Hi Stephanie

Sorry, I think I misunderstood. If you have visually inspected the analysis 
results and think that they are accurate then you definitely should leave those 
subjects in

Cheers
Bruce

From: freesurfer-boun...@nmr.mgh.harvard.edu 
<freesurfer-boun...@nmr.mgh.harvard.edu> On Behalf Of Stephanie K
Sent: Thursday, November 19, 2020 4:19 PM
To: Freesurfer support list <freesurfer@nmr.mgh.harvard.edu>
Subject: Re: [Freesurfer] Mean thickness estimation {Disarmed}


        External Email - Use Caution
Hi Bruce,

Is it also necessary to remove outliers (eg. 3 SD from the mean) for  
Freesurfer structural measures of MRI images that have been visually inspected 
as a further data cleaning step?

I really appreciate your help.

Thanks

On Thu, Nov 19, 2020 at 3:55 PM Fischl, Bruce 
<bfis...@mgh.harvard.edu<mailto:bfis...@mgh.harvard.edu>> wrote:
Hi Stephanie

I think that is always a  good idea, unless for some reason it isn’t possible

Cheers
Bruce

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 Stephanie K
Sent: Thursday, November 19, 2020 2:14 AM
To: freesurfer@nmr.mgh.harvard.edu<mailto:freesurfer@nmr.mgh.harvard.edu>
Subject: Re: [Freesurfer] Mean thickness estimation


        External Email - Use Caution
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<mailto: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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