Dear Nima,
Thanks for the interest in our work.
I don’t know if I would advise trying to segment these small subregions from 
such thick slices. But if you are set on doing that, I would probably run 
SynthSR first, and work with the synthetic 1mm isotropic T1s. You can run 
SynthSR on the T1s and T2s and keep the output that works best.
Cheers,
/Eugenio

--
Juan Eugenio Iglesias
http://www.jeiglesias.com

From: freesurfer-boun...@nmr.mgh.harvard.edu 
<freesurfer-boun...@nmr.mgh.harvard.edu> on behalf of Taghizadeh Mortezaei, 
Nima <ntaghizadehmortez...@mgh.harvard.edu>
Date: Friday, April 4, 2025 at 1:52 PM
To: Freesurfer support list <freesurfer@nmr.mgh.harvard.edu>
Subject: [Freesurfer] Guidance on SegmentHA with Low-Res MRI

Dear FreeSurfer Community,
I’m currently working with clinical MRI data and would appreciate your guidance 
regarding two issues I'm encountering with hippocampal/amygdala segmentation 
(segmentHA_T1.sh script). My available T1w and T2w scans both have 6 mm slice 
thickness and are anisotropic and I/m working with FreeSurfer 7.4.1.
Given the slice thickness and anisotropy, is it advisable to use 
recon-all-clinical instead of the standard recon-all as a preprocessing step? I 
understand that the segmentation scripts depend on the subject having a full 
recon-all directory, but I’m unsure whether recon-all-clinical can serve as an 
alternative for this purpose or if the standard recon-all is strictly required 
for compatibility with the hippocampal segmentation pipeline.
Would including the T2 scan be helpful if it has the same 6 mm slice thickness 
and anisotropic resolution as the T1?
Thank you very much for your time and help.

Best,

Nima

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