I think it does not include both, so yes you should add them.
On Fri, 13 Nov 
2009, Matt Clarkson wrote:

> Hi Bruce,
>
> in general, the vents look good. So, just one more question, if I may. I 
> notice that the segmentation labels have ventricles and choroid-plexus.
> So, in the wmparc.stats, and aseg.stats, does the volume of the left lateral 
> ventricle include the left choroid plexus, or should I add both numbers 
> together?
>
> Many thanks
>
> Matt
>
> ----- Original Message -----
> From: "Bruce Fischl" <fis...@nmr.mgh.harvard.edu>
> To: "Matt Clarkson" <clark...@drc.ion.ucl.ac.uk>
> Cc: freesurfer@nmr.mgh.harvard.edu
> Sent: Friday, November 13, 2009 3:09:58 PM GMT +00:00 GMT Britain, Ireland, 
> Portugal
> Subject: Re: [Freesurfer] Filling Big Ventricles
>
> Hi Matt,
>
> are the ventricles labeled properly in the aseg? If so, then you probably
> don't need to do anything. If not, then you'll need to manually edit
> them, and run from there forward (-make all should do it).
>
> cheers,
> Bruce
> On Fri, 13 Nov
> 2009, Matt Clarkson wrote:
>
>> Hi Bruce,
>>
>> Thanks. So it sounds like FreeSurfer 4.5 should now be adequately filling 
>> ventricles in the general case, and that -bigventricles offers didn't reach 
>> a level of robustness you were happy with, so best to avoid that? What about 
>> the flag -fillven on mri_edit_wm_with_aseg? Any use?
>>
>> In terms of the fix mentioned below, the fix literally is:
>>
>> 1. recon-all -all
>> 2. mri_binarize --i $SUBJECTS_DIR/$PD/mri/aparc+aseg.mgz --match 4 --match 
>> 43 --match 5 --match 44 --o $SUBJECTS_DIR/$PD/mri/vents.mgz --binval 255
>> 3. Add vents.mgz to wm.mgz
>> 4. recon-all -autorecon2-wm
>>
>> so, it could well be affecting the results more by virtue of the fact that 
>> we essentially perform a re-run?
>>
>> Thanks ever so much.
>>
>> Matt
>>
>>
>>
>> ----- Original Message -----
>> From: "Bruce Fischl" <fis...@nmr.mgh.harvard.edu>
>> To: "Matt Clarkson" <clark...@drc.ion.ucl.ac.uk>
>> Cc: freesurfer@nmr.mgh.harvard.edu
>> Sent: Friday, November 13, 2009 2:44:03 PM GMT +00:00 GMT Britain, Ireland, 
>> Portugal
>> Subject: Re: [Freesurfer] Filling Big Ventricles
>>
>> Hi Matt,
>>
>> yes, the filling procedure has evolved and is better in current versions
>> than previous ones.
>>
>> cheers,
>> Bruce
>>
>>
>> On Fri, 13 Nov 2009, Matt Clarkson wrote:
>>
>>> Hi Bruce,
>>>
>>> I agree with your point, however this method was instigated by a previous 
>>> person at our institution, so I'm looking at it afresh.  Also, the addition 
>>> of regions 4, 43, 5 and 44 does do "something". I agree though that when I 
>>> look at wm.mgz using tkmedit on a vanilla FreeSurfer run, it appears that 
>>> the white matter is a grey colour, and that the vents have been filled with 
>>> white (colour 255).
>>>
>>> So, is it possible that a previous version of FreeSurfer did not by default 
>>> try and fill the vents in, and now version 4.5 does by default attempt to 
>>> fill the vents in?
>>>
>>> Cheers
>>>
>>> Matt
>>>
>>>
>>> ----- Original Message -----
>>> From: "Bruce Fischl" <fis...@nmr.mgh.harvard.edu>
>>> To: "Matt Clarkson" <clark...@drc.ion.ucl.ac.uk>
>>> Cc: freesurfer@nmr.mgh.harvard.edu
>>> Sent: Friday, November 13, 2009 2:25:16 PM GMT +00:00 GMT Britain, Ireland, 
>>> Portugal
>>> Subject: Re: [Freesurfer] Filling Big Ventricles
>>>
>>> Hi Matt,
>>>
>>> the -bigventricles stuff is something I messed with for a while, but didn't
>>> get to work robustly and haven't gotten back to it. I'm not sure I
>>> understand your fix though. If the aseg properly labels the ventricles,
>>> then they should be filled in the wm.mgz, and if the aseg doesn't, then
>>> your fix doesn't help. Do you manually correct before doing this?
>>>
>>> cheers,
>>> Bruce
>>>
>>>
>>> On Fri, 13 Nov 2009, Matt Clarkson wrote:
>>>
>>>> Hi there,
>>>>
>>>> we have various Alzheimer cases, where the FreeSurfer pipeline can 
>>>> occasionally struggle to correctly segment the ventricles, which results 
>>>> in white matter and pial surfaces "leaking" into the ventricles.
>>>>
>>>> I have tried using -bigventricles passed into the autorecon2 stage, but I 
>>>> can't tell if its doing much. I checked the log files, and you can see 
>>>> -bigventricles passed to several binaries such as mri_ca_register and 
>>>> mri_ca_label, so the flag is definitely being passed from the command line.
>>>>
>>>> Is the -bigventricles meant to be used in this way, and what should it be 
>>>> doing?
>>>>
>>>> Also, I notice that the binary mri_edit_wm_with_aseg has a flag -fillven, 
>>>> but I can't find the documentation to say what it does and if I should be 
>>>> using it.
>>>>
>>>> So, we have previously used a technique whereby we run freesurfer once 
>>>> then create a vents image like:
>>>> mri_binarize --i aparc+aseg.mgz --match 4 --match 43 --match 5 --match 44 
>>>> --o vents.mgz --binval 255
>>>>
>>>> and then add this into the wm.mgz to fill some holes in. I have attached 
>>>> two .png files to illustrate the effect. In this example, I have chosen 
>>>> the slice where the surfaces just start to leak into the ventricles. So, 
>>>> on these snapshots, the problem looks quite small, but on other subsequent 
>>>> slices, you can get fairly large leakage into the ventricles.
>>>>
>>>> So, with these options, what would be the best way to cope with very 
>>>> abnormal ventricles?
>>>>
>>>> Many thanks in advance.
>>>>
>>>> Matt Clarkson
>>>>
>>>> Senior Research Associate
>>>> Dementia Research Centre
>>>> UCL
>>>> Institute Of Neurology
>>>> Queen Square
>>>> London WC1N 3BG
>>>>
>>>> m.clark...@ucl.ac.uk
>>>> Tel: 08451 555 000 ext. 723653
>>>> Fax: 020 7676 2066
>>>>
>>>>
>>>>
>>>
>>>
>>>
>>
>>
>>
>
>
>
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