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Dear Freesurfer Developers, 

I am currently running the Longitudinal Pipeline on a cohort with significant 
portions of brain tissue removed. The obtained base templates overall look 
reasonable, however, when overlaying the transformed session T1ws and flicking 
between them, there still are noticeable residual differences. This is not 
surprising, given the inevitable brain shift after tissue removal, which rigid 
registration cannot account for. In my search for a non-linear base template 
option I came across the "Longitudinal FreeSurfer with non-linear 
subject-specific template improves sensitivity to cortical thinning” ISMRM 
abstract 
(https://secure-web.cisco.com/1me4RY0enlek75e3PAqIseSGOO7tfF84eBwPlWXYndHKO5G2tJADVy-TNvBizJR-LC2_sMvVChG7l5Pa8fM2tIAiP3DQT-SSQTQqRMUoLjOtjqu6MziPDQmMNRY5acq-T2Ufgp-DfTUhXPmCjLOm0i9Su5AxbRJ9lgN0NROMe0D3NZQJ0s72k_2YyzwWh9hncuI8MPyo0OJm0D5IdIvd_8-X2QAvcS54AE_ctHqeQi5RdtlySv2EfrrbKcuNkH5npl63jHoUptIM9QgGYk0XMO4RsHZYRXlfQW1IXJ1n62rfuX8xXiSbcBFppSYPx0utW1SkV7zhUcfnHb0qhtJwUFw/https%3A%2F%2Farchive.ismrm.org%2F2020%2F1050.html)
 as well as related code on Github 
(https://secure-web.cisco.com/10WRpCPnvc4D9H2TOaZHsTUn0u7cWtVKoReU9EtexFnzvs4ApXqcGX5LXIAqA1gw_jDyZM0n74IRnrQrlh-uC5HiUAB3QqdEQ4zL9c8zhF_OLGSzGLytRBv-qE6DlzxoJtfknjZSMHEk9AVKlDkNKUwBjYFIOBfFv0DA9Yeb5gqDUcqqZAprEL025Pp2xpCpTM3ZS5Qm_zuM2FG1j0boLUTmrLOeHCk3ls6LB6hI03mwTM2feKe8q6B2xiqJvcLmC8dKpj0jL8EEzZNi8PpkbFflk3RYfghezpSY7yOXY-dgVEzNbcZOVNd4lNmn-aZBLK1zqNqtODLsPG0JOP_Q3wA/https%3A%2F%2Fgithub.com%2Fmu40%2Ffreesurfer%2Ftree%2Fnf-long-nonlin).

I was wondering whether you could provide insights into what you think the best 
strategy for obtaining reliable longitudinal cortical thickness measurements in 
such a dataset. Do you have a feel for whether the Longitudinal Freesurfer 
processing stream still provides benefits over Cross-Sectional analysis in the 
presence of large defects? Would you recommend giving the above-mentioned 
non-linear implementation a shot or were there other reasons the feature has 
not been implemented yet in the official version? 

Thanks already in advance!

Best 

Philip 
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