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T1-MPRAGE and T2-FLAIR segmentation of cortical and subcortical brain regions—an MRI evaluation study

  • Diagnostic Neuroradiology
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Abstract

Purpose

Development of a warp-based automated brain segmentation approach of 3D fluid-attenuated inversion recovery (FLAIR) images and comparison to 3D T1-based segmentation.

Methods

3D FLAIR and 3D T1-weighted sequences of 30 healthy subjects (mean age 29.9 ± 8.3 years, 8 female) were acquired on the same 3T MR scanner. Warp-based segmentation was applied for volumetry of total gray matter (GM), white matter (WM), and 116 atlas regions. Segmentation results of both sequences were compared using Pearson correlation (r).

Results

Correlation of GM segmentation results based on FLAIR and T1 was overall good for cortical structures (mean r across all cortical structures = 0.76). Comparatively weaker results were found in the occipital lobe (r = 0.77), central region (mean r = 0.58), basal ganglia (mean r = 0.59), thalamus (r = 0.30), and cerebellum (r = 0.73). FLAIR segmentation underestimated volume of the central region compared to T1, but showed a better anatomic concordance with the occipital lobe on visual review and subcortical structures, when also compared to manual segmentation. Visual analysis of FLAIR-based WM segmentation revealed frequent misclassification of regions of high signal intensity as GM.

Conclusion

Warp-based FLAIR segmentation yields comparable results to T1 segmentation for most cortical GM structures and may provide anatomically more congruent segmentation of subcortical GM structures. Selected cortical regions, especially the central region and total WM, seem to be underestimated on FLAIR segmentation.

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Abbreviations

GM:

Gray matter

WM:

White matter

CSF:

Cerebrospinal fluid

FLAIR:

Fluid-attenuated inversion recovery

AAL:

Automatic Anatomical Labeling

3D:

Three-dimensional

TI:

Inversion time

TR:

Repetition time

TE:

Echo time

FSL:

Functional magnetic resonance imaging of the brain (FMRIB) software library

FAST:

FMRIB’s Automated Segmentation Tool

BET:

Brain extraction

AFNI:

Analyses of functional images

MNI:

Montreal Neurological Institute

FLIRT:

FMRIB’s linear image registration tool

FNIRT:

FMRIB’s nonlinear image registration tool

ICV:

Intracranial volume

r :

Pearson correlation

R:

Right

L:

Left

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Correspondence to Ebba Beller.

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No funding was received for this study.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Beller, E., Keeser, D., Wehn, A. et al. T1-MPRAGE and T2-FLAIR segmentation of cortical and subcortical brain regions—an MRI evaluation study. Neuroradiology 61, 129–136 (2019). https://doi.org/10.1007/s00234-018-2121-2

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  • DOI: https://doi.org/10.1007/s00234-018-2121-2

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