Age-related changes in the healthy adult visual pathway: evidence from diffusion tensor imaging with fixel-based analysis.

Abstract

Fixel-based analysis (FBA) is anew method that overcomes the technical limitations of diffusion tensor imaging (DTI) by enabling the characterization of multiple fiber populations within avoxel, and provides biologically meaningful indicators. This study aimed to explore age-related changes in the visual pathway in healthy adults and to observe differences in imaging quality between data collected using different b‑values. In this prospective cross-sectional study, brain DTI scans which were collected with more than six uniformly distributed gradient directions and higher b‑values (up to 2000 s/mm2) than traditional DTI were performed in 72healthy adults across the adult lifespan (20-79years). After image preprocessing, FBA was used to process the dataset. At the same time, conventional DTI metrics were also calculated. Pearson's correlation analysis showed that DTI parameters of white matter (optic nerve, optic chiasma, optic tract, and optic radiation) in the optic pathway were correlated with age. FA values were negatively correlated with age, while MD/AD/RD showed apositive correlation (P < 0.05). FBA showed that the index including FD/FC/FDC tended to decline with age (P < 0.05). Linear regression analysis showed alinear relationship between DTI metrics of the dataset collected by b‑values of 1000 and 2000 s/mm2 (P < 0.05). FBA provides auseful method to assess age-related changes in the visual pathway, which is sensitive to diffusion. In addition, the b‑value influences DTI parameters and signal-to-noise ratio of the image.