Fixel-based and tensor analysis of tractography-reconstructed anterior optic pathway in patients with sellar/parasellar tumor

This is the authors' abstract. We don't add key points for this paper.

Tumors of the sellar/paraellar region are likely to displace the optic chiasm, making it valuable to study the entire course and microstructural properties of the anterior optic pathway (AOP, including optic nerves, chiasm and optic tracts). We present the first fully automated tractography pipeline to entirely reconstruct the AOP. The pipeline was applied on a group of patients with sellar/parasellar tumors displacing the chiasm, achieving excellent reliability. We also estimated mean diffusivity, fractional anisotropy and fiber density along the AOP, demonstrating alterations in patients compared to controls, which we explain based on chiasmal compression.