Effects of nongaussian diffusion on "isotropic diffusion measurements'': an ex-vivo microimaging and simulation study
Sune N{\o}rh{\o}j Jespersen, Jonas Lynge Olesen, Andrada Ianu\c{s},, Noam Shemesh

TL;DR
This study investigates how non-Gaussian diffusion affects isotropic diffusion measurements in microimaging, revealing confounds in interpreting tissue microstructure due to anisotropic compartments and kurtosis effects.
Contribution
It provides analytical, simulation, and experimental insights into how non-Gaussian diffusion impacts isotropic diffusion MRI, challenging assumptions of Gaussian compartment models.
Findings
Diffusion anisotropy causes orientation-dependent diffusivity measurements.
Intracompartmental kurtosis introduces additional variance in isotropic diffusivity.
Simulations and experiments demonstrate these effects in fixed spinal cord tissue.
Abstract
Designing novel diffusion-weighted pulse sequences to probe tissue microstructure beyond the conventional Stejskal-Tanner family is currently of broad interest. One such technique, multidimensional diffusion MRI, has been recently proposed to afford model-free decomposition of diffusion signal kurtosis into terms originating from either ensemble variance of isotropic diffusivity or microscopic diffusion anisotropy. This ability rests on the assumption that diffusion can be described as a sum of multiple Gaussian compartments, but this is often not strictly fulfilled. The effects of nongaussian diffusion on single shot isotropic diffusion sequences were first considered in detail by de Swiet and Mitra in 1996. They showed theoretically that anisotropic compartments lead to anisotropic time dependence of the diffusion tensors, which causes the measured isotropic diffusivity to depend on…
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