Re: [Freesurfer] white matter hyper intensities

2012-04-05 Thread Bruce Fischl

Hi Greg,

yes, that can happen where they are hyper-intense on T2 and hypo-intense on 
T1 and thus look like GM on the T1. It's not that common since they are 
usually deeper, but we have seen it.


sorry
Bruce


On Wed, 4 Apr 2012, Gregory Kirk wrote:


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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Re: [Freesurfer] white matter hyper intensities

2012-04-05 Thread Gregory Kirk


interestingly, in this case i think there may even be reason why white matter 
hyper intensities could be
more common in our insular region of interest where we detected thinning. The 
disease is HIV and
activated monocytes invade the perivascular spaces where they can cause 
inflamation, which the lit.
seems to say can cause white matter hyper intensities. these virchow robin 
spaces are prominent 
around the insula and may in fact this may be the etiology of the changes there.

so i guess i should try and tease apart which it is, maybe add flair imaging. 

thanks for the comments

greg

On 04/05/12, Bruce Fischl   wrote:
 Hi Greg,
 
 yes, that can happen where they are hyper-intense on T2 and hypo-intense on 
 T1 and thus look like GM on the T1. It's not that common since they are 
 usually deeper, but we have seen it.
 
 sorry
 Bruce
 
 
 On Wed, 4 Apr 2012, Gregory Kirk wrote:
 
 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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 https://mail.nmr.mgh.harvard.edu/mailman/listinfo/freesurfer
 
 
 
 
 
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 https://mail.nmr.mgh.harvard.edu/mailman/listinfo/freesurfer
 
 
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 at
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[Freesurfer] white matter hyper intensities

2012-04-04 Thread Gregory Kirk
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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Re: [Freesurfer] white matter hyper intensities

2012-04-04 Thread Matt Glasser
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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e-mail
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