Bayesian Insights into Exchange and Restriction in Gray Matter Diffusion MRI
Maëliss Jallais, Quentin Uhl, Tommaso Pavan, Malwina Molendowska, Derek K. Jones, Ileana Jelescu, Marco Palombo
TL;DR
This work assesses the reliability of gray-matter diffusion MRI models that incorporate water exchange, focusing on NEXI and SANDIX. It leverages the µGUIDE Bayesian framework to estimate full posterior distributions, quantify uncertainty, and detect parameter degeneracies under two diffusion protocols and realistic noise. The findings show robust estimates for extracellular diffusivity $D_e$ and neurite fraction $f_n$, but limited reliability for exchange time $t_{ex}$ and soma parameters $(r_s, f_s)$, with degeneracies more pronounced under practical acquisition. The study underscores the importance of reporting uncertainty and using uncertainty-aware inference to improve reproducibility and biological interpretability in diffusion MRI analyses.
Abstract
Biophysical models in diffusion MRI (dMRI) hold promise for characterizing gray matter tissue microstructure. Yet, the reliability of their parameter estimates remains largely under-studied, especially in models that incorporate water exchange. In this study, we investigate the accuracy, precision, and presence of degeneracy of two recently proposed gray matter models, NEXI and SANDIX, using established acquisition protocols, on both simulated and \textit{in vivo} data. We employ $μ$GUIDE, a Bayesian inference framework based on deep learning, to quantify parameter uncertainty and detect degeneracies, enabling a more interpretable assessment of model fits. Our results show that while some microstructural parameters, such as extra-cellular diffusivity and neurite signal fraction, are robustly estimated, others, including exchange time and soma radius, are often associated with high uncertainty and estimation bias, particularly under realistic noise conditions and reduced acquisition protocols. Comparison with non-linear least squares fitting highlights the critical advantage of uncertainty-aware methods: the ability to flag and filter out unreliable estimates. Together, these findings emphasize the need to report uncertainty and account for model degeneracies when interpreting model-based estimates. Our study advocates for the integration of probabilistic fitting approaches into imaging pipelines to improve reproducibility and biological interpretability.
