsurface with the normal vector pointing in the radial direc-tion passing through the myocardial centroid (for a perfectlycylindrical LV) in each transverse plane; and 3) radial plane,which is the plane spanned by the myocardial longitudinaland radial axes (9).

Directions of primary and tertiary eigenvectors were rep-resented by the respective helix angles (7) and tangentialresidual angles (Fig. 1b), where the helix angle was theangle between the projection of the eigenvector on thetangential plane and the transverse plane, and the tangen-tial residual angle was the angle between the eigenvectorand the tangential plane. Rather than the previously de-fined transverse angle (17,18), which is the angle betweenthe projection of the eigenvector on the transverse planeand the tangential plane, the tangential residual angle isused to avoid the amplified variability and error associatedwith projecting a vector onto a near-perpendicular plane.

Whereas the primary and tertiary eigenvectors lie largelyin the tangential plane, the secondary eigenvector (i.e., thesheet direction), is expected to point predominantly in theradial direction within the transverse plane (9,17,19,21).Therefore, for easier correlation to histological methods (asmost histological studies of myocardial fiber orientationswere performed on tangential plane (7,8), those of thesheet structure were conducted on the radial plane (9,10)),the secondary eigenvector was represented by the trans-mural and radial residual angles (Fig. 1c), where the trans-mural angle was the angle of inclination of the projectionof the eigenvector on the radial plane from the transverseplane, and the radial residual angle was the deviation ofthe eigenvector from the radial plane.

Without loss of generality, unless otherwise indicated,quantification of the myocardial fiber structure was done onthe mid-hemispherical plane (i.e., the widest short-axisplane) of the LV. After digitally removing the papillary mus-cle by visual inspection, myocardial fiber orientations werequantified at eight equally spaced sites spanning the entirearc of the LV free wall. At each site, the helix angle of thediffusion tensor primary eigenvector (see Fig. 1b) was mea-sured as a function of transmural distance along the localradial axis emanating from the LV centroid. (The locationwhere the fiber helix angle changes sign according to a sec-ond-order polynomial fit was taken to be the zero point of thetransmural distance.) Likewise, myocardial fiber orientationswere measured at eight sites in the LV septal wall. For allsites, the subepicardial fiber helix angle, range of transmuralhelix angular change, and the LV wall thickness were ob-tained. In addition, linear regression was used to determinethe slope and the corresponding R2 value of helix angle-transmural distance relationship to estimate the rate of trans-

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mural helix angular rotation and the goodness-of-fit of thelinear model. Each of the subepicardial fiber angle, range oftransmural helix angular change, wall thickness, helix anglerotation rate, and R2 goodness-of-fit were compared betweenthe LV septal and free wall regions within each individualheart via Student’s t-statistics, with P � 0.05 taken to bestatistically significant.

In the absence of the histological “gold standard” fiberorientation angle, which is also subject to error, the DTIangular measurement accuracy was estimated by the rootmean square (RMS) deviation of the fiber helix angles fromeach corresponding linear regression fit. Since it necessar-ily includes errors arising from using a linear model tocharacterize transmural fiber helix angular rotation, theRMS deviation represents the upper-bound of the DTI fiberorientation measurement error.

RESULTS

Figure 2 shows the myocardial structure within a mid-hemispherical rectangular region of interest pixel-by-pixeldisplayed as round cylinders pointing the directions of theprimary eigenvector or flattened cylinders oriented alongthe primary and secondary eigenvectors. The classicalcounterclockwise rotation of myocardial fiber from epi-to-endocardium (7) is clearly evident. Fibers oriented largelyin the longitudinal (i.e., apex-to-base) direction are foundnear the epicardium, endocardium, and in the papillarymuscles, whereas in the mid-wall fibers run predomi-nantly in the circumferential direction. Importantly, theconspicuous coherence of secondary eigenvector, as wellas the primary eigenvector, suggests “sheet” or planar or-ganization of the myocardial structure in addition to thefiber organization.

Figure 3 shows representative digitally segmented 3Dangular maps displayed pairwise for the diffusion tensoreigenvectors, demonstrating the structural details obtain-able for the mouse myocardium. At each tissue voxel, thehelix angle and tangential residual angle of the primaryeigenvector (Fig. 3a,b), tertiary eigenvector (3c,d), and thetransmural angle and radial residual angle of the second-ary eigenvector (3e,f) are displayed in different color ac-cording to the color scale. In Fig. 3a, the changing colorclearly demonstrates the epi-to-endocardial counterclock-wise (about –60° � �90°) helix angular rotation for theprimary eigenvectors in all transverse (i.e., short-axis)planes, while the helix angle of the tertiary eigenvectorreveals a similar rotation of the sheet structure throughoutthe whole myocardium (Fig. 3c). The tangential residualangle of the primary eigenvector is relatively smallthroughout the LV, as seen in Fig. 3b. This is confirmed by

FIG. 1. Schematics of the cylindrical coordinate system used tocharacterize and visualize myocardial structure. On any location onthe LV, a set of three orthogonal planes, transverse, tangential, andradial planes (a), serves as local basis of reference. The diffusiontensor primary and tertiary eigenvectors (b) are then represented bythe helix angle and the tangential residual angles. In contrast, thesecondary eigenvector (c) is characterized by the transmural angleand the radial residual angle.

3D Diffusion Tensor Microscopy of Mouse Heart 455

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the mean primary eigenvector tangential residual angles of2.5 � 16.2° (mean � SD, n � 5760) on the mid-hemispher-ical plane for the two hearts examined. Figure 3d showsthe tangential residual angles of the tertiary eigenvector(with an average of –9.6 � 28.1°), which is somewhatlarger and distributed in a more complex pattern thanthose of the primary eigenvector. Histogram analysis re-veals that the majority (63%) of tertiary eigenvector tan-gential residual angles on the mid-hemispherical plane arewithin the range of –30° to 30°. Although directional in-formation of secondary eigenvector can be inferred fromthe primary and tertiary eigenvectors, interpretation andanalysis of the myocardial structure can be done moreeasily by direct visualization (Fig. 3e,f), which revealsgenerally small and slowly varying transmural angle andradial residual angle throughout the LV.

Figure 4a shows a short-axis confocal microscopy sec-tion (obtained subsequent to DTI for comparison) of amouse heart near the mid-hemispherical plane. The vary-ing myocyte cross-section size is indicative of the trans-mural rotation of the myofibers, although quantification ofthe orientation angles cannot be directly obtained. In con-trast, the DTI fiber helix angles measured for the sameheart are plotted in Fig. 4b.

The descriptive statistics of the myocardial fiber struc-ture are summarized in Table 1. There appear to be trendsof steeper (more longitudinally oriented) subepicardial fi-ber orientation, larger transmural helix angular range,faster rate of the angular rotation, and better linear regres-sion fit (i.e., higher R2) in the LV septal wall than the freewall. Student’s t-tests revealed that the differences in thetransmural helix angular range and rate of rotation werestatistically significant for both hearts, whereas the signif-icance of the subepicardial helix angle difference wasmixed. No statistically significant differences in the LVwall thickness and linear regression R2 were observed ineither heart. It is worth noting that not only were the meanlinear regression R2 values in all LV regions equal or above0.96, but also the individual R2 values were all higher than0.91 among the 32 radial transmural directions character-ized (data not shown). This implies that the transmuralrotation of the fiber helix angle can be well characterizedby using a linear model. From the average linear regressionRMS deviation of the helix angles, the accuracy of thecurrent fiber orientation mapping experiment was esti-mated to be 5.5 � 2.0° (mean � SD, n � 32).

The eigenvalues of the diffusion tensor provide orienta-tion-independent measures of water diffusivity along threediffusion principal axes. These eigenvalues are found to berelatively uniform throughout the whole myocardium inboth hearts. The average values of the diffusion tensoreigenvalues, in descending order, are 1 � 0.75 � 0.13,2 � 0.60 � 0.13, and 3 � 0.51 � 0.13 � 10-3 mm2/s(mean � SD, n � 360,957). The corresponding mean FAvalue (28), a rotationally invariant index of diffusion an-isotropy, is 0.27 � 0.06.

DISCUSSION

High-Resolution 3D DTI of Mouse Heart

To our knowledge, this is the first report of 3D diffusiontensor microscopy of the mouse heart and 3D DTI of hearts

FIG. 2. The myocardial structure within a mid-hemisphere rectan-gular region-of-interest (a) pixel-by-pixel displayed as round cylin-ders pointing the directions of the primary eigenvector (b) or flat-tened cylinders with the lengths and widths oriented along theprimary and secondary eigenvectors, respectively (c).

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of any species. In contrast to multislice acquisition, 3Dscans in general offer improved spatial resolution in theslice-selection direction, which can facilitate the visual-

ization or accurate quantification of myocardial structuresat arbitrary plane orientation. The spatial resolution(100 �m in each spatial dimension or 10-3 mm3 voxel

FIG. 3. Myocardial structures of a digitally truncated 3D LV volume represented in the local cylindrical coordinate system and shown infalse-color: (a) helix angle of the primary eigenvector; (b) tangential residual angle of the primary eigenvector; (c) helix angle of the tertiaryeigenvector; (d) tangential residual angle of the tertiary eigenvector; (e) transmural angle of the secondary eigenvector; and (f) radial residualangle of the secondary eigenvector.

FIG. 4. Short-axis confocal microscopysection of a mouse heart LV near mid-hemi-spherical plane. (The dark half circle is aregistration marker used for compositingthe piecewise acquired images.) The trans-mural fiber helix angles of the same heartobtained from DTI are plotted below asfunctions of absolute (i.e., not normalized tothe wall thickness) transmural distance.Data from the LV septal wall and free wallregions are shown in red and blue, respec-tively. For both the confocal microscopy im-age and helix angle plot, the epicardium isshown to the left.

3D Diffusion Tensor Microscopy of Mouse Heart 457

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volume) allowed the myocardial structure to be quantita-tively measured at more than 170,000 locations through-out the mouse heart, which is about 10 times better thanthe highest number reported for histological studies (per-formed on rabbit (11) and canine (8) hearts that are larger).A previous light microscopy histological study of themouse heart (33) reported a discrete “sandwich” layeringof the myocardium, with myofibers in the epicardium,mid-wall, and endocardium oriented predominantly in theoblique longitudinal, circumferential, and longitudinal di-rections, respectively. While the observation is true,though only qualitatively, Figs. 3 and 4 of the presentstudy reveal the additional structural detail (e.g., on theorder of 20 measurement locations across the myocardialwall including papillary muscles) and the quantitativenature of the measurement obtainable via diffusion tensormicroscopy. From the linear regression RMS deviation ofthe helix angles, the accuracy of the current fiber orienta-tion angle measurement is estimated to be 5.5°. Combined,these findings demonstrate the practical utility of diffusiontensor microscopy as a reliable, quantitative alternative toconventional histology for assessing tissue microstructure.

The FA value of 0.27 � 0.06 measured in the currentstudy is consistent with those previously observed forperfused rabbit (17), fixed goat (20), and in vivo human(21) myocardial tissues. Moreover, the mean diffusion ten-sor eigenvalues (in descending order) of 0.75 � 0.13,0.60 � 0.13, and 0.51 � 0.13 � 10-3 mm2/s are in goodagreement with the values reported in the literature for thefixed rat (22) myocardium. The similarities of these diffu-sion parameters suggest not only that there exists minorinterspecies variation, but also that the fixation processhas minimal impact on the exhibited anisotropy of waterdiffusion of the myocardium. The latter was consistentwith observations reported for the mouse brain (34). Due tothe relatively small difference between the secondary andtertiary eigenvalues, it is possible that the difference re-flects merely the effects of sorting of an otherwise axisym-metric (i.e., 2 � 3) system. Since image noise would bethe predominant cause, this sorting artifact would mani-fest itself in the degree of randomness in the correspond-ing eigenvector fields (30). Consequently, the conspicuousorganization of the corresponding directional structures(i.e., eigenvectors) shown in Figs. 2 and 3 indicates that thecontribution of sorting artifact in the observed DTI resultsis likely small.

Myocardial Structure of Mouse Heart

Despite its significant implication for tissue functions, duein part to the labor-intensive demands of conventionalhistology, few studies have been performed to examineand model the 3D myocardial structure. In contrast to thepreviously reported discrete “sandwich” layering (33) ofthe myocardium, the results in Fig. 4 and Table 1 clearlyshow that the fiber orientations in the mouse heart alsoundergo the rather smooth, counterclockwise rotation ob-served in other species (8,11,20–22). Moreover, at least formyofibers on the LV mid-hemispherical plane, it is evidentthat the fiber orientation rotation can be adequately char-acterized by a linear (i.e., constant rate) model, and thatthe rate of rotation in the septal wall is faster than that inthe free wall. Both of these observations are consistentwith those reported for the goat heart (20), which areindicative of some interspecies similarity of the myocar-dial structure. Given the significantly different transmuralhelix angular span but insignificant difference in the trans-mural wall thickness, the faster rotation rate would remaintrue in the septal wall even if the rotation rate were ex-pressed in terms of percentage transmural distance. Al-though mechanical or electrophysiological implications ofthese structural observations are yet to be clearly under-stood, detailed and reliable measurements of the myocar-dial structure made feasible by diffusion tensor micros-copy are expected to be instrumental for the developmentof “morphologically accurate” functional models of theheart.

In addition to the fiber structure, it has been proposedthat the myocardium exhibits a laminar organizationformed by 3–4 cells-thick myocyte “sheets” separated byextracellular collagen network (9,10). Evidence for thishigher hierarchy of myocardial structure has been reportedin previous myocardial DTI studies in larger animals(17,19,21), albeit direct histological validation is yet to beobtained. The myocardial laminar structure has been de-scribed as a twisted sheet orienting predominantly inplanes spanned by the myocardial fiber and the transmuralradial direction, which corresponds to the local planesformed by the diffusion tensor primary and secondaryeigenvectors, with the tertiary eigenvector pointing in thesheet normal direction. Results shown in Figs. 2 and 3indicate that this higher level of myocardial structuralorganization may also exist in the mouse heart, with themyocardial sheets (secondary eigenvector) orienting in the

Table 1Mean Myocardial Fiber Structural Parameters for the Septal and Free Walls of the LV at the Mid-Hemispherical Plane

Specimen/regionAngle at

subepicardium(degrees)

Range ofrotation

(degrees)

Wallthickness

(mm)

Slope(degrees/mm)

R2

Heart #1LV 45.7 � 18.7 128.6 � 15.4 1.62 � 0.24 79.9 � 13.0 0.96 � 0.03Septal 64.7 � 13.6 150.9 � 17.0 1.72 � 0.10 93.5 � 7.2 0.98 � 0.01P 0.036* 0.016* 0.31 0.021* 0.089

Heart #2LV 55.6 � 16.6 138.4 � 16.7 1.59 � 0.24 81.0 � 11.6 0.96 � 0.03Septal 71.5 � 9.5 155.9 � 10.5 1.70 � 0.13 93.8 � 6.5 0.98 � 0.03P 0.053 0.036* 0.28 0.033* 0.24

Each entry represents the average of n � 8 measurements, reported as the mean � SD. Student’s t-test P values are reported below eachregion pair, with statistically significant (P � 0.05) comparisons denoted by asterisks.

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radial direction with some level of variation. Since theeigenvectors are linked via their mutual orthogonality, thesheet structures may have in part contributed to not onlygenerally larger tangential residual angles of the tertiarydiffusion tensor eigenvector, but also a higher degree ofcomplexity of the diffusion tensor tertiary eigenvectorfield (Fig. 3c,d) compared to the myofiber structures (Fig.3a,b). Quantitative modeling of the myocardial sheet struc-tures was not done, as it is beyond the scope of the currentstudy.

The representation and description of the myocardialfiber structure (Figs. 3, 4, Table 1) may be limited in twoaspects. First, the local cylindrical coordinate system em-ployed is accurate only when the shape of the LV is per-fectly cylindrical. The natural longitudinal curvature ofthe epicardium and noncircular shape of the LV cross-section would cause the local tangential plane to deviatefrom being parallel to the epicardial surface, and thusinduce errors in the measured fiber helix angle and tan-gential residual angle (20,22). Second, since the location ofthe endocardium was defined by digitally segmenting outthe papillary muscle via visual inspection, there may besome subjective variability in the measurement of trans-mural helix angular span, rate of rotation, and transmuralwall thickness. Steps were taken in the current study toaddress these issues. For example, the myocardial fiberstructures were analyzed only on the mid-hemisphericalplane of the LV where the longitudinal curvature of theepicardium is minimum. The relatively low tangential re-sidual angle of the diffusion tensor primary eigenvectorprovides empirical evidence that departure of the LVcross-section from a circular shape is small. Moreover, aseparate linear regression fit of the transmural fiber helixangles over only the mid-wall “compact” region of themyocardium (data not shown) yielded only marginal im-provements in the R2 value. Consequently, these potentiallimitations are not only unlikely to undermine the generalconclusions reached, but also point out the necessity ofmore sophisticated structural models based on preciseknowledge of the myocardial structure, such as that madeavailable by the current study.

CONCLUSION

Isotropic 100 �m-resolution 3D diffusion tensor micros-copy with a scan time of �9 hr and estimated fiber orien-tation measurement accuracy of 5.5° has been demon-strated in fixed mouse hearts. Preliminary analyses of dif-fusion tensor primary eigenvector field reveal a largelylinear rotation of the fiber orientation across the LV walland a faster rate of rotation in the LV septal wall than inthe free wall. The observed organizations of the diffusiontensor primary and secondary eigenvectors are qualita-tively consistent with the known myocardial fiber andsheet structures reported for larger animal hearts. Thesefindings underscore the utility of diffusion tensor imagingand microscopy as a practical alternative to conventionalhistology for assessing myocardial structures, and pave theway for the development of 3D structural atlases and “mor-phologically accurate” functional models of mouse hearts.

ACKNOWLEDGMENTS

The authors thank Dr. Zhi-pei Liang for the 3D RIGR re-construction software, Mr. Gary Cofer for hardware con-sultation, Seigo Hatada, Julius Aitsebaomo, and John Cow-hig for technical assistance in mouse heart preparation,and Ms. Sally Zimney for editorial assistance.

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