Hi Martijn,

Thank you for the response! I believe you are right that it is a complex 
problem. It is true that the GM/WM border can sometimes by hard to identify in 
type I (leukocortical) lesions, but in in purely intracortical lesions, it is 
still readily identifiable. We also have corresponding 7T scans to help guide 
our edits. In this case we are specifically interested in looking at the 
relationship of cortical pathology and cortical thickness and are therefore 
still looking for a possible workaround.

Kind regards,
Tobias


On 15 jan 2016, at 15:49, Martijn Steenwijk 
<martijnsteenw...@gmail.com<mailto:martijnsteenw...@gmail.com>> wrote:

I do not think it is easy to solve the problem, because often it is unknown 
were the exact GM/WM border is in the lesion. Manual editing may introduce a 
bias to the CT, so probably it is better to leave it as a limitation of the 
method.

Best, Martijn


Van: 
freesurfer-boun...@nmr.mgh.harvard.edu<mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
 [mailto:freesurfer-boun...@nmr.mgh.harvard.edu] Namens Granberg, Erik Tobias
Verzonden: vrijdag 15 januari 2016 21:15
Aan: freesurfer@nmr.mgh.harvard.edu<mailto:freesurfer@nmr.mgh.harvard.edu>
Onderwerp: [Freesurfer] Cortical MS lesions - correcting pial surfaces

Dear FreeSurfer colleagues,

We’re working with MS data and wanted your input on how we could best handle 
patients with extensive cortical pathology causing inaccurate reconstructions 
of the surfaces. In short the pial surfaces “dips” in too deep towards the WM 
surface due to the T1-hypointensity.

A lot of the problems can be mediated by doing wm.mgz edits and actually 
including the lesioned tissues, which pushes out both surfaces to an accurate 
position. Sometimes though, the cortical lesion affects the whole depth of the 
surface and this trick does not help.

Is there any way to directly push out or “anchor” the pial surface?

Thank you for the help!

Kind regards,
Tobias

Post-doctoral research fellow
Multiple Sclerosis Imaging Group
MGH/HMS/MIT Athinoula A. Martinos Center for Biomedical Imaging
149 13th St Charlestown, MA 02129
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