Hi Ani,

I really appreciate the time and effort you are putting in to help me find a 
solution to this problem. The surface does look much more promising.


Following your instructions in the email, I have been playing around with 
editing the wm.mgz and have been able to generate better wm surfaces. With 
these edits, will I also be able to improve the aparc.mgz and aparc+aseg.mgz?


Thanks so much,
Sabrina

________________________________
From: freesurfer-boun...@nmr.mgh.harvard.edu 
<freesurfer-boun...@nmr.mgh.harvard.edu> on behalf of Ani Varjabedian 
<a...@nmr.mgh.harvard.edu>
Sent: Tuesday, June 7, 2016 5:45:43 AM
To: freesurfer@nmr.mgh.harvard.edu
Subject: Re: [Freesurfer] Brainmask edit error

Hi Sabrina,
Just wanted to update you on my progress.

I tried editing the wm.mgz and filling in the hole to see if that might help 
things. If we can get the wm surface accurate then there is a good chance the 
pial surf (which grows from the white) will follow suit.
After I edited the wm surf I ran this command to quickly generate the next step 
and check prelim surfaces

 recon-all -fill -tessellate -s SUBJECT01_wmedit

I made a copy of your subject to keep track of my edits, that's why the name is 
a bit different. But basically I generated the filled volume (from the wm.mgz) 
and then made the surfaces ?h.orig.nofix. These are prelim surfaces to what 
will eventually become the wm surfaces. If they look good then there is hope 
that this edit might do the trick!

I've attached a screenshot and you can see that it did help push the surfs out 
a bit more. I obviously did not edit the wm.mgz as carefully or accurately as I 
could have but if this works then you can try it yourself with more knowledge 
of the stroke region.

So! The next step is to see what the ?h.white surfs look like and to do that I 
ran this command:

 recon-all -smooth1 -inflate1 -qshpere -fix -white  -s SUBJECT01_wmedit

I am getting these commands here:
https://surfer.nmr.mgh.harvard.edu/fswiki/ReconAllDevTable
This is a really helpful table that lists the FS pipeline and all the different 
steps so you can pick and choose which ones to run if you want to see a result 
quickly.

I didn't check which version of FS you were using. I'm running the dev version 
of 6.0 so some things might be a bit different but overall the major steps 
should be the same enough to make a comparison.
To see a list of your recon-all steps you can always use the -dontrun flag with 
your subject and it will just print out all the commands to the logfile without 
actually running them. It's a really good way to get a list of the steps and 
then you can look into what they do!

Anyways, when this is done I will update you on the white surfs. If they look 
good then I will try the next step which will be generating the pial!

Hope all is well and thank you again for being so patient during this busy time.
-Ani


On 06/02/2016 02:15 PM, Ani Varjabedian wrote:
Hi Sabrina,

I'm not entirely sure about that, but if my manual edits don't work I'll let 
Bruce know and we can discuss other workarounds.

-Ani

On 06/02/2016 12:55 PM, Sabrina Yu wrote:
Hi Ani,

Thanks so much for your explanation, it makes sense that the brain is too 
deformed for one continuous surface. If we are not able to find a workaround 
that creates a continuous surface, can I create a separate surface just for the 
stroke region? And generate average voxel intensity for that region?

Thanks,
Sabrina

On Jun 2, 2016, at 6:21 PM, Ani Varjabedian 
<<mailto:a...@nmr.mgh.harvard.edu>a...@nmr.mgh.harvard.edu<mailto:a...@nmr.mgh.harvard.edu>>
 wrote:

Hi Sabrina,

Usually we don't add voxels in the brainmask. We usually add to the wm.mgz 
which pushes the white surf out and ultimately the pial surf out (because it 
grows from the white).
If the area around the stroke on both sides looks good but there is a hole in 
the middle where there is no information or labels, then the surfaces will not 
connect all the way around it. They treat it like two separate pieces. Does 
this make sense? I'll try to play around with some different things (like 
adding to the wm.mgz) and see if I can get the surfaces to be continuous around 
this region.

Like Bruce said, it might end up being that the brain is too different from 
what freesurfer assumes a brain to look like, but I will try some work arounds 
and get back to you.

Thank you,
Ani

On 06/02/2016 08:18 AM, Sabrina Yu wrote:
Hi Ani,

Thanks for looking into this for me. I'm actually out of town right now, so 
cannot access the subject in front of me.

Yes, it is. As I am trying to generate the stats on intensity over an ROI, I am 
hoping to be able to generate good surfaces. To me, the aseg looks pretty good. 
The brain matter around the stroke area is recognized, but is not in the 
surfaces.

I only edited the brainmask.mgz. I unfortunately cannot tell you the exact 
slices that I edited until I am back, but I tried to recon edit and add in 
voxels in the stroke area. I did not notice major problems with the surface 
including dura or skull, so I did not really remove voxels. I'm not sure if how 
I did it is correct, but I tried to follow the wiki page on pial surface edits. 
The command I used to try to regenerate the surface was:  recon-all -subjid 
<SUBJECT> -autorecon2-pial

Thanks,
Sabrina

On Jun 1, 2016, at 4:39 PM, Ani Varjabedian 
<<mailto:a...@nmr.mgh.harvard.edu>a...@nmr.mgh.harvard.edu<mailto:a...@nmr.mgh.harvard.edu>>
 wrote:

Hello Sabrina,

I have received the subject and am looking at it now.
I've attached a screenshot that is similar to the one you sent. At [158, 115, 
124] I see a hole in the aseg, wm mask, so it makes sense that the brainmask 
does not cross over the area. Is this the area you wish to include? I just want 
to make sure I'm looking at the correct region.

What have you done so far to edit? I know you mentioned brainmask editing, but 
what specifically did you do?

Thank you,
Ani


On 05/25/2016 08:47 AM, Ani Varjabedian wrote:
Hi Sabrina,

Could you upload the whole subject folder to the FTP or to our filedrop? 
https://gate.nmr.mgh.harvard.edu/filedrop2/
I can play around with the data a bit to see if we can improve surfaces. If 
that doesn't work then we can discuss other options for how to get the 
information you need.

Thanks!

-Ani

On 05/23/2016 05:47 PM, Sabrina Yu wrote:

Thank you for your explanation. Would it be possible to find a workaround? I 
want to generate stats on intensity over an ROI for these stroke subjects. For 
the brain matter not included in the surface, can I create a volume label file 
in freeview instead of trying to edit the surfaces?

Thank you,
Sabrina
________________________________________
From: 
freesurfer-boun...@nmr.mgh.harvard.edu<mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
 
<freesurfer-boun...@nmr.mgh.harvard.edu><mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
 on behalf of Bruce Fischl 
<fis...@nmr.mgh.harvard.edu><mailto:fis...@nmr.mgh.harvard.edu>
Sent: Monday, May 23, 2016 12:30:30 PM
To: Freesurfer support list
Subject: Re: [Freesurfer] Brainmask edit error

because it violates too many of our assumptions about the topology and
geometry of the brain.

cheers
Bruce
On Mon, 23 May 2016, Sabrina Yu
wrote:



Hi Bruce,

Thank you for your reply. I've uploaded the .mgz and surfaces using FTP to 
FreeSurfer. Why is it that it may not be possible to get good surfaces with 
extensive strokes?

Thank you,
Sabrina
________________________________________
From: 
freesurfer-boun...@nmr.mgh.harvard.edu<mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
 
<freesurfer-boun...@nmr.mgh.harvard.edu><mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
 on behalf of Bruce Fischl 
<fis...@nmr.mgh.harvard.edu><mailto:fis...@nmr.mgh.harvard.edu>
Sent: Thursday, May 19, 2016 11:24:51 AM
To: Freesurfer support list
Subject: Re: [Freesurfer] Brainmask edit error

Hi Sabrina

it's tough to tell from just the 2 slices. If you upload the subject one
of us will take a look, but it may not be possible to get good surfaces
with that extensive a stroke

cheers
Bruce
On Wed, 18 May 2016, Sabrina Yu wrote:



Hello,


I'm having problems with regenerating the surfaces for stroke cases after
editing the brainmask.mgz file. In the aseg.mgz file, the brain matter
around lesion area is correctly classified as brain matter. In the pial
surface, this brain matter is not included.


I've tried to edit the brainmask.mgz file to include this region, but when I
run: recon-all -subjid <SUBJECT> -autorecon2-pial, the surfaces generated
are not changed at all.


I have attached some images to this email. I'm new to Freesurfer, so any
help would be greatly appreciated.


Thank you.







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<SUBJECT01.png>
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The information in this e-mail is intended only for the person to whom it is
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The information in this e-mail is intended only for the person to whom it is
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