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Hi Bruce,

Thanks for the prompt reply. It is my understanding that l_thickness,
r_thickness and estimated intracranial volume are accurately measured.
Would I still need to identify and remove outliers if visual inspection of
the images has not been done?

Many thanks,
Stephanie

On Wed, Nov 18, 2020 at 5:24 PM Stephanie K <rklin...@gmail.com> wrote:

> Hi,
> I want to estimate the mean cortical thickness. For this I have summed the
> thickness across all 34 regions mapped to the Desikan-Killiany atlas.
> However, I also have the average mean thickness of left and right
> hemispheres (direct output variables of Freesurfer). As there is no visual
> inspection of the imaging in the particular cohort, I remove measures that
> are 3 standard deviations above or below the mean. Hence, I may expect more
> outliers to be removed when I take the average across the regions. I am
> using these brain measures as outcomes in association analyses with the
> genetic score as the exposure. For the mean thickness (averaged across the
> left and right hemisphere thickness variables of freesurfer after removing
> outliers), the regression coefficients have a smaller standard deviation
> than with thickness averaged across the 34 regions. I’m not sure which one
> to use - which one is more accurate? When I look at the mean thickness
> (which I derived using 34 regions) and it’s standard deviation, it is
> similar to that of the average mean thickness across the two hemispheres as
> well as the standard deviation of that. Can you suggest what is most
> accurate please and what the difference is between the mean thickness
> across the two hemispheres obtained from freesurfer and those calculated
> across the regions? Why does one result in more precision than in the other?
>
> Thank you!
>
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