Hi Martin,

I will have to defer to Bruce or Doug regarding the validity of analyzing 
FreeSurfer output for your subject - although I would not recommend any 
analysis on the current state of your subject's surfaces.  After glancing at 
your data, I have a few recommendations:


  1.  You seem to be using an excessive number of control points.  Control 
points are designed for diffuse intensity normalize - using too many control 
points is unnecessary and possibly counterproductive.  See 
https://surfer.nmr.mgh.harvard.edu/fswiki/FsTutorial/ControlPointsV6.0?highlight=%28control%29%7C%28point%29
 for more information on control points.
  2.  I've noticed that your brainmask.mgz is missing a large portion of your 
subject's cerebellum.  This most likely caused some issues down the recon-all 
pipeline so you should address this issue first.  You can change the watershed 
value to adjust the brain extraction.  See 
https://surfer.nmr.mgh.harvard.edu/fswiki/FsTutorial/SkullStripFixV6.0 for 
information of fixing a bad skull strip.
  3.  Since the wm.mgz has done such a poor job of identifying white matter, I 
would suggest directly editing the wm.mgz.  Of course, only edit the wm.mgz 
after first attempting to use (fewer) control points on a better skull-stripped 
brainmask.mgz.  See 
https://surfer.nmr.mgh.harvard.edu/fswiki/FsTutorial/WhiteMatterEditsV6.0 for 
information on editing the wm.mgz.


Best,

Bram

________________________________
From: freesurfer-boun...@nmr.mgh.harvard.edu 
<freesurfer-boun...@nmr.mgh.harvard.edu> on behalf of Loeffler, Martin 
<martin.loeff...@zi-mannheim.de>
Sent: Saturday, December 23, 2017 4:26:15 AM
To: Freesurfer support list
Subject: Re: [Freesurfer] CORRECTING DEFECT recon-all giant cyst


Dear Bruce,

Dear Bram,



Thanks a lot for having a look. Unfortunately the left hemisphere is equally 
important as the right one for our question of interest. With a lot of patience 
the recon-all has finished and the result looks surprisingly ok. I have 
additionally re-run it (recon-all -autorecon2-cp -autorecon3 -s Case) after 
setting control points to correct errors in the wm.mgz. Some errors were 
corrected, but not all. Next I would like to correct the surfaces.

My questions:

-          I know that recon-all is not designed for such a subject. But is 
there any argument against continuing the analysis now?

-          What can I do for those errors where the wm.mgz is still false, 
despite control points?

I have uploaded the respective files.



Best,

Martin





Von: freesurfer-boun...@nmr.mgh.harvard.edu 
[mailto:freesurfer-boun...@nmr.mgh.harvard.edu] Im Auftrag von Diamond, Bram 
Ryder
Gesendet: Mittwoch, 13. Dezember 2017 23:23
An: Freesurfer support list
Betreff: Re: [Freesurfer] CORRECTING DEFECT recon-all giant cyst



Hi Martin,



We've taken a look at the scans you uploaded, and unfortunately it won't be 
possible to run the standard recon-all on your subject.  Recon-all is not 
designed to work on scans with such large lesions.  If you are interested, 
there may be a way to generate a reasonable model of the right hemisphere.



Best,

Bram

________________________________

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 Loeffler, Martin 
<martin.loeff...@zi-mannheim.de<mailto:martin.loeff...@zi-mannheim.de>>
Sent: Tuesday, December 12, 2017 11:57:36 AM
To: Freesurfer support list
Subject: Re: [Freesurfer] CORRECTING DEFECT recon-all giant cyst



Dear Bruce,
I have uploaded the respective files. If there is something missing let me know.
Cheers,
Martin


-----Ursprüngliche Nachricht-----
Von: 
freesurfer-boun...@nmr.mgh.harvard.edu<mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
 [mailto:freesurfer-boun...@nmr.mgh.harvard.edu] Im Auftrag von Bruce Fischl
Gesendet: Dienstag, 12. Dezember 2017 16:35
An: Freesurfer support list
Betreff: Re: [Freesurfer] CORRECTING DEFECT recon-all giant cyst

Hi Martin

we are happy to take a look, but can't really tell much from a screenshot.
Feel free to upload the subject to our ftp site if you want us to help

cheers
Bruce

On Tue, 12 Dec 2017, Loeffler, Martin wrote:

> Dear Bruce,
>
> thanks for the quick reply! You are right, of course. I do find errors in 
> lh.inflated.nofix.
> I have attached a screenshot of the biggest errors I found..
> Can you maybe guide me a little how to fix the issue? Do I just cancel the 
> running recon-all process, and set control points and run again? Investing 
> some time in manual editing would be fine as it's a case study...
>
> Thanks for your help,
> Martin
>
>
> ________________________________________
> Von: 
> freesurfer-boun...@nmr.mgh.harvard.edu<mailto:freesurfer-boun...@nmr.mgh.harvard.edu>
> [freesurfer-boun...@nmr.mgh.harvard.edu]&quot; im Auftrag von
> &quot;Bruce Fischl [fis...@nmr.mgh.harvard.edu]
> Gesendet: Montag, 11. Dezember 2017 22:47
> An: Freesurfer support list
> Betreff: Re: [Freesurfer] CORRECTING DEFECT recon-all giant cyst
>
> Hi Martin
>
> a defect that large means that something big went wrong (skull or dura
> attached, etc...). Try looking at the ?h.orig.nofix and/or the
> ?h.inflated.nofix surfaces with the ?h.defect_labels overlayed to find
> defect 9
>
> cheers
> Bruce
>
>
> On Mon, 11 Dec 2017, Loeffler, Martin wrote:
>
>>
>> Dear FreeSurfer team,
>>
>>
>>
>> For a case report I'm running recon-all on a patient with a giant
>> arachnoid cyst in the left hemisphere. It gets stuck at this point (last 
>> message):
>>
>> CORRECTING DEFECT 9 (vertices=21935, convex hull=1992, v0=31849)
>>
>> XL defect detected...
>>
>> It is stuck here since a whole day now, so I'm not expecting it to
>> advance.
>>
>> Following this post:
>> https://www.mail-archive.com/freesurfer@nmr.mgh.harvard.edu/msg48891.html I 
>> looked at the wm.mgz, but did not find huge errors.
>>
>> Do you have any ideas what the problem might be or what I can do to work 
>> around it?
>>
>>
>>
>> Thanks,
>>
>> Martin
>>
>>
>>
>>
>>
>>
>>

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