And what is your input to recon-all? If it is dicom you should be pretty 
confident that we will get it correct

-----Original Message-----
From: freesurfer-boun...@nmr.mgh.harvard.edu 
<freesurfer-boun...@nmr.mgh.harvard.edu> On Behalf Of Douglas N. Greve
Sent: Tuesday, September 15, 2020 10:17 AM
To: freesurfer@nmr.mgh.harvard.edu
Subject: Re: [Freesurfer] left-right flip?

How are you checking the LR orientation?

On 9/15/2020 4:10 AM, Ellen Ji wrote:
>          External Email - Use Caution
>
> Dear experts,
>
> I recently performed recon-all on a set of subjects and the output 
> (aparcstats2table and asegstats2table) will be part of a meta-analysis of 
> other labs' cohorts. When assessing the asymmetry index direction (relative 
> size of left vs right hemisphere across multiple rois), our dataset shows an 
> inversion of the mean asymmetry index in several structures compared to the 
> other cohorts.
>
> For example, in our dataset, the lateral ventricle volume is on 
> average larger in the right hemisphere compared to the left, while the 
> opposite is true for all other cohorts. The same inversion of asymmetry is 
> visible in other structures that in general are more asymmetrical.
>
> In order to check this, I went through each T1 to make sure the orientation 
> was correct and indeed they are.
>
> Is there any possible way that there was a left-right inversion somewhere 
> during the recon-all pipeline? I want to make sure I did everything correctly 
> on our end and that the results are due to the biology and not a technical 
> mistake!
>
> I found this website on Left-right reversal, and it seems relevant to 
> my issue, but I'm not fully understanding what this means (how would 
> bias occur during segmentation?) - 
> https://surfer.nmr.mgh.harvard.edu/fswiki/LeftRightReversal
>
> Many thanks for your input,
> Ellen
>
> ---
>
> Ellen Ji, PhD
> Postdoctoral Research Fellow
> Psychiatric University Hospital
> University of Zürich
> ellen...@bli.uzh.ch
> homanlab.github.io/ellen/
>
>
>
>
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