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Clinical tractography is a challenging problem in diffusion tensor imaging (DTI) due to persistent validation issues. Geodesic tractography, based on a shortest path principle, is conceptually appealing, but has not produced convincing results so far. A major weakness is its rigidity with respect to candidate tracts it is capable of producing given a pair of endpoints, showing a tendency to produce false positives (such as shortcuts) and false negatives (e.g. if a shortcut supplants the correct solution). We propose a new geodesic paradigm that appears to overcome these problems, making a step towards semi-automatic clinical use. To this end we couple the DTI tensor field to a family of Riemannian metrics, governed by control parameters. In practice these parameters may allow for edits by an expert through manual selection among multiple tract suggestions, or for bringing in a priori knowledge. In this paper, however, we consider an automatic, evidence-driven procedure to determine optimal controls and corresponding tentative tracts, and illustrate the role of edits to remediate erroneous defaults.

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We study theoretical and operational issues of geodesic tractography, a geometric methodology for retrieving biologically plausible neural fibers in the brain from diffusion weighted magnetic resonance imaging. The premise is that true positives are geodesics in a suitably constructed metric space, but unlike traditional first order methods these are not a priori constrained to connect nongeneric points on subdimensional manifolds, such as the characteristics in traditional streamline methods. By virtue of the Hopf-Rinow theorem geodesic tractography furnishes a huge amount of redundancy, ensuring the a priori existence of at least one tentative fiber between any two points and permitting additional tractometric and data-extrinsic constraints for (fuzzy or crisp) classification of true and false positives. In our feasibility study we consider a hybrid paradigm that unifies existing ideas on tractography, combining deterministic and probabilistic elements in a way naturally supported by metric geometry. Particular attention is paid to an analytical prediction of geodesic deviation on numerically computed geodesics, a ‘tidal’ effect induced by small perturbations resulting from data noise. Taking these effects into account clarifies the inherent uncertainty of geodesics, while simultaneosuly offering a dimensionality reduction of the tractography problem.

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