Cross-species Standardised Cortico-Subcortical Tractography

Reviewer #1 (Public review):

Summary:

The authors note that it is challenging to perform diffusion MRI tractography consistently in both humans and macaques, particularly when deep subcortical structures are involved. The scientific advance described in this paper is effectively an update to the tracts that the XTRACT software supports. The claims of robustness are based on a very small selection of subjects from a very atypical dMRI acquisition (n=50 from HCP-Adult) and an even smaller selection of subjects from a more typical study (n=10 from ON-Harmony).

Strengths:

The changes to XTRACT are soundly motivated in theory (based on anatomical tracer studies) and practice (changes in seeding/masking for tractography), and I think the value added by these changes to XTRACT should be shared with the field. While other bundle segmentation software typically includes these types of changes in release notes, I think papers are more appropriate.

Weaknesses:

The demonstration of the new tracts does not include a large number of carefully selected scans and is only compared to the prior methods in XTRACT. The small n and limited statistical comparisons are insufficient to claim that they are better than an alternative. Qualitatively, this method looks sound.

Subject selection at each stage is unclear in this manuscript. On page 5 the data are described as "Using dMRI data from the macaque (𝑁 = 6) and human brain (𝑁 = 50)". Were the 50 HCP subjects selected to cover a range of noise levels or subject head motion? Figure 4 describes 72 pairs for each of monozygotic, dizygotic, non-twin siblings, and unrelated pairs - are these treated separately? Similarly, NH had 10 subjects, but each was scanned 5 times. How was this represented in the sample construction?

In the paper, the authors state "the mean agreement between HCP and NH reconstructions was lower for the new tracts, compared to the original protocols (𝑝 < 10^−10). This was due to occasionally reconstructing a sparser path distribution, i.e., slightly higher false negative rate," - how can we know this is a false negative rate without knowing the ground truth?

Reviewer #2 (Public review):

Summary:

In this article, Assimopoulos et al. expand the FSL-XTRACT software to include new protocols for identifying cortical-subcortical tracts with diffusion MRI, with a focus on tracts connecting to the amygdala and striatum. They show that the amygdalofugal pathway and divisions of the striatal bundle/external capsule can be successfully reconstructed in both macaques and humans while preserving large-scale topographic features previously defined in tract tracing studies. The authors set out to create an automated subcortical tractography protocol, and they accomplished this for a subset of specific subcortical connections for users of the FSL ecosystem.

Strengths:

A main strength of the current study is the translation of established anatomical knowledge to a tractography protocol for delineating cortical-subcortical tracts that are difficult to reconstruct. Diffusion MRI-based tractography is highly prone to false positives; thus, constraining tractography outputs by known anatomical priors is important. Key additional strengths include 1) the creation of a protocol that can be applied to both macaque and human data; 2) demonstration that the protocol can be applied to be high quality data (3 shells, > 250 directions, 1.25 mm isotropic, 55 minutes) and lower quality data (2 shells, 100 directions, 2 mm isotropic, 6.5 minutes); and 3) validation that the anatomy of cortical-subcortical tracts derived from the new method are more similar in monozygotic twins than in siblings and unrelated individuals.

Weaknesses:

Although this work validates the general organizational location and topographic organization of tractography-derived cortical-subcortical tracts against prior tract tracing studies (a clear strength), the validation is purely visual and thus only qualitative. Furthermore, it is difficult to assess how the current XTRACT method may compare to currently available tractography approaches to delineating similar cortical-subcortical connections. Finally, it appears that the cortical-subcortical tractography protocols developed here can only be used via FSL-XTRACT (yet not with other dMRI software), somewhat limiting the overall accessibility of the method.

Overall Appraisal:

This new method will accelerate research on anatomically validated cortical-subcortical white matter pathways. The work has utility for diffusion MRI researchers across fields.