Contrast and stability of the axon diameter index from microstructure imaging with diffusion MRI. Magnetic Resonance in Medicine

The ActiveAx technique fits the minimal model of white matter dif-fusion to diffusion MRI data acquired using optimized protocols that provide orientationally invariant indices of axon diameter and density. We investigated how limitations of the available maximal gradient strength (Gmax) on a scanner influence the sensitivity to a range of axon diameters. Multishell high-angular-diffusion-imaging (HARDI) protocols for Gmax of 60, 140, 200, and 300 mT/m were optimized for the pulsed-gradient-spin-echo (PGSE) sequence. Data were acquired on a fixed monkey brain and Monte-Carlo simulations supported the results. Increasing Gmax reduces within-voxel variation of the axon diameter index and improves contrast beyond what is achievable with higher signal-to-noise ratio. Simu-lations reveal an upper bound on the axon diameter (~10 mm) that pulsed-gradient-spin-echo measurements are sensitive to, due to a trade-off between short T2 and the long diffusion time needed to probe larger axon diameters. A lower bound (~2.5 mm) slightly dependent on Gmax was evident, below which axon diam-eters are identifiable as small, but impossible to differentiate. These results emphasize the key-role of Gmax for enhancing con-trast between axon diameter distributions and are, therefore, rele-vant in general for microstructure imaging methods and highlight the need for increased Gmax on future commercial systems