Hi Greg,

I would say there are a variety of possible confounds for cortical thickness
(e.g. changes in cortical myelin content, changes in the closeness of
opposition between grey matter and the dura from brain atrophy), but that
wouldn't be one of the ones I would think of.  White matter hyperintensities
tend to be most visible in T2w images (especially FLAIR), and not so much in
T1w images (in fact, they might actually make T1w images darker).  They also
tend to be in deep white matter away from the cortex.  

The insula tends to be a hard place to reconstruct surfaces because the
white matter is thin and not very bright (and has the grey matter claustrum
interposed between the external and extreme capsules).  A difference in the
white matter or claustrum could well create a problem reconstructing the
surface there, but I wouldn't expect a white matter hyperintensity there.  

Peace,

Matt.

-----Original Message-----
From: freesurfer-boun...@nmr.mgh.harvard.edu
[mailto:freesurfer-boun...@nmr.mgh.harvard.edu] On Behalf Of Gregory Kirk
Sent: Wednesday, April 04, 2012 11:47 PM
To: freesurfer@nmr.mgh.harvard.edu
Subject: [Freesurfer] white matter hyper intensities

a collaborator just got a grant review that claimed 
















There's a possibility that changes in cortical thickness in
the insula might be a consequence of lesions (MR-hyperintensities) in the
white
matter.


i would think that white matter hyper intensities would tend to enhance
freesurfers ability
to detect the white matter/grey matter boundary rather than cause an error.


any comments as to the correctness of my thinking would be appreciated.


thank you


greg

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