Structural Analysis Practical


Practical Overview


FAST

In this section we segment single T1-weighted images with FAST and look at how to quantify the grey matter volume and amount of bias field present.

FAST Input Preparation - BET

To begin with we will prepare data for FAST; this requires running BET for brain extraction. In addition, just for this practical, we will also extract a small ROI containing a few central slices so that FAST only takes a minute to process the data, instead of 10-15 minutes for a full brain.

cd ~/fsl_course_data/seg_struc/fast

Run BET on the input image structural to create structural_brain (type Bet for the GUI or bet for the command-line program).

Look at your data
View the output to check that BET has worked OK (e.g. change the colourmap for structural_brain to say Red-Yellow):

fslview structural structural_brain &

Create a cut-down version (containing a few central slices) of the brain-extracted image using the region-of-interest program fslroi . This will let you try out some of the FAST options without having to wait more than a minute each time.

fslroi structural_brain structural_brain_roi 55 150 15 200 65 5

Open structural_brain_roi in FSLView to see the cut-down image. See how few slices are left.

Image with Bias Field

You will also find an image in this directory called structural_brain_roi_inhomog which contains the same section of the same brain but with a different bias field or inhomogeneity (looking a bit more like a surface-coil acquisition).

Add structural_brain_roi_inhomog to the already open FSLView (or open a new one and load structural_brain_roi first) and then look at the difference between these images. Note how both grey matter and white matter are darker in the left anterior portion of the inhomogeneous image.


FAST - Single Channel Example

Run FAST on both structural_brain_roi and structural_brain_roi_inhomog. Use the GUI (Fast [or Fast_gui on a Mac]) and turn on the "Estimated bias field" button (which saves a copy of the bias field). For the structural_brain_roi_inhomog case also open the "Advanced Options" tab and change the "Number of iterations for bias field removal" to 10 to account for the strong bias field in this case. Finally, don't forget to check that the output name is different for the two runs! Once this is set up press "Go" for both - they should only take a minute to run.

View and compare the two *_seg.nii.gz output segmentations.

Partial Volume Segmentation
Now let's look at the partial volume segmentations. View the different outputs in FSLView by first loading structural_brain_roi, then loading the PVE images as overlays, adjusting the overlay transparency as necessary. Note that you can tell FSLView what colourmaps and intensity ranges to use from the command line:

fslview structural_brain_roi structural_brain_roi_pve_0 -l Green -b 0.5,1 \
      structural_brain_roi_pve_1 -l Blue-Lightblue -b 0.5,1 \
      structural_brain_roi_pve_2 -l Red-Yellow -b 0.5,1 &

Identify which PVE component is the grey matter. Choose a voxel on the border of the grey matter and look at the values contained in the three PVE components. The values represent the volume fractions for the 3 classes (GM, WM, CSF) and should add up to one. Now pick a point in the middle of the grey matter and look at the three values here.

The PVE images are the most sensitive way to calculate the tissue volume which is present. For example, we can find the total GM volume with fslstats by doing:

fslstats structural_brain_roi_pve_1 -m -v
The first number reported by fslstats gives the mean voxel GM PVE across the whole image and the third number gives the total volume of the image (in mm3), so multiplying these together gives the total GM volume in mm3 (for more details on fslstats just type fslstats to see its usage description).

Bias Field Correction
Now let's look at the bias field outputs - structural_brain_roi_bias and structural_brain_roi_inhomog_bias (these are FAST's estimates of the bias fields). View these in FSLView and set the display ranges to be equal for both images (e.g. 0.6 to 1.4). Notice how much stronger the second one is.

Advanced: Work out how to use fslmaths to compare the estimated bias field between these cases. Create restored images using these bias field estimations and test how well this difference explains the additional bias field (which was artificially added in this case).


FIRST

In this section we lead you through examples of subcortical structure segmentation with FIRST, and some post-fitting statistical analyses.
cd ~/fsl_course_data/seg_struc/first/

Segmentation of structures

We begin by segmenting the left hippocampus and amygdala from a single T1-weighted image (from the OASIS database). The image is con0047_brain.nii.gz.

Load this into FSLView to start with to see the image.
Note that although this is not normally done, this image has had brain extraction run on it. This is due to the anonymisation done to the original image.

To perform the segmentation of the left hippocampus and amygdala we simply need to run one command:

run_first_all -i con0047_brain -b -s L_Hipp,L_Amyg -o con0047 -a con0047_brain_to_std_sub.mat

This command (or script) will run several steps for you and has several options. It will take about 4-5 minutes to run, so while it is running read through the following description.

Options used in run_first_all


-i specifies the input image (T1-weighted)
-o specifies the output image basename (extensions will be added to this)
-b specifies that the input image has been brain extracted
-s specifies a restricted set of structures to be segmented (just two in this case)
-a specifies the affine registration matrix to standard space (optional)

The run_first_all script uses the best set of parameters (number of modes, intensity reference) to run for each structure, as determined by empirical experiments. Therefore it is not necessary to specify these values when running the method.

Normally the affine registration would be run as part of this script (just leave off the -a option and it will be done automatically), but it has been pre-supplied here in order to save time - as the registration takes about 6 minutes.

We will now go through how this script works and what to look for in the output.

Check the registration

Load the image con0047_brain_to_std_sub.nii.gz together with the 1mm standard space template image. Look at the alignment of the subcortical structures. It should be quite close but we do not expect it to be perfect.

This registration is normally created by run_first_all as the initial stage, but has been included here from a previous run to save time. The registration should always be performed using the tools in FIRST since it does a special registration, optimised for the sub-cortical structures. It begins with a typical 12 DOF affine registration using FLIRT, but then refines this in a second stage with a sub-cortical weighting image that concentrates purely on the sub-cortical parts of the image. Thus the final registration may not be as good in the cortex but will better fit the sub-cortical structures. However, this registration only removes the global affine component of the differences in the structures and hence will not be that precise. In addition it, crucially, leaves the relative orientation (pose) between the structures untouched.

Always make sure you check that the registration has worked before looking at other outputs.

We will now move onto looking at the other outputs which should have been generated by run_first_all at this point. If the run_first_all command has not finished have a quick look at the FIRST documentation page.

Before doing anything else we will check the output logs to see if any errors have occured. Do this with the command:
cat con0047.logs/*.e*
If everything worked well you will see no output from this, otherwise it will show the errors. If any errors are shown, ask a tutor about them. You should always check the error files in the log directories for FIRST and other FSL commands that create log directories like this (e.g. TBSS, FSL-VBM, BEDPOSTX, etc.).

Boundary corrected segmentation output

In FSLView, open the image con0047_brain and add the image con0047_all_fast_firstseg on top.

This *_firstseg image shows the combined segmentation of all structures based on the surface meshes that FIRST has fit to the image. It is in the native space of the structural image (not in the standard space, although the registration before was required to move the model from the standard space back into this image's native space).

As converting the underlying FIRST meshes to a voxel-based image can create overlap at the boundaries, these boundary voxels have been "corrected" or re-classified by run_first_all using the default method (here it is FAST - which classifies the boundary voxels according to intensity). Look at the uncorrected segmentations with the following:

fslview con0047_brain con0047_all_fast_origsegs.nii.gz -l Red-Yellow -b 0,118 &

Each structure is labeled with a different intensity value inside and 100 + this value for the boundary voxels (the con0047_all_fast_origsegs image is a 4D image with each structure in a different volume). The intensity values assigned to the interior of each structure is given by the CMA labels.

Have a look at these images to see how good the segmentation is. Play with the transparency settings (or turn the segmentation on and off) to get a feeling for the quality.

This corrected image is normally the one that you would use to define an ROI or mask for a particular subcortical structure. An uncorrected image (showing all the unclassified boundary voxels) is also available -- see the optional practical at the end.


Vertex Analysis using first_utils

cd ~/fsl_course_data/seg_struc/first/shapeAnalysis

Vertex analysis (or shape analysis) looks at how a structure may differ in shape between two groups (e.g., patients and controls). It looks at the differences directly in the meshes, on a vertex by vertex basis. This is different from using a whole-structure summary measure like volume, as it allows us to visualise the region of the shape that is changing as well as the type of shape change.

first_utils uses a multivariate test to measure difference in mean vertex location between two groups of subjects. The test uses Pillai's trace to derive an F-statistic and the output shows the mean surface displacement vectors between groups as well as the F-statistic values.

Here we will use an example dataset consisting of 8 subjects (5 controls and 3 Alzheimer's patients) which we will do an analysis on. As the numbers are lower it will have fairly low statistical power, but in this case it still shows a clear effect. A full analysis, on a larger set of subjects, would proceed in exactly the same way.

List the files in this directory - we have already run FIRST on each subject in order to get a segmentation of the left hippocampus. So you will see files such as:

con0047_brain.nii.gz           
con0047_brain_to_std_sub.mat   
con0047_brain_to_std_sub.nii.gz
con0047.com                    
con0047-L_Hipp_corr.nii.gz     
con0047-L_Hipp_first.bvars     
con0047-L_Hipp_first.nii.gz    
con0047-L_Hipp_first.vtk       
con0047.logs  
most of them should be familiar from the previous example. Because only a single structure was run, the uncorrected segmentation is saved as con0047-L_Hipp_first and the boundary corrected segmentation is saved as con0047-L_Hipp_corr (rather than the names used before in the case of multiple structures). However, for vertex analysis we will be using the .bvars files as they contain the information about the sub-voxel mesh coordinates.

Running vertex analysis

In general, to run shape analysis, you need to do the following:

We are now ready to run first_utils and perform the vertex analysis. We will do the analysis using --useReconMNI to reconstruct the surfaces in MNI152 space (though note that an alternative would be to reconstruct the surfaces in the native space using --useReconNative).

Perform the vertex analysis using the command:

first_utils --usebvars --vertexAnalysis -i all.bvars  -o diff_con0_dis1_L_Hipp_mni -d design_con0_dis1.mat --useReconMNI

If you are running the above command on a personal install of FSL, it may fail unless FSL is installed at /usr/local/fsl .

Viewing vertex analysis output

Now we will load the output of the vertex analysis, diff_con0_dis1_L_Hipp_mni1.vtk, into the 3D viewer in FSLView and see the vectors on the surface that depict the displacement between group means.

FSLView 3D Mesh Toolbar:     3D mesh toolbar

Start fslview and press File -> Open standard; select the MNI152 nonlinear brain (MNI152_T1_1mm_brain). Start the 3D rendering tool (Tools -> 3D Viewer). For ease of visualization, turn off the main surface by double-clicking on MNI152_T1_1mm_brain in the image layer list at the bottom. Now add the surface using the surface add button [3] and select the file diff_con0_dis1_L_Hipp_mni1.vtk.

Note that the colour coding shown describes the F-statistic for a given vertex (with red for low F-values and blue for high F-values).

Now open the mesh options menu[4].

FSLView 3D Mesh Options:     3D mesh options

You will have to open a separate FSLView for each file in order to interact with them properly.

Some notes for running vertex analysis in practice


SIENA

cd ~/fsl_course_data/seg_struc/siena
ls

The example data is two time points, 24 months apart, from a subject with probable Alzheimer's disease. The command that was used to create the example analysis is (don't run this - it takes too long!):

siena sub3m0 sub3m24 -d -m -b -30
The -d flag tells the siena script not to clean up the many intermediate images it creates - you would not normally use this. The other options are explained later.

SIENA has already been run for you. Change directory into the SIENA output directory:

cd sub3m0_to_sub3m24_siena
ls
In the SIENA output directory the first timepoint image is named "A" and the second "B", to keep filenames simple and short. To view the output report, open report.html in a web browser. The next few sections take you through the different parts of the webpage report, which correspond to the different stages of the SIENA analysis.

BET brain extraction results

First BET was run on the two input images, with options telling it to create the skull surface image and the binary mask image, as well as the default brain image.

Other BET options can be included in the call to siena by adding -B "betopts" - for example
-B "-f 0.3" on the siena command line tells siena to pass on the -f 0.3 option to BET, which causes the estimated brain to be larger if the value used is less than 0.5, and smaller otherwise.

You also might need to use the -c option to BET if you need to tell BET where to center the initial brain surface, such as when you have a huge amount of neck in the image. For example, if it looks like the centre of the brain is at 112,110,78 (in voxels, e.g. as viewed in FSLView), and you want to combine this option with the above -f option, you would add, to the siena command,
-B "-f 0.3 -c 112 110 78"

You can see the two brain and skull extractions in the webpage report. If you want to see these in more detail, open the relevant images in FSLView, for example:

fslview A A_brain -l Red-Yellow A_brain_skull -l Green

Be aware that the skull estimate is usually very noisy but that it is only used to determine the overall scaling and this process is not very sensitive to the noise as long as the majority of points lay on the skull.


FLIRT A-to-B registration results

Now the two time points are registered using the script siena_flirt. This runs the 3-step registration (brains, then skulls, then brains again). The transformation is "halved" so that each image can be transformed into the space halfway between the two. The webpage report shows the alignment of the two brains in this halfway space. You need to check that the two timepoints are fundamentally well-aligned, with only small (e.g. atrophy) changes between them. Look out for mistakes such as: the two images coming from different subjects, one image being left-right flipped relative to the other one, or one image having bad artefacts.

If you want to look at the registration in more detail:

fslview A_halfwayto_B_brain B_halfwayto_A_brain

FLIRT standard space registration results

Now, if standard-space-based masking has been requested (it was in this case), the two brain images are registered to the standard brain ${FSLDIR}/data/standard/MNI152_T1_2mm_brain using FLIRT. The transforms (and their inverses) are saved. The two brains are registered separately and their transforms compared to test for consistency.

The webpage report shows the two images transformed into standard space, with the overlaying red lines derived from the edges of the standard space template, for comparison.


Field-of-view and standard space masking

If the -m option was set, a standard space brain mask is now transformed into the native image space and applied to the original brain masks produced by BET. This is in most areas a fairly liberal (dilated) brain mask, except around the eyes.

If the -t or -b options are set then an upper or lower limit (in the Z direction) in standard space is defined, to supplement the masking. This is useful, for example, to restrict the field-of-view of the analysis if you have variable field-of-view at the top or bottom of the head in different subjects.

The webpage report shows the -m brain masking in blue, the -t/-b masking in red (you can see the effect of the -b -30 option), and the intersection of the two maskings in green. It is this intersection that is what gets finally used.


FAST tissue segmentation

In order to find all brain/non-brain edge points, tissue-type segmentation is now run on both brain-extracted images. The GM and WM voxels are combined into a single mask, and the mask edges (including internal ventricle edges) are used to find edge motion (discussed below). The webpage report shows the two segmentations.

Change Estimation

The final step is to carry out change analysis on the registered masked brain images. At all points which are reported as boundaries between brain and non-brain, the distance that the brain surface has moved between the two time points is estimated. The mean perpendicular surface motion is computed and converted to PBVC (percentage brain volume change).

The webpage report shows the edge motion colour coded at the brain edge points, and then shows the final global PBVC value. To see the edge motion image in more detail:

fslview A_halfwayto_B_render

"LOOK AT YOUR DATA" - SIENA Problem Cases

We now look at 4 examples of "problem cases" - these were real cases that occurred in one study; they illustrate some of the problems/mistakes that sometimes occur.

Example 1

cd ~/fsl_course_data/seg_struc/siena_problems/eg1/S2_032_ax_to_S2_164_ax_siena

Open report.html in a web browser.

Look at the FLIRT A-to-B registration results. Can you tell what's wrong? If you're unsure, click here.

Example 2

cd ~/fsl_course_data/seg_struc/siena_problems/eg2/S2_039_ax_to_S2_142r_ax_siena

Open report.html in a web browser.

Look at the FLIRT A-to-B registration results. Can you tell what's wrong? If you're unsure, click here.

Example 3

cd ~/fsl_course_data/seg_struc/siena_problems/eg3/S2_080_ax_to_S2_121_ax_siena

Open report.html in a web browser.

Look at the FLIRT A-to-B registration results. Can you tell what's wrong? If you're unsure, click here.

Example 4

cd ~/fsl_course_data/seg_struc/siena_problems/eg4/S2_002_ax_to_S2_162_ax_siena

Open report.html in a web browser.

Look at the FLIRT A-to-B registration results. Can you tell what's wrong? If you're unsure, click here.


FSL-VBM

In this section we look at a small study comparing patients and controls for focal differences in grey matter density, using FSL-VBM. Most of the steps have already been carried out, as there isn't enough time in this practical to run all of the registrations required to carry out a full analysis from scratch.

cd ~/fsl_course_data/seg_struc/vbm

Do an ls in the directory. Note that we have renamed the image files with some prefixes so that all controls and patients would be organised in "blocks". This is to make the statistical design easily match the alphabetical order of the image files (who will be later concatenated to be statistically analysed).

We have 10 controls and 8 patients and wish to carry out just a control>patient comparison. First, we need to define the statistical design, which will be here a simple two-tailed t-test to compare both groups. For this, use the Glm gui to generate simple design.mat and design.con files, using the higher-level/non-timeseries tab in the GLM setup window. At this point, you need to enter the appropriate overall number of subjects as inputs in the GLM setup window (here n=18, then press enter), and then use the wizard button of the GLM setup window with the "two groups, unpaired option" and appropriate number of subjects for the first group (here ncontrols=10). If the design looks correct, then save it by pressing "save" in the GLM setup window and give it the output basename of "design". In this analysis, only the design.mat and design.con files will be used.

Moreover, as we have more controls than patients, you will need to list the subjects used for the creation of the study-specific template by missing out the last 2 controls for instance (con_3699.nii.gz and con_4098.nii.gz), so that the number of controls used to build this study-specific template matches the number of patients in the template_list text file:

for g in con_1623.nii.gz con_2304.nii.gz con_2878.nii.gz con_3456.nii.gz con_3641.nii.gz con_3642.nii.gz \
con_3668.nii.gz con_3670.nii.gz pat_1433.nii.gz pat_1650.nii.gz pat_1767.nii.gz pat_2042.nii.gz pat_2280.nii.gz \
pat_2632.nii.gz pat_2662.nii.gz pat_2996.nii.gz; do
echo $g >> template_list
done

Preprocessing

We first ran the initial FSL-VBM script, fslvbm_1_bet. This moved all the original files into the origdata folder; to see what they all look like, view the following in a web browser:
origdata/slicesdir/index.html. This has also created some brain-extracted images. We actually ran fslvbm_1_bet both with the 'default' -b option and then, because the original images have a lot of neck in them, which was often being left in by the default brain extractions, we ran using the -N option. Compare the different results from the two options by loading in the two web pages:
struc/slicesdir-b/index.html
and
struc/slicesdir-N/index.html
It is very obvious which option is working well and which one isn't!

Next all the brain images are segmented into the different tissue types, and then the study-specific GM template is created, by registering all GM segmentations to standard space, and averaging them together. The command used was:

(don't run this!) fslvbm_2_template -n

You can view all of the alignments to the MNI152 initial standard space by running the following, and turning on FSLView movie mode:
fslview struc/template_4D_GM
and then view the alignment of the study-specific template to the MNI152 standard space with:
fslview ${FSLDIR}/data/standard/MNI152_T1_2mm struc/template_GM -l Blue-Lightblue -b 0.2,1 &

Finally, the registrations to the new, study-specific, template were run for all subjects, and modulated by the warp field expansion (Jacobian), before being combined across subjects into the 4D image stats/GM_mod_merg. An initial GLM model-fit is run in order to allow you to view the raw tstat images at a range of potential smoothings. This was achieved by running:

(don't run this!) fslvbm_3_proc

So now you can have a look at the initial raw tstat images created at the different smoothing levels, pick the one you "like" best.

cd stats
fslview template_GM -b .1,1 GM_mod_merg_s4_tstat1 -b 2.3,6 \
      GM_mod_merg_s3_tstat1 -b 2.3,6 GM_mod_merg_s2_tstat1 -b 2.3,6 &

The different images that you can see in the stats directory are:

You are now ready to carry out the cross-subject statistics. We will use randomise for this, as the above steps are very unlikely to generate nice Gaussian distributions in the data. Normally we would run at least 5000 permutations (to end up with accurate p-values), but this takes a few hours to run, so we will limit the number to 100 (to get a quick-and-dirty result). We will also use TFCE thresholding (Threshold-Free Cluster Enhancement - this is explained in the randomise lecture) which is similar to cluster-based thresholding but generally more robust and sensitive.

For example, if you decide that the appropriate amount of smoothing is a HWHM of 3mm, then the following will run randomise with TFCE and a reduced number of 100 iterations:

randomise -i GM_mod_merg_s3 -o tmp -m GM_mask -d design.mat -t design.con -n 100 -T -V
fslview template_GM -b .1,1 tmp_tfce_corrp_tstat1 -l Red-Yellow -b 0.8,1

In this example we set the corrected p-threshold to 0.2 (i.e. 0.8 in FSLView), because of the reduced numbers of subjects in this example and hence low sensitivity to effect - you would not be allowed to get away with this in reality!







Multi-Channel FAST (Optional)

cd ~/fsl_course_data/seg_struc/fast

In sub2_t1 and sub2_t2 are T1-weighted and T2-weighted images of the same subject. Are they well aligned? You can get an easy non-interactive combined view of two images (which must have the same image dimensions) with slices:

slices sub2_t1 sub2_t2

They look reasonably aligned in sagittal and coronal view, but axial views clearly show misalignment between scans. Before running multi-channel FAST it is necessary to use FLIRT to register the data. Start by running BET on each image to remove the non-brain structures. Then start the FLIRT GUI:

Flirt_gui &     

For example, set sub2_t1_brain as the Reference image and set sub2_t2_brain as the Input image. Set the Output image to something like sub2_t2_to_t1 and the DOF to 6. All the other FLIRT defaults should be fine, but you could save some processing time by telling FLIRT that the images are Already virtually aligned (in Advanced->Search->Images). FLIRT will take a minute or two to run.

Load sub2_t1_brain and sub2_t2_to_t1 into FSLView to check the result of the registration. Make the higher image in the list show as Red-Yellow and increase its transparency so that you can see how good the overlap is.

You can now forget sub2_t2.

Run FAST (with the Number of input channels set to 2) on the multi-channel brain-extracted images sub2_t1_brain and sub2_t2_to_t1_brain (or whatever you called these BET outputs). Asking for the default number of classes (3 - assumed to be GM/WM/CSF) gives poor results because bits of other tissues outside of the brain are given a class - so you should run with 4 classes; then results should be good. This takes a few minutes; move on to the next part of the practical and view the results once fast has finished running.


Advanced: FAST - Other Options

If you have time to spare after finishing the other practical parts then you can come back and test the effect of various FAST options, obtained by typing:
fast -h
You could also work out how to colour-overlay segmentation results onto the input image using overlay.


FIRST (Optional)

Uncorrected segmentation output

cd ~/fsl_course_data/seg_struc/first

This follows on from the initial part of the FIRST practical above and assumes that run_first_all has been successfully run. Having considered the boundary corrected segmentation previously, we now turn to look at the uncorrected segmentation.

The uncorrected segmentation shows two types of voxels: ones that the underlying surface mesh passes through (boundary voxels) and ones that are completely inside the surface mesh (interior voxels). FIRST uses a mesh to model the structure when doing the segmentation, so converting this to a volume requires it to be split into boundary and interior regions like this. We will use the mesh outputs (the *.vtk files) later to do vertex analysis, which utilises the sub-voxel precision.

We will now look at the uncorrected volumetric segmentations:
fslview con0047_brain con0047_all_fast_origsegs

To view the segmentation better change the colourmap of the segmented image to "Red-Yellow" and make the "Max" display range value to 100 for this image. Note that you see the interior voxels and the boundary voxels in different colours. This is because the boundary voxels are labeled with a value equal to 100 plus that of the interior voxels. That is, the interior and boundary voxels for the left hippocampus are labeled 17 (the CMA label designation for left hippocampus) and 117 respectively.

The volume con0047_all_fast_origsegs is a 4D file containing each structure's segmentation in a separate 3D file. If you change the "Volume" control on FSLView to go from 0 to 1 then you will see the left amygdala result. These are separated in case these uncorrected segmentations overlap. Play with the transparency settings (or turn the segmentation on and off) to see how good the segmentation is.

These images require boundary correction which is done automatically by run_first_all. However, there are alternative methods for doing the boundary correction which you can specify with run_first_all or as a post-processing on the uncorrected image with first_boundary_corr, although the settings used by run_first_all have been chosen as the optimal ones based on empirical testing.


SIENAX (Optional)

cd ~/fsl_course_data/seg_struc/siena/sub3m0_sienax

In this section we look at how SIENAX works and look at the most useful outputs.

Open report.html in a web browser. The example data is one time point from a subject with probable Alzheimer's disease. The command that was used to create the example analysis is (don't run this!):

sienax sub3m0 -d -b -30 -r

SIENAX starts by running BET and FLIRT in a manner very similar to SIENA, except that the second time point image is replaced by standard space brain and skull images. Next a standard space brain mask is always used to supplement the BET segmentation.

As before, optional Z limits in Talairach/standard space can be used to mask further.

Next, FAST is used, with partial volume estimation turned on, to provide an accurate estimate of grey and white matter volumes. In order to provide normalised volumes for GM/WM/total, the volumetric scaling factor derived from the registration to standard space is used to multiply the native volumes; the values are thus normalised for head size. Interesting output images are (view with fslview):

I_stdmaskbrain - fully masked brain image - the input to FAST segmentation. (Note where standard-space-based masking has cutoff the bottom of the brain.)

I_render - the segmentation output colour-overlaid onto the input.
(If you zoom in you'll see that the colour overlay is shown in checkerboard pattern - this is an option in the overlay program, to make the overlay appear more transparent, for clarity.)

I_stdmaskbrain_pve_0 (etc) - the partial volume segmentation outputs.

Because we used the -r option, we also have two extra regional measurements. Use fslview to view I_vent_render; here the CSF PVE image has been masked by a standard-space (dilated) ventricle mask, to enable SIENAX to estimate ventricular CSF (the colouring is a little hard to see as it was rendered transparently). Now view I_periph_render; here the GM PVE image has been masked by a standard-space cortex mask to try to remove cerebellum, brain stem, ventricles and deep grey - it's not perfect but it's not bad....


SIENAr - Voxelwise SIENA Statistics and Randomise (Optional)

In the final example we take the output of SIENA, run on data from 13 controls and 13 patients, each having been scanned twice, with an interval of a year. We will run voxelwise analysis, to attempt to localise where there is a difference in atrophy between the two groups.

We have already run siena on all 26 subjects, and have also run the script which transforms the edge-motion image created by siena into standard space. This involved simply running
(don't run this!) siena_flow2std A B -s 10
for each subject, where A and B are the two timepoint image names. This takes the edge motion image generated by siena, dilates this several times (to "thicken" this edge flow image), transforms to standard space, and masks with a standard space edge mask. It then smooths this with a Gaussian filter of half-width 10mm before remasking.

All subjects now have an edge flow image in standard edge space called A_to_B_flow_to_std. These have been merged (across all subjects) into a single 4D image flow2std4D, which you can find:

cd ~/fsl_course_data/seg_struc/sienar
fslview flow2std4D
(you may need to adjust the intensity display range to be small....say -0.2:0.2)

Have a quick look; turn on movie mode to flick through all the timepoints. The control subjects comprise the first 13 timepoints, followed by the 13 patients.

You are now ready to carry out the cross-subject statistics. We will use randomise for this, as the above steps are very unlikely to generate nice Gaussian distributions in the data.

First you will need to generate a FEAT-style design matrix design.mat and contrasts file design.con. Start the Glm GUI:

Glm_gui &

Change Timeseries design to Higher-level / non-timeseries design. Change the number of inputs to 26 (press Return after typing the number) and then use the wizard to setup the two-group unpaired t-test (13 subjects in each group). Finally, save the design as filename design, and in the terminal use more to look at the design.mat and design.con files.

Now you can run randomise. The mask image is the standard space MNI152 brain edge mask image supplied with FSL. You would normally run at least 5000 permutations (to end up with accurate p-values), but this takes a few hours to run, so we will limit the number to 100. We will also use TFCE thresholding (Threshold-Free Cluster Enhancement - this is explained in the randomise lecture) which is similar to cluster-based thresholding but generally more robust and sensitive. To use TFCE on this "surface" data, use the --T2 option in randomise. To run randomise, type:

randomise -i flow2std4D -o sienar -m ${FSLDIR}/data/standard/MNI152_T1_2mm_edges -d design.mat \
                -t design.con -n 100 -V --T2

Now you can load the outputs into FSLView:

fslview ${FSLDIR}/data/standard/MNI152_T1_2mm sienar_tstat1 -l Red-Yellow -b .5,3 \
      sienar_tstat2 -l Blue-Lightblue -b .5,3 sienar_tfce_corrp_tstat1 -l Green -b 0.949,1 \
      sienar_tfce_corrp_tstat2 -l Copper -b 0.949,1

Make sure that you understand the different parts of this call to fslview, and what each image is showing - turn all the stats overlays off and turn on one at a time to make it easy to work out what's going on. sienar_tstat1 shows the raw (unthresholded) tstat for contrast 1. sienar_tfce_corrp_tstat1 shows the corrected p-values for contrast 1 (actually, it shows 1-p, for convenience of display, hence the thresholding chosen, which corresponds to p<0.05, corrected for multiple comparisons across space).

How can you disambiguate what's going on where there is a group difference? For example, if the control>patient test (tstat1) shows a positive value, is this because the control group had "growth", the patient group had atrophy, or both? You can answer this by loading in the raw tstat images for the separate group-mean contrasts (3 and 4) - this lets you look to see what each group is doing separately.