Generalized diffusion tensor imaging (GDTI) using higher order tensor statistics (HOT) generalizes the technique of diffusion tensor imaging (DTI) by including the effect of non-Gaussian diffusion on the signal of magnetic resonance imaging (MRI). In GDTI-HOT, the effect of non-Gaussian diffusion is characterized by higher order tensor statistics (i.e. the cumulant tensors or the moment tensors) such as the covariance matrix (the second-order cumulant tensor), the skewness tensor (the third-order cumulant tensor) and the kurtosis tensor (the fourth-order cumulant tensor) etc. Previously, Monte Carlo simulations have been applied to verify the validity of this technique in reconstructing complicated fiber structures. However, no in vivo implementation of GDTI-HOT has been reported. The primary goal of this study is to establish GDTI-HOT as a feasible in vivo technique for imaging non-Gaussian diffusion. We show that probability distribution function (PDF) of the molecular diffusion process can be measured in vivo with GDTI-HOT and be visualized with 3D glyphs. By comparing GDTI-HOT to fiber structures that are revealed by the highest resolution DWI possible in vivo, we show that the GDTI-HOT can accurately predict multiple fiber orientations within one white matter voxel. Furthermore, through bootstrap analysis we demonstrate that in vivo measurement of HOT elements is reproducible with a small statistical variation that is similar to that of DTI.
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