TractoTransformer: Diffusion MRI Streamline Tractography using CNN and Transformer Networks

White matter tractography is an advanced neuroimaging technique that reconstructs the 3D white matter pathways of the brain from diffusion MRI data. It can be framed as a pathfinding problem aiming to infer neural fiber trajectories from noisy and ambiguous measurements, facing challenges such as crossing, merging, and fanning white-matter configurations. In this paper, we propose a novel tractography method that leverages Transformers to model the sequential nature of white matter streamlines, enabling the prediction of fiber directions by integrating both the trajectory context and current diffusion MRI measurements. To incorporate spatial information, we utilize CNNs that extract microstructural features from local neighborhoods around each voxel. By combining these complementary sources of information, our approach improves the precision and completeness of neural pathway mapping compared to traditional tractography models. We evaluate our method with the Tractometer toolkit, achieving competitive performance against state-of-the-art approaches, and present qualitative results on the TractoInferno dataset, demonstrating strong generalization to real-world data. Our code is publicly available at https://github.com/ItzikWaizman/TractoTransformer.