No, I don't think so.

On 5/14/2025 11:51 AM, Arianna Menardi wrote:

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Thank you Stefano!

Just an additional curiosity, is there any function within Freesurfer that you think could be used to map and quantify microbleeds in SWI data?

Thanks for the help,
Arianna

Il giorno mer 14 mag 2025 alle ore 17:26 Stefano Cerri <ste.45....@gmail.com> ha scritto:

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    Hi Arianna,

    1) Yes. Please note that the method was tuned and mostly tested on
    MS patients.

    2) These two versions of SAMSEG model WMH/ WM lesions differently
    and cannot be directly compared. The basic SAMSEG is not designed
    for accurate WMH or WM lesion estimation. Note that you can use
    the lesion version of SAMSEG on scans without lesions (see Fig. 6
    here
    
<https://secure-web.cisco.com/1KM7GJ1i4uKDVvBOOHjfxLxbNpEbDV37ju32_ri0-iGtre9ZQKasYmqnwK6bi5vzt5-BaRS02ywgcOcI--IezHyHTAKt807vpLrXUZvO33iKmYOL0EeUkqkVhKXj38poEFY9bY4Djm69SgNrHqC2TpJRpU5OQUybXs5s7nPnXPv0ArkvG_YpXaiip_cs58dLk8TygUTgVuRtW8x9gYHo_BSTpTQs6pwsWwQ2nel-ejGeDe1nkcKTJcqBaT8vZrbLqyVpzVwZRXQDIXUhOjCyNPkbtTJdnT8BSGUjOyXcMp0Etejbfjh9bThJhaEK0tzEhXSLDLIgxCcSmrxk53keXlg/https%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS1053811920309563>).

    3) Yes. Note that SWI data might not add valuable information to
    the lesion and whole-brain segmentation task. My suggestion is to
    visually inspect a couple of subjects with and without SWI data.

    Stefano

    Sent on behalf of Arianna Menardi:
    ----
    Dear Experts,
    I'm trying to quantify the volume of some white matter lesions in
    an elderly group. I have tried using both Samseg cross-sectional,
    as well as Samseg for MS lesions.
    I am new to the approach so I have 3 main questions:
    1. Can I use Samseg for MS lesions even if my patients present WM
    lesions but are not MS patients?
    2. the estimated values of WM-hypointensities derived from the
    basic version of Samseg are almost half in size compared to the
    output 'Lesions" of Samseg specific for MS lesions. What is hence
    the difference between the two approaches that could explain such
    a big difference in the output?
    3. Can I use Samseg combining T1w, FLAIR and SWI data? Or the
    algorithms are not suited for SWI images?
    Thank you for your help,
    Arianna
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