I think so, but I defer to Doug

From: freesurfer-boun...@nmr.mgh.harvard.edu 
<freesurfer-boun...@nmr.mgh.harvard.edu> On Behalf Of Ellen Ji
Sent: Wednesday, September 16, 2020 11:05 AM
To: freesurfer@nmr.mgh.harvard.edu
Subject: Re: [Freesurfer] left-right flip?


        External Email - Use Caution

Thanks for your reply Bruce. Could you confirm if I can run mri_convert on the 
incorrectly flipped niftis to appropriately correct them? 
(https://surfer.nmr.mgh.harvard.edu/fswiki/LeftRightReversal)

Something like:

mri_convert --in_orientation LIA subject1.nii subject1_corrected.nii

best,

Ellen


On 9/16/2020 4:47 PM, Fischl, Bruce wrote:

Hi Ellen



Sorry to say it, but you really should start over. Not everything in the brain 
is bilaterally symmetric so processing and flipping won't be the same as 
flipping then processing.



Cheers

Bruce





-----Original Message-----

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 Ellen Ji

Sent: Wednesday, September 16, 2020 3:41 AM

To: freesurfer@nmr.mgh.harvard.edu<mailto:freesurfer@nmr.mgh.harvard.edu>

Subject: Re: [Freesurfer] left-right flip?



        External Email - Use Caution



Hi Douglas,



I found the dicoms and confirm that the fiducial is on the opposite side 
relative to the nifti. Additionally, the PI just informed me that the fiducial 
was placed on the right side of the head and the nifti indicates left. I will 
enquire as to what method was used to convert from dicom as that appears to be 
the issue.



I already performed recon-all and aparcstats2table on the flipped nifti.

Could you please advise if there is there an efficient way to deal with this or 
if I should start from the beginning?



Many thanks,



Ellen





On 9/15/2020 7:19 PM, Douglas N. Greve wrote:

First we have to determine whether it is really LR flipped or not. Do

you still have the dicoms? If so, can you convert to mgz using

mri_convert one-dicom-file.dcm test.mgz Then look at test.mgz and see

if the fiducial has changed sides relative to the nifti.

That is a fiducial. And do you know what side the fiducial was placed

on? mri_info does not help. How did you convert from dicom?



ps. Please make sure to post to the list and not to us personally







On 9/15/2020 12:58 PM, Ellen Ji wrote:

          External Email - Use Caution



group cc'd - thanks for the reminder.



My input data was the niftis. Example: recon-all -i 1kl5011.nii

-subjid

1kl5011 -all



Is there an efficient way to handle the flipped L-R or should I

mri_convert the nifti and then do recon-all?



(Assuming that I can't just switch lh_ and rh_ in the

aparcstats2table)



Ellen



On 9/15/2020 6:51 PM, Fischl, Bruce wrote:

Hi Ellen



Can you cc the list so that others can respond? What was your input data? Did 
you not have dicoms?



Cheers

Bruce



-----Original Message-----

From: Ellen Ji <ellen...@bli.uzh.ch><mailto:ellen...@bli.uzh.ch>

Sent: Tuesday, September 15, 2020 12:38 PM

To: Fischl, Bruce <bfis...@mgh.harvard.edu><mailto:bfis...@mgh.harvard.edu>

Subject: Re: [Freesurfer] left-right flip?



           External Email - Use Caution



Hi Bruce,



Unfortunately I just found the fiducial and realised that the L-R is incorrect. 
Can I simply switch the lh_ and rh_ output from aparcstats2table or do I need 
to run mri_convert on the nifti and run recon-all from the beginning again?



Thanks,



Ellen



On 9/15/2020 5:44 PM, Fischl, Bruce wrote:

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<mailto:freesurfer-boun...@nmr.mgh.harvard.edu>

<freesurfer-boun...@nmr.mgh.harvard.edu><mailto: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<mailto: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<mailto:ellen...@bli.uzh.ch>

homanlab.github.io/ellen/









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