Visualizing diffusion tensor MR images using streamtubes and streamsurfaces

We present a new method for visualizing 3D volumetric diffusion tensor MR images. We distinguish between linear anisotropy and planar anisotropy and represent values in the two regimes using streamtubes and streamsurfaces, respectively. Streamtubes represent structures with primarily linear diffusion, typically fiber tracts; streamtube direction correlates with tract orientation. The cross-sectional shape and color of each streamtube represent additional information from the diffusion tensor at each point. Streamsurfaces represent structures in which diffusion is primarily planar. Our algorithm chooses a very small representative subset of the streamtubes and streamsurfaces for display. We describe the set of metrics used for the culling process, which reduces visual clutter and improves interactivity. We also generate anatomical landmarks to identify the locations of such structures as the eyes, skull surface, and ventricles. The final models are complex surface geometries that can be imported into many interactive graphics software environments. We describe a virtual environment to interact with these models. Expert feedback from doctors studying changes in white-matter structures after gamma-knife capsulotomy and preoperative planning for brain tumor surgery shows that streamtubes correlate well with major neural structures, the 2D section and geometric landmarks are important in understanding the visualization, and the stereo and interactivity from the virtual environment aid in understanding the complex geometric models.