
: 2022, Volume 2 - 2 - CC By 4.0: © Smith et al.
O R I G I N A L R E S E A R C H A R T I C L E
directly facilitate one of the most fundamental parameters
of interest: the density of ‘connectivity’ between two brain
regions (10). A major contributing factor to this limitation
is that while the streamlines algorithm enforces that the re-
constructed trajectories obey the estimated orientations
of the underlying bre bundles, it provides no meaningful
control over the reconstructed densities of those bundles.
The class of ‘global tractography’ methods (11–15) has
for many years shown promise to circumvent this prob-
lem. While in the ‘streamlines’ algorithm individual white
matter trajectories are propagated independently and
using only local bre orientation information, these ‘glob-
al’ methods simultaneously solve for all connections at
once, in a manner that enforces the entire tractogram re-
construction to be consistent with the raw diffusion image
data. Even the most modern of these methods, however,
incur considerable computational expense (particularly
as reconstructions with greater numbers of connections
are sought), and typically do not provide any guarantees
regarding the construction of connections with biologi-
cally meaningful terminations, for instance, resulting in
terminations in the white matter or cerebrospinal uid
(CSF) that are otherwise considered erroneous (16,17).
A new class of ‘semi-global’ tractogram optimisation
algorithms offers a potential compromise (18–22); these
have additionally been referred to as ‘tractogram lter-
ing’, ‘microstructure-informed tractography’, and ‘top-
down’ algorithms in various contexts. These approaches
take as input a whole-brain tractogram generated using
one or more streamlines tractography algorithms and
modify the reconstruction in some way such that the local
streamlines densities become consistent with the density
of underlying bres evidenced by the image data. These
methods therefore enable quantitative assessment of
bre ‘connectivity’ (within the myriad other associated
limitations of diffusion MRI and streamlines tractogra-
phy), with whole-brain reconstructions that are sufciently
dense to enable higher-level analyses (e.g. connectomics
(23,24)) within reasonable computational requirements.
Despite the potential inuence of these methods on
the neuroimaging eld, they have had only limited up-
take. This may be due to a lack of awareness of the public
availability of such methods, or a lack of understanding
that these methods address some of the origins of the
limitations of raw streamline count as a metric of ‘con-
nectivity’. Furthermore, although these methods seek to
modulate the relative connection densities of different
white matter pathways within a single brain, the appro-
priate mechanism by which these quantities should be
compared across subjects has not yet been comprehen-
sively explained in the literature. This article therefore
serves three purposes, with the aim of increasing the util-
ity of these tools in the eld:
• Alert a wider audience to the fact that a primary
contributing factor to the non-quantitative nature
of streamlines counts can be addressed using freely
available methods;
• Carefully explain and demonstrate why the design of
these methods is appropriate to provide estimates of
white matter connection density, including in the con-
text of structural connectome construction;
• Explain how these estimates of connection density
should be handled when performing direct compari-
sons between subjects.
BACKGROUND
Before addressing the major points of this article, we rst
clarify the specic position and role of these ‘semi-glob-
al’ tractography optimisation algorithms, the ‘connectiv-
ity’ metric of interest to be derived from them, and the
limitations within which they operate.
Requisite knowledge
The specic ‘semi-global’ methods under discussion
here are intrinsically dependent on both voxel-level
modelling of diffusion MRI data and streamlines trac-
tography. As such, an adequate understanding of those
concepts will be necessary for readers to follow the logic
presented here; these topics are covered extensively by
prior publications (2,5,9,10,25–33).
Context and role of semi-global algorithms
Figure 1 presents the role of these methods within a trac-
tography-based reconstruction pipeline.
• Some biological white matter bundle of interest (Figure
1a; the connection between homologous motor areas
in this example) is interrogated using diffusion-weight-
ed imaging (Figure 1b). Due to the sizes of the under-
lying axons within the white matter relative to the im-
aging resolution, there will typically be of the order of
a million axons traversing any given image voxel.
The notion of a single scalar quantity of ‘connectivity’
of a white matter pathway is intrinsically ambiguous. If
quantifying such a property of the underlying biological
bundle, a reasonable interpretation would be the num-
ber of axons constituting the connection, as the informa-
tion-carrying capacity of the bundle could be reasonably
expected to scale in direct proportion to such. However,
precisely estimating this parameter is prohibited by the
limitations of diffusion-weighted imaging (DWI). The logic
behind the proposed total intra-axonal cross-sectional
area metric mentioned here in Figure 1 is discussed fur-
ther in the ‘Metric of “connectivity”’ section.
• A diffusion model estimates from these data, within
each image voxel, the orientations and densities of the
bre bundles within that voxel (Figure 1c–d).
• These orientation estimates are used by a streamlines
tractography algorithm to attempt to reconstruct in