Abstract

Several automatic image segmentation methods and few atlas databases exist for analysing structural T1-weighted magnetic resonance brain images. The impact of choosing a combination has not hitherto been described but may bias comparisons across studies. We evaluated two segmentation methods (MAPER and FreeSurfer), using three publicly available atlas databases (Hammers_mith, Desikan-Killiany-Tourville, and MICCAI 2012 Grand Challenge). For each combination of atlas and method, we conducted a leave-one-out cross-comparison to estimate the segmentation accuracy of FreeSurfer and MAPER. We also used each possible combination to segment two datasets of patients with known structural abnormalities (Alzheimer’s disease (AD) and mesial temporal lobe epilepsy with hippocampal sclerosis (HS)) and their matched healthy controls. MAPER was better than FreeSurfer at modelling manual segmentations in the healthy control leave-one-out analyses in two of the three atlas databases, and the Hammers_mith atlas database transferred to new datasets best regardless of segmentation method. Both segmentation methods reliably identified known abnormalities in each patient group. Better separation was seen for FreeSurfer in the AD and left-HS datasets, and for MAPER in the right-HS dataset. We provide detailed quantitative comparisons for multiple anatomical regions, thus enabling researchers to make evidence-based decisions on their choice of atlas and segmentation method.

Highlights

  • Accurate segmentation of T1-weighted magnetic resonance (MR) brain images into anatomical regions is a regular prerequisite of quantitative analysis

  • We investigated the relationship between coefficient of variance (CV) and surface-to-volume ratio (SVR) in each atlas database with two-tailed Pearson’s correlation coefficient tests, since the overlap measures used to measure segmentation accuracy are inherently sensitive to region volume and SVR, where the same level of inaccuracy in segmentation leads to a larger reduction in the overlap measure in regions with large SVRs48

  • After accounting for intracranial volume (ICV), post-hoc tests showed that CVs were significantly higher in the MGC2012 atlas compared to both HM (p = 0.005) and DKT40 (p = 0.009), and SVRs were significantly different between all pairs of atlas databases (HM vs. DKT40: p = 0.004; MGC2012 vs. DKT40 & HM: both p < 0.001)

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Summary

Introduction

Accurate segmentation of T1-weighted magnetic resonance (MR) brain images into anatomical regions is a regular prerequisite of quantitative analysis. MAPER is typically used with the volume-based Hammers_mith (HM) atlases, which are available online (http://brain-development.org) and were published with detailed delineation protocols[22,23,24,25,26] and have been extended to infants[23] and newborns[27,28]. Both FreeSurfer and MAPER enable users to apply another atlas database of their choosing[29]. Unknown how either of the methods perform when users apply non-native atlases

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