Diffusion Tensor Imaging Tractography Tutorial and Introduction to Major White Matter Tract Anatomy and Function

T.A. Hijaz, E.N. McComb, S. Badhe, B.P. Liu, and A.W. Korutz

View Article on Neurographics Website

Date of Activity Release: Jan. 8, 2019
Date of Activity Expiration: Jan. 8, 2022

Target Audience:
Intended for neuroradiologists and neuroradiology trainees with varying degrees of experience.

Learning Objective:
1) To describe the general physics principles behind DTI; 2) describe the proper locations for ROI placement when performing tractography of the major white matter tracts; 3) name white matter tracts based on shape, configuration, and position in the brain; and 4) describe functions of each of the major white matter tracts.

DTI is frequently acquired in clinical practice during the preoperative evaluation and clinical work-up of patients; however, many radiology practices still do not routinely provide postprocessed 3-dimensional images of the white matter tracts to the clinical services that ordered these studies. With standardized imaging and postprocessing techniques and a basic understanding of white matter anatomy, tractography can be performed quickly and reliably in clinical practice, often using postprocessing software that is already available for use by the radiologist. This article outlined the DTI protocol used at our institution, discussed the preferred locations of ROIs, addressed the optimal tractography parameters, and detailed the anatomy and function of the major white matter tracts.

Commercial Support
No commercial support was received for this activity.

Credit Designation Statement

The American Society of Neuroradiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Society of Neuroradiology designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:
Each participant will review the corresponding Neurographics article located at Upon completion, each physician will complete and pass a post-test with a score of at least 80% to receive a CME certificate.

All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)

Authors have no relevant financial relationships.





Barton Branstetter 

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Non-remunerative position, AUR6

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Associate Editor

Stockholder, Clinical Imaging

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Associate Editor

Grant, Atherysys, Inc.; Royalties, Thieme Medical Publishers

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Associate Editor

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Tina Young Poussaint

Associate Editor

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Dheeraj Ghandi

Associate Editor

Grant, Arstasis, Axera Inc.; Consultant, Covidien, EV3

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