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Dear Eugenio,
thanks for your quick answer!

Just to be sure: by "T1w" you mean the post-gadolinium ones, right?
Unfortunately, we do not have pre-gadolinium T1.

I was unsure whether the hyperintense vessels (especially, the venous system) 
could have caused issues when segmenting the GM/WM/CSF with CAT12. That's why 
we opted to use SynthSR.

My first choice would be to generate 3D T1 MP-RAGE from 3D T1 post-gadolinium 
because they are more similar in terms of resolution and contrast.

Thanks again!

Best,
Lorenzo






From: Iglesias Gonzalez, Juan E. <jiglesiasgonza...@mgh.harvard.edu>
Sent: Thursday, 26 June, 2025 3:29 PM
To: Freesurfer support list <freesurfer@nmr.mgh.harvard.edu>
Subject: [EXTERNE-EMAIL] [Freesurfer] Re: SynthSR - T1 3D post-gadoinium vs. T2 
FSE 4mm

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Dear Lorenzo,
Why not using the T1w images directly?
Cheers,
/Eugenio

--
Juan Eugenio Iglesias
http://secure-web.cisco.com/16CbzjrPt9p6VlU19xrmdLWJ1C1-nHFsLLMqv1VYmmG5jDIsgMnOvtOG9I9dsXAlYl1vNtmGejsBbjPDYC0YMy3IfAyIqHvE0hpY7nkwaqxgDP0TloIbig2M0Lb_ipAi8qDpnRmIpm17fx3VDvZTmhh8L8h4LQZaPjp2kEQ5Jh2NXl-XB8MLFCUDXhc6u3IAwMLcx5qlSnC6ALPTKvBMWOuUW8kf6E5Ci2apnlmJhSSxI43Tv1pENsKiCfOg84i1nDju9higvsC3nPLyll1PkrF35fBZVFGVYnkaM9ShfMHjXeW6NVACt0QmaSEX0vmBV/http%3A%2F%2Fwww.jeiglesias.com

From: Diana Lorenzo 
<lorenzo.di...@paraplegie.ch<mailto:lorenzo.di...@paraplegie.ch>>
Date: Thursday, June 26, 2025 at 5:16 AM
To: freesurfer@nmr.mgh.harvard.edu<mailto:freesurfer@nmr.mgh.harvard.edu> 
<freesurfer@nmr.mgh.harvard.edu<mailto:freesurfer@nmr.mgh.harvard.edu>>
Subject: [Freesurfer] SynthSR - T1 3D post-gadoinium vs. T2 FSE 4mm

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Dear All,

we are running a project on brain morphometry in a clinical sample without 
brain injury.
For most patients, we have both:

  *   T1W isotropic 1mm post-gadolinium
  *   T2W TSE with 4mm axial slices

We would like to obtain high-resolution T1 images with SynthSR followed by 
standard voxel-based and surface-based processing in CAT12.
I am wondering which contrast is best suited for our purpose, also considering 
that our clinical sample has no brain injury and the only blood vessels are 
enhanced in post-gadolinium sequences.

I made some attempts on both sequences for a couple participants and segmented 
them with CAT12.
The overall image quality rating is almost identical. So is the estimate of 
total intracranial volume, with some differences in grey matter volume 
estimation (generally smaller in synthetized post-gado sequences vs synthetized 
T2) and CSF (generally bigger in synthetized post-gado). I haven't checked 
surface-based metrics.

I am quite new to the field, and I really appreciate your help!

Best,
Lorenzo




Lorenzo Diana, PhD
PostDoc

Advanced Imaging Research (AIR) Group

Swiss Paraplegic Research
Guido A. Zäch Strasse 4
6207 Nottwil, Switzerland

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