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Optic Nerve Characterization using Magnetic Resonance Imaging: The Search for Biomarkers

The optic nerve is a vital bundle of axons which carries all visual information from the retina posterior to the brain for higher order processing. The optic nerve and eye orbit are affected by many devastating diseases including optic neuritis, glaucoma and anterior ischemic optic neuritis. This dissertation addresses the use of magnetic resonance imaging for investigating anatomical and microstructural changes in the optic nerve in healthy controls and disease cohorts.
We propose a fully automated pipeline for segmentation of the optic nerve and other eye-orbit structures. This pipeline is applied to large-scale disease cohort to search for correlations between morphological changes and functional visual measures. We introduce a clinically viable advanced MRI sequence for accurate visualization of the optic nerve and sub-arachnoid cerebrospinal fluid. We develop and improve upon an algorithm to automatically estimate optic nerve and surrounding cerebrospinal fluid radius along the length of the optic nerve. We perform a short- and long-term reproducibility study on young healthy controls for algorithm evaluation and publicly release this data for the standardized comparison of future proposed algorithms. We apply this validated automatic radius estimation algorithm to a clinical population of patients with multiple sclerosis to detect differences in patientsâ eyes with and without a history of optic neuritis. Finally, we utilize a simulation framework to numerically optimize quantitative magnetization transfer imaging sampling patterns to move towards reducing scan times and increasing clinical viability of quantitative magnetization transfer imaging for microstructural characterization of tissue.

Identiferoai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-03142017-100847
Date17 March 2017
CreatorsHarrigan, Robert Louis
ContributorsDavid J. Calkins, Richard Alan Peters, Seth A. Smith, Bennett A. Landman, Jack H. Noble
PublisherVANDERBILT
Source SetsVanderbilt University Theses
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.library.vanderbilt.edu/available/etd-03142017-100847/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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