Multivariate analysis of diffusion tensor imaging data improves the detection of microstructural damage in young professional boxers.

In this study, we present two different methods of multivariate analysis of voxel-based diffusion tensor imaging (DTI) data, using as an example data derived from 59 professional boxers and 12 age-matched controls. Conventional univariate analysis ignores much of the diffusion information contained in the tensor. Our first multivariate method uses the Hotelling's T(2) statistic and the second uses linear discriminant analysis to generate the linear discriminant function at each voxel to form a separability metric. Both multivariate methods confirm the findings from the individual metrics of large-scale changes in the bilateral inferior temporal gyri of the boxers, but they also reveal greater sensitivity as well as identifying major subcortical changes that had not been evident in the univariate analyses. Linear discriminant analysis has the added strength of providing a quantitative measure of the relative contribution of each metric to any differences between the two subject groups. This novel adaptation of statistical and mathematical techniques to neuroimaging analysis is important for two reasons. Clinically, it develops the findings of a previous mild head injury study, and, methodologically, it could equally well be applied to multivariate studies of other pathologies.