Chiara Maffei

Chiara Maffei
Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School

Ph.D., M.Sc.

About

58
Publications
12,696
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619
Citations

Publications

Publications (58)
Preprint
Full-text available
Diffuse axonal injury (DAI) is caused by acceleration-deceleration forces during trauma that shear white matter tracts. Susceptibility-weighted MRI (SWI) identifies microbleeds that are considered the radiologic hallmark of DAI and are used in clinical prognostication. However, this assumption is limited by a lack of systematic radiologic-pathologi...
Article
Full-text available
Obsessive-compulsive disorder is a psychiatric disorder characterized by intrusive thoughts and repetitive behaviors. There are two prominent features: Harm Avoidance (HA) and Incompleteness (INC). Previous resting-state studies reported abnormally elevated connectivity between prefrontal cortical (PFC) and subcortical regions (thalamus, striatum)...
Preprint
Full-text available
The accurate measurement of three-dimensional (3D) fiber orientation in the brain is crucial for reconstructing fiber pathways and studying their involvement in neurological diseases. Comprehensive reconstruction of axonal tracts and small fascicles requires high-resolution technology beyond the ability of current in vivo imaging (e.g. diffusion ma...
Article
Full-text available
fMRI neurofeedback using autobiographical memory recall to upregulate the amygdala is associated with resting-state functional connectivity (rsFC) changes between the amygdala and the salience and default mode networks (SN and DMN, respectively). We hypothesize the existence of anatomical circuits underlying these rsFC changes. Using a cross-specie...
Preprint
Axon diameter and myelin thickness are closely related microstructural tissue properties that affect the conduction velocity of action potentials in the nervous system. Imaging them non-invasively with MRI-based methods is thus valuable for studying brain microstructure and function. However, the relationship between MRI-based axon diameter and mye...
Preprint
Full-text available
United States Special Operations Forces (SOF) experience neurobehavioral symptoms that can adversely affect training and combat operations. Understanding the neurobiological basis for these symptoms may guide prevention and treatment. In 29 male active-duty SOF with mean (SD) 17(4) years of service, we tested whether self-reported symptoms of apath...
Article
Consciousness is composed of arousal (i.e., wakefulness) and awareness. Substantial progress has been made in mapping the cortical networks that underlie awareness in the human brain, but knowledge about the subcortical networks that sustain arousal in humans is incomplete. Here, we aimed to map the connectivity of a proposed subcortical arousal ne...
Article
Full-text available
United States (US) Special Operations Forces (SOF) are frequently exposed to explosive blasts in training and combat, but the effects of repeated blast exposure (RBE) on SOF brain health are incompletely understood. Furthermore, there is no diagnostic test to detect brain injury from RBE. As a result, SOF personnel may experience cognitive, physica...
Preprint
Full-text available
Background fMRI neurofeedback targeting the amygdala is a promising therapeutical tool in psychiatry. It induces resting-state functional connectivity (rsFC) changes between the amygdala and regions of the salience and default mode networks (SN and DMN, respectively). We hypothesize these rsFC changes happen on the amygdala’s underlying anatomical...
Preprint
The accurate measurement of three-dimensional (3D) fiber orientation in the brain is crucial for reconstructing fiber pathways and studying their involvement in neurological diseases. Optical imaging methods such as polarization-sensitive optical coherence tomography (PS-OCT) provide important tools to directly quantify fiber orientation at microme...
Article
Full-text available
United States Special Operations Forces (SOF) personnel are frequently exposed to explosive blasts in training and combat. However, the effects of repeated blast exposure on the human brain are incompletely understood. Moreover, there is currently no diagnostic test to detect repeated blast brain injury (rBBI). In this "Human Performance Optimizati...
Preprint
Full-text available
Anatomic tracing is the gold standard tool for delineating brain connections and for validating more recently developed imaging approaches such as diffusion MRI tractography. A key step in the analysis of data from tracer experiments is the careful, manual charting of fiber trajectories on histological sections. This is a very time-consuming proces...
Chapter
The human thalamus is a subcortical brain structure that comprises dozens of nuclei with different function and connectivity, which are affected differently by disease. For this reason, there is growing interest in studying the thalamic nuclei in vivo with MRI. Tools are available to segment the thalamus from 1 mm T1 scans, but the image contrast i...
Article
Full-text available
Purpose To investigate whether spatiotemporal magnetic field monitoring can correct pronounced eddy current‐induced artifacts incurred by strong diffusion‐sensitizing gradients up to 300 mT/m used in high b‐value diffusion‐weighted (DW) EPI. Methods A dynamic field camera equipped with 16 ¹H NMR field probes was first used to characterize field pe...
Preprint
Full-text available
Consciousness is comprised of arousal (i.e., wakefulness) and awareness. Substantial progress has been made in mapping the cortical networks that modulate awareness in the human brain, but knowledge about the subcortical networks that sustain arousal is lacking. We integrated data from ex vivo diffusion MRI, immunohistochemistry, and in vivo 7 Tesl...
Preprint
Full-text available
The human thalamus is a highly connected subcortical grey-matter structure within the brain. It comprises dozens of nuclei with different function and connectivity, which are affected differently by disease. For this reason, there is growing interest in studying the thalamic nuclei in vivo with MRI. Tools are available to segment the thalamus from...
Article
The human thalamus is a highly connected subcortical grey-matter structure within the brain. It comprises dozens of nuclei with different function and connectivity, which are affected differently by disease. For this reason, there is growing interest in studying the thalamic nuclei in vivo with MRI. Tools are available to segment the thalamus from...
Article
Full-text available
The human thalamus is a highly connected brain structure, which is key for the control of numerous functions and is involved in several neurological disorders. Recently, neuroimaging studies have increasingly focused on the volume and connectivity of the specific nuclei comprising this structure, rather than looking at the thalamus as a whole. Howe...
Preprint
Purpose To demonstrate the advantages of spatiotemporal magnetic field monitoring to correct eddy current-induced artifacts (ghosting and geometric distortions) in high gradient strength diffusion MRI (dMRI). Methods A dynamic field camera with 16 NMR field probes was used to characterize eddy current fields induced from diffusion gradients for di...
Article
Background: The zona incerta (ZI) is involved in mediating survival behaviors and is connected to a wide range of cortical and subcortical structures, including key basal ganglia nuclei. Based on these connections and their links to behavioral modulation, we propose that the ZI is a connectional hub for mediating between top-down and bottom-up con...
Article
Full-text available
New techniques for individualized assessment of white matter integrity are needed to detect traumatic axonal injury (TAI) and predict outcomes in critically ill patients with acute severe traumatic brain injury (TBI). Diffusion MRI tractography has the potential to quantify white matter microstructure in vivo and has been used to characterize tract...
Preprint
Full-text available
The human thalamus is a highly connected brain structure, which is key for the control of numerous functions and is involved in several neurological disorders. Recently, neuroimaging studies have increasingly focused on the volume and connectivity of the specific nuclei comprising this structure, rather than looking at the thalamus as a whole. Howe...
Article
Full-text available
Limitations in the accuracy of brain pathways reconstructed by diffusion MRI (dMRI) tractography have received considerable attention. While the technical advances spearheaded by the Human Connectome Project (HCP) led to significant improvements in dMRI data quality, it remains unclear how these data should be analyzed to maximize tractography accu...
Preprint
Full-text available
Background The zona incerta (ZI) is involved in mediating survival behaviors and is connected to a wide range of cortical and subcortical structures, including key basal ganglia nuclei. Based on these connections and their links to behavioral modulation, we propose the ZI is a connectional hub for in mediating between top-down and bottom-up control...
Article
Full-text available
Emerging evidence suggests that repeated blast exposure (RBE) is associated with brain injury in military personnel. United States (U.S.) Special Operations Forces (SOF) personnel experience high rates of blast exposure during training and combat, but the effects of low-level RBE on brain structure and function in SOF have not been comprehensively...
Article
hMT+/V5 is a region in the middle occipito-temporal cortex that responds preferentially to visual motion in sighted people. In case of early visual deprivation, hMT+/V5 enhances its response to moving sounds. Whether hMT+/V5 contains information about motion directions and whether the functional enhancement observed in the blind is motion specific,...
Preprint
Full-text available
New techniques for individualized assessment of white matter integrity are needed to detect traumatic axonal injury (TAI) and predict outcomes in critically ill patients with acute severe traumatic brain injury (TBI). Diffusion MRI tractography has the potential to quantify white matter microstructure in vivo and has been used to characterize tract...
Article
Full-text available
Tremendous efforts have been made in the last decade to advance cutting-edge MRI technology in pursuit of mapping structural connectivity in the living human brain with unprecedented sensitivity and speed. The first Connectom 3T MRI scanner equipped with a 300 mT/m whole-body gradient system was installed at the Massachusetts General Hospital in 20...
Preprint
Full-text available
Limitations in the accuracy of brain pathways reconstructed by diffusion MRI (dMRI) tractography have received considerable attention. While the technical advances spearheaded by the Human Connectome Project (HCP) led to significant improvements in dMRI data quality, it remains unclear how these data should be analyzed to maximize tractography accu...
Article
Full-text available
White matter bundle segmentation using diffusion MRI fiber tractography has become the method of choice to identify white matter fiber pathways in vivo in human brains. However, like other analyses of complex data, there is considerable variability in segmentation protocols and techniques. This can result in different reconstructions of the same in...
Article
Full-text available
The development of scanners with ultra-high gradient strength, spearheaded by the Human Connectome Project, has led to dramatic improvements in the spatial, angular, and diffusion resolution that is feasible for in vivo diffusion MRI acquisitions. The improved quality of the data can be exploited to achieve higher accuracy in the inference of both...
Article
Full-text available
While many useful microstructural indices, as well as orientation distribution functions, can be obtained from multi-shell dMRI data, there is growing interest in exploring the richer set of microstructural features that can be extracted from the full ensemble average propagator (EAP). The EAP can be readily computed from diffusion spectrum imaging...
Preprint
Full-text available
hMT+/V5 is a region in the middle occipito-temporal cortex that responds preferentially to visual motion in sighted people. In case of early visual deprivation, hMT+/V5 enhances its response to moving sounds. Whether hMT+/V5 contains information about motion directions and whether the functional enhancement observed in the blind is motion specific,...
Preprint
Full-text available
The development of scanners with ultra-high gradients, spearheaded by the Human Connectome Project, has led to dramatic improvements in the spatial, angular, and diffusion resolution that is feasible for in vivo diffusion MRI acquisitions. The improved quality of the data can be exploited to achieve higher accuracy in the inference of both microstr...
Article
Full-text available
In vivo diffusion-weighted magnetic resonance imaging is limited in signal-to-noise-ratio (SNR) and acquisition time, which constrains spatial resolution to the macroscale regime. Ex vivo imaging, which allows for arbitrarily long scan times, is critical for exploring human brain structure in the mesoscale regime without loss of SNR. Standard head...
Preprint
Full-text available
Compressed sensing (CS) has been used to enhance the feasibility of diffusion spectrum imaging (DSI) by reducing the required acquisition time. CS applied to DSI (CS-DSI) attempts to reconstruct diffusion probability density functions (PDFs) from significantly undersampled q-space data. Dictionary-based CS-DSI using L2-regularized algorithms is an...
Article
Full-text available
Center for Mind/Brain Sciences, University of Trento, Rovereto, 38068, Italy, and 3Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, Massachusetts 01129 In humans, the occipital middle-temporal region (hMT1/V5) specializes in the processing of visual motion, while the planum te...
Article
Full-text available
White matter bundle segmentation using diffusion MRI fiber tractography has become the method of choice to identify white matter fiber pathways in vivo in human brains. However, like other analyses of complex data, there is considerable variability in segmentation protocols and techniques. This can result in different reconstructions of the same in...
Preprint
Full-text available
White matter bundle segmentation using diffusion MRI fiber tractography has become the method of choice to identify white matter fiber pathways in vivo in human brains. However, like other analyses of complex data, there is considerable variability in segmentation protocols and techniques. This can result in different reconstructions of the same in...
Conference Paper
Full-text available
Synopsis We present results from IronTract, the first challenge to evaluate tractography on the two-shell diffusion scheme of the Human Connectome Project (HCP). Accuracy was evaluated by comparison to tracer injections in the same macaque brains as the diffusion data. Training and validation datasets involved different injection sites. We observed...
Poster
Full-text available
Severe traumatic brain injury (TBI) is a major cause of long-term disability and cognitive dysfunction(Maas et al., 2017). Patients often experience a heterogeneous combination of lesions, including cortical contusions and traumatic axonal injury(TAI). TAI is a well-established predictor of long-term outcomes(Izzy et al., 2017), but quantitative to...
Preprint
Full-text available
In humans, the occipital middle-temporal region (hMT+/V5) specializes in the processing of visual motion, while the Planum Temporale (hPT) specializes in auditory motion processing. It has been hypothesized that these regions might communicate directly to achieve fast and optimal exchange of multisensory motion information. In this study, we invest...
Article
Full-text available
Investigative studies of white matter (WM) brain structures using diffusion MRI (dMRI) tractography frequently require manual WM bundle segmentation, often called “virtual dissection.” Human errors and personal decisions make these manual segmentations hard to reproduce, which have not yet been quantified by the dMRI community. It is our opinion th...
Conference Paper
Full-text available
Deafness is usually accompanied by functional brain alterations that may be thought as an alteration to connectome scaffolding1,2,3. The general goal of this study was to investigate brain structural network organization in early and profoundly deaf subjects (ED). The specific goal was to apply the structural white matter connectome formalism to ev...
Conference Paper
Full-text available
Synopsis: The development of scanners with ultra-high gradients, spearheaded by the Human Connectome Project, has led to dramatic improvements in the spatial, angular, and diffusion resolution that is feasible for in vivo diffusion MRI acquisitions. Here we show that global probabilistic tractography with anatomical priors can be trained on such da...
Conference Paper
Full-text available
Synopsis In case of early acquired deafness, auditory deprived temporal regions massively enhance their response to stimuli from remaining senses. This so called cross-modal plasticity also alters functional connectivity between reorganized temporal regions and those from preserved senses. The extent and distribution of white matter structural alte...
Preprint
Full-text available
Investigative studies of white matter (WM) brain structures using diffusion MRI (dMRI) tractography frequently require manual WM bundle segmentation, often called "virtual dissection". Human errors and personal decisions make these manual segmentations hard to reproduce, which have not yet been quantified by the dMRI community. The contribution of...
Article
Full-text available
Diffusion MRI tractography allows in-vivo characterization of white matter architecture, including the localization and description of brain fibre bundles. However, some primary bundles are still only partially reconstructed, or not reconstructed at all. The acoustic radiation (AR) represents a primary sensory pathway that has been largely omitted...
Article
Full-text available
The auditory system of mammals is dedicated to encoding, elaborating and transporting acoustic information from the auditory nerve to the auditory cortex. The acoustic radiation (AR) constitutes the thalamo-cortical projection of this system, conveying the auditory signals from the medial geniculate nucleus (MGN) of the thalamus to the transverse t...
Article
Neuroplasticity following sensory deprivation has long inspired neuroscience research in the quest of understanding how sensory experience and genetics interact in developing the brain functional and structural architecture. Many studies have shown that sensory deprivation can lead to cross-modal functional recruitment of sensory deprived cortices....
Preprint
Full-text available
Neuroplasticity following sensory deprivation has long inspired neuroscience research in the quest of understanding how sensory experience and genetics interact in developing the brain functional and structural architecture. Many studies have shown that sensory deprivation can lead to cross-modal functional recruitment of sensory deprived cortices....
Conference Paper
Full-text available
Synopsis: This study presents the first tractography-based atlas of the acoustic radiation from a population of 34 young healthy subjects. The atlas was constructed using high quality MRI data from the Human Connectome Project. The acoustic radiation reconstruction was optimized with a systematic evaluation of MRI acquisition and analysis parameter...
Article
Full-text available
The acoustic radiation is a compact bundle of fibers conveying auditory information from the medial geniculate nucleus of the thalamus to the auditory cortex. Topographical knowledge of this bundle in primates is scarce and in vivo diffusion-based tractography reconstructions in humans remains challenging, especially with the most widely used MRI a...
Article
Full-text available
Pure Word Deafness (PWD) is a rare disorder, characterized by selective loss of speech input processing. Its most common cause is temporal damage to the primary auditory cortex of both hemispheres, but it has been reported also following unilateral lesions. In unilateral cases, PWD has been attributed to the disconnection of Wernicke's area from bo...
Article
Geschwind, N. (1965). Disconnection syndromes in animals and man. Brain, 88, 237–94. Liepmann, H. (1898). Ein Fall von reiner Sprachtaubheit. In: Psychiatrische Abhandlungen (Wernicke, C., Ed.). Saffran, E.M., Marin, O.S., & Yeni-Komshian, G.H. (1976a). An analysis of speech perception in word deafness. Brain and Language, 3(2), 209–228. Slevc, L.R...
Article
The recent advent of diffusion imaging tractography has opened a new window into the in vivo white-matter anatomy of the human brain. This is of particular importance for the connections of the auditory system, which may have undergone substantial development in humans in relation to language. However, tractography of the human auditory pathways ha...

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