Unsupervised Models for White Matter Fiber-Bundles Analysis in Multiple Sclerosis

Diffusion Magnetic Resonance Imaging (dMRI) is a meaningful technique for white matter (WM) fiber-tracking and microstructural characterization of axonal/neuronal integrity and connectivity. By measuring water molecules motion in the three directions of space, numerous parametric maps can be reconstructed. Among these, fractional anisotropy (FA mean diffusivity (MD), and axial (?a) and radial (?r) diffusivities have extensively been used to investigate brain diseases. Overall, these findings demonstrated that WM and grey matter (GM) tissues are subjected to numerous microstructural alterations in multiple sclerosis (MS). However, it remains unclear whether these tissue alterations result from global processes, such as inflammatory cascades and/or neurodegenerative mechanisms, or local inflammatory and/or demyelinating lesions. Furthermore, these pathological events may occur along afferent or afferent WM fiber pathways, leading to antero- or retrograde degeneration. Thus, for a better understanding of MS pathological processes like its spatial and temporal progression, an accurate and sensitive characterization of WM fibers along their pathways is needed. By merging the spatial information of fiber tracking with the diffusion metrics derived obtained from longitudinal acquisitions, WM fiber-bundles could be modeled and analyzed along with their profile. Such signal analysis of WM fibers can be performed by several methods providing either semi- or fully unsupervised solutions. In the first part of this work, we will give an overview of the studies already present in literature and we will focus our analysis on studies showing the interest of dMRI for WM characterization in MS. In the second part, we will introduce two new string-based methods, one semi-supervised and one unsupervised, to extract specific WM fiber-bundles. We will show how these algorithms allow to improve extraction of specific fiber-bundles compared to the approaches already present in literature. Moreover, in the second chapter, we will show an extension of the proposed method by coupling the string-based formalism with the spatial information of the fiber-tracks. In the third, and last part, we will describe, in order of complexity, three different fully automated algorithms to perform analysis of longitudinal changes visible along WM fiber-bundles in MS patients. These methods are based on Gaussian mixture model, non-negative matrix and tensor factorisation respectively. Moreover, in order to validate our methods, we introduce a new model to simulate real longitudinal changes based on a generalised Gaussian probability density function. For those algorithms, high levels of performances were obtained for the detection of small longitudinal changes along the WM fiber-bundles in MS patients. In conclusion, we propose, in this work, a new set of unsupervised algorithms to perform a sensitivity analysis of WM fiber-bundle that would be useful for the characterisation of pathological alterations occurring in MS patients.