FreeSurfer

FreeSurfer Software Suite is an open source software suite for processing and analyzing MRI images. Documentation can be found on the FreeSurfer Wiki.

Example Interactive session:

[dpane@mind ~]$ srun -p cpu --cpus-per-task=1 --mem=10GB --time=4:00:00 --pty bash
[dpane@mind-0-12 ~]$ module avail

----------------------------------- /usr/share/Modules/modulefiles ------------------------------------
anaconda3              cudnn-9.2-7.6          git-2.30               null
cuda-10.0              dot                    glx-indirect           openmpi-1.10-x86_64
cuda-10.1              dsi-studio             julia-1.2.0            openmpi-1.8-x86_64
cuda-10.2              freesurfer-5.3.0       matlab-9.11            openmpi-x86_64
cuda-11.1.1            freesurfer-6.0.0       matlab-9.5             qt-4.8.2
cuda-9.2               freesurfer-7.1.0       matlab-9.7             qt-4.8.5
cudnn-10.0-7.3         fsl-6.0.3              module-git             R-3.6.1
cudnn-10.1-v7.6.5.32   gcc-4.7.4              module-info            rstudio-1.2.5033
cudnn-10.2-v7.6.5.32   gcc-4.9.2              modules                singularity
cudnn-11.1.1-v8.0.4.30 gcc-6.3.0              mrtrix3-3.0.0-git      use.own
[dpane@mind-0-12 ~]$ 
[dpane@mind-0-12 ~]$ module load freesurfer-7.1.0 
[dpane@mind-0-12 ~]$ which freesurfer
/opt/freesurfer/7.1.0/bin/freesurfer
[dpane@mind-0-12 ~]$ which recon-all
/opt/freesurfer/7.1.0/bin/recon-all
[dpane@mind-0-12 ~]$ 

EXAMPLE COMMAND: Replace: <input file.dcm> with the path to the data file; <subject id> with the Id for the subject; and <Output directory> with the full path to a directory to save the output.

[dpane@mind-0-12 ~]$  recon-all -i <input file .dcm> -s <subject id> -autorecon-all -sd <Output directory>
[dpane@mind-0-12 ~]$ 
[dpane@mind-0-12 ~]$ exit
exit
[dpane@mind ~]$ 

For detailed help, after loading the freesurfer module you can type the following command.

[dpane@mind-0-12 ~]$ recon-all --help

USAGE: recon-all

 Required Arguments:
   -subjid 
   -

 Fully-Automated Directive:
  -all           : performs all stages of cortical reconstruction
  -autorecon-all : same as -all

 Manual-Intervention Workflow Directives:
  -autorecon1    : process stages 1-5 (see below)
  -autorecon2    : process stages 6-23
                   after autorecon2, check white surfaces:
                     a. if wm edit was required, then run -autorecon2-wm
                     b. if control points added, then run -autorecon2-cp
                     c. proceed to run -autorecon3
  -autorecon2-cp : process stages 12-23 (uses -f w/ mri_normalize, -keep w/ mri_seg)
  -autorecon2-wm : process stages 15-23
  -autorecon2-inflate1 : 6-18
  -autorecon2-perhemi : tess, sm1, inf1, q, fix, sm2, inf2, finalsurf, ribbon
  -autorecon3    : process stages 24-34
                     if edits made to correct pial, then run -autorecon-pial
  -hemi ?h       : just do lh or rh (default is to do both)

  Autorecon Processing Stages (see -autorecon# flags above):
    1.  Motion Correction and Conform
    2.  NU (Non-Uniform intensity normalization)
    3.  Talairach transform computation
    4.  Intensity Normalization 1
    5.  Skull Strip

    6.  EM Register (linear volumetric registration)
    7.  CA Intensity Normalization
    8.  CA Non-linear Volumetric Registration 
    9.  Remove neck
    10. EM Register, with skull
    11. CA Label (Aseg: Volumetric Labeling) and Statistics

    12. Intensity Normalization 2 (start here for control points)
    13. White matter segmentation
    14. Edit WM With ASeg
    15. Fill (start here for wm edits)
    16. Tessellation (begins per-hemisphere operations)
    17. Smooth1
    18. Inflate1
    19. QSphere
    20. Automatic Topology Fixer
    21. White Surfs (start here for brain edits for pial surf)
    22. Smooth2
    23. Inflate2

    24. Spherical Mapping
    25. Spherical Registration 
    26. Spherical Registration, Contralater hemisphere
    27. Map average curvature to subject
    28. Cortical Parcellation (Labeling)
    29. Cortical Parcellation Statistics
    30. Pial Surfs
    31. WM/GM Contrast
    32. Cortical Ribbon Mask
    33. Cortical Parcellation mapped to ASeg
    34  Brodmann and exvio EC labels

 Step-wise Directives
  See -help

 Expert Preferences
  -pons-crs C R S : col, row, slice of seed point for pons, used in fill
  -cc-crs C R S : col, row, slice of seed point for corpus callosum, used in fill
  -lh-crs C R S : col, row, slice of seed point for left hemisphere, used in fill
  -rh-crs C R S : col, row, slice of seed point for right hemisphere, used in fill
  -nofill        : do not use the automatic subcort seg to fill
  -watershed cmd : control skull stripping/watershed program
  -wsless : decrease watershed threshold (leaves less skull, but can strip more brain)
  -wsmore : increase watershed threshold (leaves more skull, but can strip less brain)
  -wsatlas : use atlas when skull stripping
  -no-wsatlas : do not use atlas when skull stripping
  -no-wsgcaatlas : do not use GCA atlas when skull stripping
  -wsthresh pct : explicity set watershed threshold
  -wsseed C R S : identify an index (C, R, S) point in the skull
  -norm3diters niters : number of 3d iterations for mri_normalize
  -normmaxgrad maxgrad : max grad (-g) for mri_normalize. Default is 1.
  -norm1-b N : in the _first_ usage of mri_normalize, use control 
               point with intensity N below target (default=10.0) 
  -norm2-b N : in the _second_ usage of mri_normalize, use control 
               point with intensity N below target (default=10.0) 
  -norm1-n N : in the _first_ usage of mri_normalize, do N number 
               of iterations
  -norm2-n N : in the _second_ usage of mri_normalize, do N number 
               of iterations
  -cm           : conform volumes to the min voxel size 
  -no-fix-with-ga : do not use genetic algorithm when fixing topology
  -fix-diag-only  : topology fixer runs until ?h.defect_labels files
                    are created, then stops
  -seg-wlo wlo : set wlo value for mri_segment and mris_make_surfaces
  -seg-ghi ghi : set ghi value for mri_segment and mris_make_surfaces
  -nothicken   : pass '-thicken 0' to mri_segment
  -no-ca-align-after : turn off -align-after with mri_ca_register
  -no-ca-align : turn off -align with mri_ca_label
  -deface      : deface subject, written to orig_defaced.mgz

  -expert file     : read-in expert options file
  -xopts-use       : use pre-existing expert options file
  -xopts-clean     : delete pre-existing expert options file
  -xopts-overwrite : overwrite pre-existing expert options file
  -termscript script : run script before exiting (multiple -termscript flags possible)
   This can be good for running custom post-processing after recon-all
   The script must be in your path. The subjid is passed as the only argument
   The current directory is changed to SUBJECTS_DIR before the script is run
   The script should exit with 0 unless there is an error

  -mprage : assume scan parameters are MGH MP-RAGE protocol
  -washu_mprage : assume scan parameters are Wash.U. MP-RAGE protocol.
                  both mprage flags affect mri_normalize and mri_segment,
                  and assumes a darker gm.
  -schwartzya3t-atlas : for tal reg, use special young adult 3T atlas

  -threads num  : set number of threads to use

 Notification Files (Optional)
  -waitfor file : wait for file to appear before beginning
  -notify  file : create this file after finishing

 Status and Log files (Optional)
  -log     file : default is scripts/recon-all.log
  -status  file : default is scripts/recon-all-status.log
  -noappend     : start new log and status files instead of appending
  -no-isrunning : do not check whether this subject is currently being processed

 Segmentation of substructures of hippocampus and brainstem 
 (These deprecated; please see segmentHA_T1.sh, segmentHA_T1.sh, segmentHA_T1_long.sh, segmentBS.sh)
  -hippocampal-subfields-T1 : segmentation of hippocampal subfields using input T1 scan
  -hippocampal-subfields-T2 file ID : segmentation using an additional scan (given by file);
                                      ID is a user-defined identifier for the analysis
  -hippocampal-subfields-T1T2 file ID : segmentation using additional scan (given by file) and input T1
                                        simultaneously; ID is a user-defined identifier for the analysis
  -brainstem-structures : segmentation of brainstem structures

 Other Arguments (Optional)
  -sd subjectsdir : specify subjects dir (default env SUBJECTS_DIR)
  -mail username  : mail user when done
  -umask umask    : set unix file permission mask (default 002)
  -grp groupid    : check that current group is alpha groupid 
  -onlyversions   : print version of each binary and exit
  -debug          : print out lots of info
  -allowcoredump  : set coredump limit to unlimited
  -dontrun        : do everything but execute each command
  -version        : print version of this script and exit
  -help           : voluminous bits of wisdom

7.1.0 (freesurfer-linux-centos7_x86_64-7.1.0-20200511-813297b)


Performs all, or any part of, the FreeSurfer cortical reconstruction
process. This help only gives some simple information. For more
detailed documentation, see https://surfer.nmr.mgh.harvard.edu

Basic usages:

1. Subject dir does not exist:

  recon-all -subject subjectname -i invol1 <-i invol2> -all

Creates analysis directory $SUBJECTS_DIR/subjectname, converts one or
more input volumes to MGZ format in subjectname/mri/orig, and runs
all processing steps. If subjectname exists, then an error is returned
when -i is used; but this can be overridden with -force (in which
case any pre-existing source volumes are deleted).

2. Manual conversion into mgz:

  mkdir -p $SUBJECTS_DIR/subjectname/mri/orig
  mri_convert invol1 $SUBJECTS_DIR/subjectname/mri/orig/001.mgz
  mri_convert invol2 $SUBJECTS_DIR/subjectname/mri/orig/002.mgz
  recon-all -subject subjectname -all

If no input volumes are given, then it is assumed that the subject
directory has already been created and that the raw data already
exists in MGZ format in subjid/mri/orig as XXX.mgz, where XXX is a
3-digit, zero-padded number.


SUBJECT IDENTIFICATION STRING

-s subjectname
-sid subjectname
-subjid subjectname
-subject subjectname

'subjectname' is the FreeSurfer subject identification string which doubles
as the name of the reconstruction root directory for this subject. This
reconstruction should be referenced by this string for all FreeSurfer
commands and in the register.dat matrix (for functional interfacing).


SPECIFYING DIRECTIVES

Directives instruct recon-all which part(s) of the reconstruction
stream to run. While it is possible to do everything in one shot (using
the -all flag), there can be some benefits to customizing the
stream. These benefits include stopping to perform manual editing as
well as parallelization. Directives are either clustered or step-wise.
Clustered directives are sets of steps that can be performed by
specifying a single flag. A step-wise directive refers to a single
step.  Directives accumulate. A step can be removed from a cluster by
adding -no after the cluster flag. For example, specifying
-all followed by -notalairach will perform all the reconstruction
steps except talairaching. However, note that if -notalairach *preceeded*
-all, talairaching would still be performed.


CLUSTERED DIRECTIVES

-all
-autorecon-all

Perform all reconstruction steps.

-autorecon1

Motion correction through skull strip.

-autorecon2

Subcortical segmentation through make white surfaces.

-autorecon2-cp

Normalization2 through make final surfaces.

-autorecon2-wm

Fill through make white surfaces. Used after editing wm volume after running
-autorecon2.

-autorecon-pial

Makes final surfaces (white and pial). Used after editing brain.finalsurfs
volume after running -autorecon2. The brain.finalsurfs.mgz volume may be
edited to fix problems with the pial surface.

-autorecon3

Spherical morph, automatic cortical parcellation, pial surf and ribbon mask.


STEP-WISE DIRECTIVES

Step-wise directives allow the user to implement a single step in the
reconstruction process. See also STEP DESCRIPTION SUMMARIES below.
They also allow users to include/exclude a step from a clustered
DIRECTIVE. To include a step, use -step (eg, -skullstrip). To exclude
a step, use -nostep (eg -noskullstrip).

Run times are approximate for an Intel Xeon E5-2643 64bit 3.4GHz processor:

  -motioncor          2 min
  -talairach        < 1 min
  -normalization      2 min
  -skullstrip        15 min
  -nuintensitycor     1 min
  -gcareg            15 min
  -canorm             1 min
  -careg              1 hour
  -rmneck             1 min
  -skull-lta         12 min
  -calabel           34 min
  -normalization2     3 min
  -maskbfs          < 1 min
  -segmentation       1 min
  -fill               1 min
  -tessellate       < 1 min     per hemisphere
  -smooth1          < 1 min     per hemisphere
  -inflate1           1 min     per hemisphere
  -qsphere            3 min     per hemisphere
  -fix               15 min     per hemisphere
  -white              3 min     per hemisphere
  -smooth2          < 1 min     per hemisphere
  -inflate2         < 1 min     per hemisphere
  -curvHK           < 1 min     per hemisphere
  -curvstats        < 1 min     per hemisphere
  -sphere            40 min     per hemisphere
  -surfreg           50 min     per hemisphere
  -jacobian_white   < 1 min     per hemisphere
  -avgcurv          < 1 min     per hemisphere
  -cortparc           1 min     per hemisphere
  -pial               4 min     per hemisphere
  -surfvolune       < 1 min     per hemisphere
  -cortribbon        15 min
  -parcstats        < 1 min     per hemisphere
  -cortparc2          1 min     per hemisphere
  -parcstats2       < 1 min     per hemisphere
  -cortparc3          1 min     per hemisphere
  -parcstats3       < 1 min     per hemisphere
  -pctsurfcon       < 1 min     per hemisphere
  -hyporelabel      < 1 min     per hemisphere
  -aparc2aseg         1 min
  -apas2aseg          1 min
  -segstats           3 min
  -wmparc             7 min
  -balabels           5 min     per hemisphere

  -all                    7 hours   both hemipheres

If -parallel is specified, runtime is reduced to 3 hours.


SEGMENTATION OF HIPPOCAMPAL SUBFIELDS  AND NUCLEI OF THE AMYGDALA (CROSS-SECTIONAL AND LONGITUDINAL)

The following flags can be used to obtain a segmentation of the hippocampal subfields,
as well as of the nuclei of the amygdala.
The methods are described in [17] (hippocampus) and [19] (amygdala). There is also a
longitudinal version of the algorithm [20]. You can find further information here:
https://surfer.nmr.mgh.harvard.edu/fswiki/HippocampalSubfieldsAndNucleiOfAmygdala

Note that the following 6.0 flags have been deprecated:

-hippocampal-subfields-T1
-hippocampal-subfields-T2 
-hippocampal-subfields-T1T2 

And replaced by the following scripts (for help, run them with flag --help): 

segmentHA_T1.sh: Uses the T1 scan which the recon-all stream has processed at 1 mm 
resolution or higher (with -cm).

segmentHA_T2.sh: It uses an additional scan in the segmentation, typically  (but
not necessarily) a T2 volume with higher resolution, at least in the coronal plane. 
This additional scan can be used in isolation or in combination with the T1 volume
processed with recon-all

segmentHAsegment_T1_long.sh: This is the longitudinal version of segmentHA_T1.sh.


SEGMENTATION OF BRAINSTEM STRUCTURES

This module performs segmentation of brains structures (medulla, pons, midbrain, SCP) on 
the T1 scan which the  recon-all stream has processed, at 1 mm or higher resolution (with 
-cm). The method is described in [18]. You can read more at: 
http://surfer.nmr.mgh.harvard.edu/fswiki/BrainstemSubstructures

Note that the following 6.0 flag has been deprecated:

-brainstem-structures

And replaced by the following script (for help, run it with flag --help): 

segmentBS.sh


EXPERT PREFERENCES

-pons-crs C R S

Specify a seed point for the pons during the fill operation. This is
used to cut the brain stem from brain. By default, this point will be
determined automatically. It should only be specified if there is a
cut failure. To determine what this point should be, find the center
of the pons in the T1 volume (in tkmedit) and record the column, row,
and slice. Creates a file called scripts/seed-ponscrs.man.dat
with the CRS.

-cc-crs C R S

Specify a seed point for the corpus callosum during the fill
operation. This is used to help separate the hemispheres.  By default,
this point will be determined automatically. It should only be
specified if there is a cut failure.  To determine what this point
should be, find the center of the CC in the T1 volume (in tkmedit) and
record the column, row, and slice. Creates a file called
scripts/seed-cccrs.man.dat with the CRS.

-lh-crs C R S

Specify a seed point for the left hemisphere during the fill
operation. This is used to help identify the left hemisphere.  By
default, this point will be determined automatically. It should only
be specified if there is a cut failure.  To determine what this point
should be, find a point in the white matter mass of the left
hemisphere in the T1 volume (in tkmedit) and record the column, row,
and slice. Creates a file called scripts/seed-cccrs.man.dat with the
CRS. Remember that tkmedit displays the volume in radiological
convention (ie, left is right).

-rh-crs C R S

Same as -lh-crs but for the right hemisphere. Creates a file called
scripts/seed-rhcrs.man.dat with the CRS.

-watershed cmd

This controls how the skull stripping will be performed. Legal values are
normal (the default), atlas, nowatershed, watershedonly, and watershedtemplate.

-wsmore/-wsless

Increase/decrease the preflooding height (threshold) when skull
stripping. -wsmore will expand the skull surface; -wsless will shrink
the skull surface.  See also -wsthresh.

-wsthresh pctheight

Explicitly set the preflooding height when skull stripping.

-wsseed R C S

Supply a point in the volume that the user believes to be in the white
matter.  By default, this point will be determined automatically. It
should only be specified if there is a strip failure. To determine
what this point should be, find a point in the white matter using
tkmedit and record the Volume Index values (NOT the XYZ coordinates).

-no-wsgcaatlas

Disable usage of the GCA atlas when running mri_watershed skull-stripping.
The default is to use the GCA atlas to locate anatomy aiding skull-strip.

-gca gcafile

Specify the name of the gaussian classifier array (GCA) file
to be used with GCA registration and automatic subcortical
segmentation. It must be found in the FREESURFER_HOME/average directory (or
use -gca-dir to specify an alternate path).
The Default is RB_all_YYYY-MM-DD.gca located in
FREESURFER_HOME/average. This has no effect unless the GCA registration
or subcortical segmentation stages are to be performed.

-gca-skull gcafile

Specify the name of the gaussian classifier array (GCA) file to be used with
registration with skull.  It must be found in the FREESURFER_HOME/average
directory (or use -gca-dir to specify an alternate path).
The default is RB_all_withskull_YYYY-MM-DD.gca located in
FREESURFER_HOME/average.

-gcs gcsfile

Specify the name of the gaussian classifier surface atlas (GCS) file
to be used for the cortical parcellation stage. It must be found in the
FREESURFER_HOME/average directory (or use -gcs-dir to specify an alternate
path). The default is named
curvature.buckner40.filled.desikan_killiany.2007-06-20.gcs and is located in
FREESURFER_HOME/average.

-twm twmfile

Where (twmfile) is a control.dat format file (a point set in freeview)
with points manually selected to be in the white matter inferior to
hippocampus in the temporal lobe. This option is passed to mri_ca_register.

-nuiterations

Number of iterations in the non-uniform intensity correction.
Default is 2.

-norm3diters niters

Use niters 3d normalization iterations (passes as -n to _both_ runs of
mri_normalize).

-normmaxgrad maxgrad

Passes "-g maxgrad" to _both_ runs of mri_normalize. Max grad default is 1.

-norm1-b N

In the _first_ usage of mri_normalize (during creation of T1.mgz), use
control point with intensity N below target (default=10.0)

-norm1-n N

In the _first_ usage of mri_normalize, do N number of iterations

-norm2-b N

In the _second_ usage of mri_normalize (during creation of brain.mgz), use
control point with intensity N below target (default=10.0)

-norm2-n N

In the _second_ usage of mri_normalize, do N number of iterations

-noaseg

Skips subcortical segmentation steps (same as -nosubcortseg), and does
not use aseg.presurf.mgz for inorm2, wm segmentation, or filling. 
Use this flag for brains that do not support usage of Freesurfers subcortical
segmentation, such as baby brains, or non-human primates.

-noaseg-inorm2

Does not use aseg.presurf.mgz for the second mri_normalize step.

-bigventricles

If a subject has enlarged ventricles due to atrophy, include the -bigventricles
flag with the -autorecon2 stage in order to prevent surfaces extending into
the ventricle regions. The flag directly affects the binary mri_ca_register,
and mris_make_surfaces indirectly via aseg.presurf.mgz.

-norandomness

The random number generator used by certain binaries is seeded with the
same number, thus producing identical results from run to run.

-cw256

Include this flag after -autorecon1 if images have a FOV > 256.  The
flag causes mri_convert to conform the image to dimensions of 256^3.

-notal-check

Skip the automatic failure detection of Talairach alignment.

-qcache

Produce the pre-cached files required by the Qdec utility, allowing rapid
analysis of group data.  These files are created by running mris_preproc,
which creates smoothed surface data files sampled to the 'fsaverage'
common-space surface. By default, the surface data for thickness, curv, sulc,
area and jacobian_white are smoothed at 0, 5, 10, 15, 20, and 25 mm FWHM.
If just one set of surface data needs to be processed, then the option
-measure  can follow -qcache, where  is one of: thickness,
curv, sulc, area, jacobian_white or any surface measure. Multiple instances
of -measure  is supported.  The -measuredir option allows
specifying a directory other than the default of surf. Another option is
-fwhm  where  is a value in mm.  Also, -target  allows
specifying a common-space target other than fsaverage (the default).
qcache is also a target for make, eg. recon-all -make qcache
See also: http://surfer.nmr.mgh.harvard.edu/fswiki/Qdec

-smooth-cortex-only

Only applies with -qcache. Only smooth data if it is part of the ?h.cortex.label.
This prevents values in the medial wall (which are meaningless) from being
smoothed into cortical areas. This is the default and you will have to turn
it off with -no-smooth-cortex-only.

-no-smooth-cortex-only

Allow medial wall values to smooth into cortex.

-make target

Runs recon-all through 'make', the standard utility used to create a file
only if its dependencies are out-of-date.  This -make option makes use of the
file recon-all.makefile, where the dependency chain is specified.
A 'target' argument must be specified.  The valid targets are:

  all
  autorecon1
  autorecon2
  autorecon2-volonly
  autorecon2-perhemi
  autorecon3
  qcache

These targets correspond to their flag equivalents in recon-all.  The
difference in behaviour is that files are created only if the file does not
exist or if an input file used to create it has a newer date than the file
in need of creation.  It is also possible to supply the full pathname to a
particular file as a target.

The flag -dontrun can also be specified to show the commands that will run
without excuting them.

-lgi
-lGI
-localGI

Computes local measurements of pial-surface gyrification at thousands of
points over the cortical surface. See reference [13] for details.

-label_v1

Create a label of V1, based on Hinds et al., NeuroImage 39 (2008) 1585-1599.

-balabels
-ba-labels
-ba_labels

Creates Brodmann area labels of BA1, BA2, BA3a, BA3b, BA4a, BA4p, BA6, BA44,
BA45, V1, V2, and V5/MT (and perirhinal) by mapping labels from the 
'fsaverage' subject, which must exist within the SUBJECTS_DIR.  
Based on:
"Cortical Folding Patterns and Predicting Cytoarchitecture", Fischl et al.,
Cerebral Cortex 2007.

-threads num
-openmp num

Set the number of threads available to openMP-enabled tools.


EXPERT OPTIONS FILE

While the expert preferences flags supported by recon-all cover most
of the instances where special flags need to be passed to a FreeSurfer
binary, to allow passing an arbitrary flag to a binary, recon-all
supports the reading of a user-created "expert options" (xopts) file
containing options to append to the command string. This may be used
to specify new options or to override default values. There are two
types xopts file, local and global. The local file you pass on the
command line and is used only for the subject you run it with. The
global is place in $SUBJECTS_DIR/global-expert-options.txt and will be
used with every call to recon-all for subjects in $SUBJECTS_DIR. If
both contain options for the same command, then the local xopts file
takes precedence.

Each line of the xopts file corresponds to one command. The first item
is the name of the command; the items following it on rest of the line
will be passed as the extra options.  For example, if a file called
expert.opts is created containing these lines:

  mri_em_register -p .5
  mris_topo_fixer -asc

then the option "-p .5" will be passed to mri_em_register, and "-asc"
will be passed to mris_topo_fixer.  The name of the expert options file
is passed to recon-all with the -expert flag, eg.

  recon-all -expert expert.opts ...

When an expert options is passed, it will be copied to scripts/expert-options.
Future calls to recon-all, the user MUST explicitly specify how to treat this file.
Options are (1) use the file (-xopts-use), or (2) delete it (-xopts-clean). If
this file exsts and the user specifies another expert options file, then
the user must also specify -xopts-overwrite.

The following FreeSurfer binaries will accept an expert option:

  talairach_avi
  mri_normalize
  mri_watershed
  mri_em_register
  mri_ca_normalize
  mri_ca_register
  mri_remove_neck
  mri_ca_label
  mri_segstats
  mri_mask
  mri_segment
  mri_edit_wm_with_aseg
  mri_pretess
  mri_fill
  mri_tessellate
  mris_smooth
  mris_inflate
  mris_sphere
  mris_fix_topology
  mris_topo_fixer
  mris_remove_intersection
  mris_make_surfaces
  mris_surf2vol
  mris_register
  mris_jacobian
  mrisp_paint
  mris_ca_label
  mris_anatomical_stats
  mri_aparc2aseg


NOTIFICATION FILES

Notification files allow the user to cascade invocations to recon-all,
with one invocation waiting until another one terminates. This is done
by specifying a file that must exist before an invocation can precede
(-waitfor) and/or specifying a file that is created when an invocation
terminates (-notify). This type of interprocess communication can
allow users to parallelize the stream. If this is to be done, note
that each hemisphere can be run separately by specifying the -hemi
flag.


LOG AND STATUS FILES

By default, log and status files are created in subjid/scripts. The
log file contains all the output from all the programs that have been
run during the invocation to recon-all. The status file has a list of
all the programs that have been run and the time at which each
started. The log file is intended to be a record of what was done
whereas the status file allows the user to easily see where in the
stream a currently running process is. The log file should be sent
with all bug reports. By default, these files are called recon-all.log
and recon-all-status.log, but this can be changed with the -log and
-status options. By default, the log and status are appended to. New
log and status files can be forced with the -noappend flag.


OTHER ARGUMENTS

-sd subjectsdir

This allows the user to specify the root of the FreeSufer subjects
directory. If unspecified, the environment variable SUBJECTS_DIR
is used.

-mail username

Send email to username when the process terminates.


STEP DESCRIPTION SUMMARIES

Motion Correction (-motioncor)

When there are multiple source volumes, this step will correct for
small motions between them and then average them together. The input
are the volumes found in file(s) mri/orig/XXX.mgz. The output will be
the volume mri/orig.mgz. If no runs are found, then it looks for
a volume in mri/orig (or mri/orig.mgz). If that volume is there, then
it is used in subsequent processes as if it was the motion corrected
volume. If no volume is found, then the process exits with errors.
The motion correction step uses a robust registration [14] procedure
to produce highly accurate registrations of the brain, ignoring outlier
regions, such as differen cropping planes, jaw, neck, eye movement etc.

Talairach (-talairach)

This computes the affine transform from the orig volume to the MNI305
atlas using Avi Snyders 4dfp suite of image registration tools,
through a FreeSurfer script called talairach_avi. Several of the downstream
programs use talairach coordinates as seed points. You can/should check
how good the talairach registration is using
"tkregister2 --s subjid --fstal-avi". You must have an "fsaverage" subject in
your SUBJECTS_DIR. tkregister2 allows you to compare the orig volume
against the talairach volume resampled into the orig space. If you modify
the registration, it will change the talairach.xfm file. Your edits will
be *not* be overwritten unless you run recon-all specifying -clean-tal.
Run "tkregister2 --help" for more information.
Creates the files mri/transform/talairach.auto.xfm and talairach.xfm.
The flag -tal-check will check the registration against known-good transforms.
Adding the flag -use-mritotal after -talairach will use the MINC program
mritotal (see Collins, et al., 1994) to perform the transform.

Normalization (-normalization)

Performs intensity normalization of the orig volume and places the
result in mri/T1.mgz. Attempts to correct for fluctuations in
intensity that would otherwise make intensity-based segmentation much
more difficult. Intensities for all voxels are scaled so that the mean
intensity of the white matter is 110. If there are problems with the
normalization, users can add control points. See also Normalization2.

Skull Strip (-skullstrip)

Removes the skull from mri/T1.mgz and stores the result in
mri/brainmask.auto.mgz and mri/brainmask.mgz.
Runs the mri_watershed program. If the strip fails, users can specify
seed points (-wsseed) or change the threshold (-wsthresh, -wsmore, -wsless).
The -autorecon1 stage ends here.

NU Intensity Correction (-nuintensitycor)

Non-parametric Non-uniform intensity Normalization (N3), corrects for
intensity non-uniformity in MR data,  making relatively few assumptions
about the data.  This runs the MINC tool 'nu_correct'.  By default, one
iteration of nu_correct is run.  The flag -nuiterations specification
of some other number of iterations.

Automatic Subcortical Segmentation (-subcortseg)

This is done in six stages. (1) GCA linear registration
(-gcareg). This is an initial registration to a template. (2)
Canonical Normalization (-canorm), (3) Canonical Registration
(-careg). (4) Neck removal (-rmneck), (5) Registration, w/skull
(-skull-lta), and (6) Subcortical labeling (-calabel).
The stages are listed next.

EM (GCA) Registration (-gcareg)

Computes transform to align the mri/nu.mgz volume to the default GCA atlas
found in FREESURFER_HOME/average (see -gca flag for more info).
Creates the file mri/transforms/talairach.lta.
The -autorecon2 stage starts here.

CA Normalize (-canorm)

Further normalization, based on GCA model.
Creates mri/norm.mgz.
Note: -canorm-usecps will enable usage of control points during normalization.

CA Register (-careg)

Computes a nonlinear transform to align with GCA atlas.
Creates the file mri/transform/talairach.m3z.

Remove neck (-rmneck)

The neck region is removed from the NU-corrected volume mri/nu.mgz.
Makes use of transform computed from prior CA Register stage.
Creates the file mri/nu_noneck.mgz.

EM Registration, with Skull (-skull-lta)

Computes transform to align volume mri/nu_noneck.mgz with GCA volume
possessing the skull.
Creates the file mri/transforms/talairach_with_skull_2.lta.

CA Label (-calabel)

Labels subcortical structures, based in GCA model.
Creates the files mri/aseg.auto.mgz and mri/aseg.presurf.mgz.

ASeg Stats (-segstats)

Computes statistics on the segmented subcortical structures found
in mri/aseg.mgz. Writes output to file stats/aseg.stats.

Normalization2 (-normalization)

Performs a second (major) intensity correction using only the brain
volume as the input (so that it has to be done after the skull strip).
Intensity normalization works better when the skull has been removed.
Creates a new brain.mgz volume. The -autorecon2-cp stage begins here.
If -noaseg flag is used, then aseg.presurf.mgz is not used by mri_normalize.

WM Segmentation (-segmentation)

Attempts to separate white matter from everything else. The input is
mri/brain.mgz, and the output is mri/wm.mgz.  Uses intensity,
neighborhood, and smoothness constraints.  This is the volume that is
edited when manually fixing defects. Calls mri_segment,
mri_edit_wm_with_aseg, and mri_pretess. To keep previous edits, run
with -keep. If -noaseg is used, them mri_edit_wm_aseg is skipped.

Cut/Fill (-fill)

This creates the subcortical mass from which the orig surface is
created. The mid brain is cut from the cerebrum, and the hemispheres
are cut from each other. The left hemisphere is binarized to 255.
The right hemisphere is binarized to 127.  The input is mri/wm.mgz
and the output is mri/filled.mgz. Calls mri_fill. If the cut fails,
then seed points can be supplied (see -cc-crs, -pons-crs, -lh-crs,
-rh-crs). The actual points used for the cutting planes in the
corpus callosum and pons can be found in scripts/ponscc.cut.log.
The stage -autorecon2-wm begins here.  This is the last stage of
volumetric processing. If -noaseg is used, then aseg.presurf.mgz is 
not used by mri_fill.

Tessellation (-tessellate)

This is the step where the orig surface (ie, surf/?h.orig.nofix) is
created. The surface is created by covering the filled hemisphere with
triangles. Runs mri_tessellate. The places where the points of the
triangles meet are called vertices. Creates the file surf/?h.orig.nofix
Note: the topology fixer will create the surface ?h.orig.

Orig Surface Smoothing (-smooth1, -smooth2)

After tesselation, the orig surface is very jagged because each
triangle is on the edge of a voxel face and so are at right angles to
each other. The vertex positions are adjusted slightly here to reduce
the angle. This is only necessary for the inflation processes.
Creates surf/?h.smoothwm(.nofix). Calls mris_smooth. Smooth1 is the step
just after tessellation, and smooth2 is the step just after topology
fixing.

Inflation (-inflate1, -inflate2)

Inflation of the surf/?h.smoothwm(.nofix) surface to create
surf/?h.inflated. The inflation attempts to minimize metric distortion
so that distances and areas are perserved (ie, the surface is not
stretched). In this sense, it is like inflating a paper bag and not a
balloon.  Inflate1 is the step just after tessellation, and inflate2
is the step just after topology fixing. Calls mris_inflate. Creates
?h.inflated, ?h.sulc, ?h.curv, and ?h.area.

QSphere (-qsphere)

This is the initial step of automatic topology fixing. It is a
quasi-homeomorphic spherical transformation of the inflated surface designed
to localize topological defects for the subsequent automatic topology fixer.
Calls mris_sphere. Creates surf/?h.qsphere.nofix.

Automatic Topology Fixer (-fix)

Finds topological defects (ie, holes in a filled hemisphere) using
surf/?h.qsphere.nofix, and changes the orig surface (surf/?h.orig.nofix)
to remove the defects. Changes the number of vertices.  All the defects
will be removed, but the user should check the orig surface in the volume
to make sure that it looks appropriate. Calls mris_topo_fixer.
Creates surf/?h.orig (by iteratively fixing surf/?h.orig.nofix).

White Surface (-white)

Creates the ?h.white surfacees as well as the curvature file (?h.curv).
The white surface is created by "nudging" the orig surface so that it
closely follows the white-gray intensity gradient as found in the T1 volume.
Calls mris_make_surfaces.  See also "Pial Surface" and "Final Surfaces".

Spherical Inflation (-sphere)

Inflates the orig surface into a sphere while minimizing metric
distortion.  This step is necessary in order to register the surface
to the spherical atlas. (also known as the spherical morph). Calls
mris_sphere. Creates surf/?h.sphere.  The -autorecon3 stage begins here.

Ipsilateral Surface Registation (Spherical Morph) (-surfreg)

Registers the orig surface to the spherical atlas through
surf/?h.sphere. The surfaces are first coarsely registered by aligning
the large scale folding patterns found in ?h.sulc and then fine tuned
using the small-scale patterns as in ?h.curv.
Calls mris_register. Creates surf/?h.sphere.reg.

Jacobian (-jacobian_white)

Computes how much the white surface was distorted in order to register
to the spherical atlas during the -surfreg step. Creates ?h.jacobian_white
(a curv formatted file). This step follows the surface registration step.

Surface Registation, maximal distortion, with Jacobian (-jacobian_dist0)

Run spherical registration with no metric distortion penalty. This will
cause surface geometry to align regardless of the amount of distortion
induced (ie, distance contraints are turned off). The distortion will then
be quantified by the Jacobian of the transform. Creates ?h.jacobian_dist0 (a
curv formatted file) and ?h.sphere.dist0.jacobian.reg (a surface file). This
step is not run automatically because it can add about an hour per hemi.
Note: the file ?h.jacobian_white (see prior help text) is the Jacobian of
the white surface to spherical atlas alignment from -surfreg.

Contralateral Surface Registation (Spherical Morph) (-contrasurfreg)

Same as ipsilateral but registers to the contralateral atlas.
Creates lh.rh.sphere.reg and rh.lh.sphere.reg.

Average Curvature (-avgcurv)

Resamples the average curvature from the atlas to that of the subject.
Allows the user to display activity on the surface of an individual
with the folding pattern (ie, anatomy) of a group. Calls mrisp_paint.
Creates surf/?h.avg_curv.

Cortical Parcellation (-cortparc, -cortparc2, -cortparc3 )

Assigns a neuroanatomical label to each location on the cortical surface.
Incorporates both geometric information derived from the cortical model
(sulcus and curvature), and neuroanatomical convention.
Calls mris_ca_label.  -cortparc creates label/?h.aparc.annot,
-cortparc2 creates /label/?h.aparc.a2009s.annot, and
-cortparc3 creates /label/?h.aparc.DKTatlas40.annot.

Pial Surface (-pial)

Creates the ?h.pial surfaces as well as the thickness file (?h.thickness).
The pial surface is created by expanding the white surface so that it closely
follows the gray-CSF intensity gradient as found in the T1 volume.  The
cortical parcellation is also used to refine the surface in certain areas.
Calls mris_make_surfaces.  See also "Final Surfaces".

Final Surfaces (-finalsurfs)

!!! DEPRECATED !!! This flag is intended to emulate the old-style single-run
mris_make_surfaces, where the white and pial surfaces are created at the same
time without aid from the cortical parcellation data.

WM/GM Contrast (-pctsurfcon)

Computes the vertex-by-vertex percent contrast between white and gray matter.
The computation is:

         100*(W-G)
   pct = ---------
         0.5*(W+G)

The white matter is sampled 1mm below the white surface. The gray matter is
sampled 30% the thickness into the cortex. The volume that is sampled is
rawavg.mgz.  The output is stored in the surf dir of the given subject as
?h.w-g.pct.mgh.  Non-cortical regions (medial wall) are zeroed.
A stats file named ?h.w-g.pct.stats is also computed.

Surface Volume (-surfvolume)

Creates the ?h.volume file by first creating the ?h.mid.area file by
adding ?h.area(.white) to ?h.area.pial, then dividing by two.  Then
?h.volume is created by multiplying ?.mid.area with ?h.thickness.
This step is also run at the end of the -pial step.

Cortical Ribbon Mask (-cortribbon)

Creates binary volume masks of the cortical ribbon, ie, each voxel is
either a 1 or 0 depending upon whether it falls in the ribbon or not.
Saved as ?h.ribbon.mgz.  Uses mgz regardless of whether the -mgz
option is used.

Parcellation Statistics (-parcstats, -parcstats2, -parcstats3)

Runs mris_anatomical_stats to create a summary table of cortical
parcellation statistics for each structure, including 1. structure
name 2. number of vertices 3. total wm surface area (mm^2) 4. total gray
matter volume (mm^3) 5. average cortical thickness (mm) 6. standard
error of cortical thickness (mm) 7. integrated rectified mean wm
curvature 8. integrated rectified Gaussian wm curvature 9. folding index
10. intrinsic curvature index.
For -parcstats, the file is saved in stats/?h.aparc.stats.
For -parcstats2, the file is saved in stats/?h.aparc.${DESTRIEUX_NAME}.stats.
For -parcstats3, the file is saved in stats/?h.aparc.${DKTATLAS_NAME}.stats.

Curvature Statistics  (-curvstats)

Runs mris_curvature_stats to create a summary file (stats/?h.curv.stats)
of cortical curvature statistics.

LONGITUDINAL PROCESSING

The longitudinal processing scheme aims to incorporate the subject-wise
correlation of longitudinal data into the processing stream in order to
increase sensitivity and repeatability, see [14-16]. Care is taken to
avoid introduction of asymmetry-induced bias.

Here is a summary of the longitudinal workflow, where tpN refers to the
name of one timepoint of subject data, and longbase refers to the name
given to the base subject of a collection of timepoints:

1) cross-sectionally process tpN subjects (the default workflow):
  recon-all -s tp1 -i path_to_tp1_dicom -all
  recon-all -s tp2 -i path_to_tp2_dicom -all

2) create and process the unbiased base (subject template):
  recon-all -base longbase -tp tp1 -tp tp2 -all

3) longitudinally process tpN subjects:
  recon-all -long tp1 longbase -all
  recon-all -long tp2 longbase -all

4) do comparisons on results from 3), e.g. calculate differences
between tp2.long.longbase - tp1.long.longbase

Note that the longitudinal processing stream always produces output subject
data containing  .long.  in the name (to help distinguish from the default
stream).

Notice that the -all flag is included in the -base and -long calls above.
A work directive flag is required.

Other flags:

-uselongbasectrlvol

With -long: Switch on use of control-points from the base in the long
runs for intensity normalization (T1.mgz).

-uselongbasewmedits

With -long: Optionally transfer WM edits from base/template.
Default: map WM edits from corresponding cross run.

-no-orig-pial

If the orig pial surface data is not available, then specify this flag so that
mris_make_surfaces does not attempt to use it.

-noasegfusion

Do not create 'fused' aseg from the longbase timepoints, which would normally
be used to initialize the ca_labeling.  Instead, initialize using the longbase
aseg.mgz.

-addtp

If a new timepoint needs to be added to a longitudinal run where a base subject
has already been created (from prior timepoints), then the -addtp command
can be added to the -long command in order to 'fix-up' the longitudinal
stream to accept the new timepoint. Note that the base subject is *not*
recomputed using the new timepoint. This potentially introduces a bias, and it
is recommended to NOT add a time point this way! Instead recreate the base
from all time points and run all longitudinals again.
See the LongitudinalProcessing wiki page.

Example:

  recon-all -long   -addtp -all

In this example, 'tnNsubjid' is the subject name (assumed processed in the
cross-sectional stream) to add as a new timepoint and upon which to run
the longitudinal stream (creating .long.).



USING IMAGES FROM A 3T SCANNER 

The -3T flag enables two specific options in recon-all for images acquired with
a 3T scanner:  3T-specific NU intensity correction parameters are used in the 
Non-Uniform normalization stage, and the Schwartz 3T atlas is used for 
Talairach alignment.


T2 OR FLAIR TO IMPROVE PIAL SURFACES

Pial surfaces can be improved using the different contrast in T2 or FLAIR
images. The original pial surfaces without T2/FLAIR data are saved as  
?h.woT2.pial or ?h.woFLAIR.pial, and new ?h.pial surfaces are created.  One 
example where this is useful is when there is dura in the brainmask.mgz that 
isn't removed by skull stripping. The flags for these commands are:

  -T2   or -FLAIR  
    (Specify the  path to the T2 or FLAIR image to use)
  -T2pial or -FLAIRpial 
    (Create new pial surfaces using T2 or FLAIR images)

An example of running a subject through Freesurfer with a T2 image is:
  
  recon-all -s subjectname -i /path/to/input -T2 /path/to/T2_input -T2pial -all

T2 or FLAIR images can also be used with Freesurfer subjects that have already
been processed without them. Note that autorecon3 should also be re-ran to 
compute statistics based on the new surfaces. For example:
  
  recon-all -s subjectname -T2 /path/to/T2_volume -T2pial -autorecon3


MANUAL CHECKING AND EDITING OF SURFACES

To manually edit segmenation, run the following command (make sure
that your SUBJECTS_DIR environment variable is properly set).

  tkmedit subjid wm.mgz -aux T1.mgz

The surfaces can be loaded through the menu item
File->LoadMainSurface. To enable editing, set Tools->EditVoxels.  It
may also be convenient to bring up the reconstruction toolbar with
View->ToolBars->Reconstruction. Alt-C toggles between the main (wm)
and auxiliary (T1) volumes. Middle clicking will set a voxel value to
255; left clicking will set a voxel value to 0. Only edit the wm
volume. When finished, File->SaveMainVolume.

To view the inflated surface simultaneosly with the volume, run the
following command from a different shell:

  tksurfer subjid lh inflated

To goto a point on the surface inside the volume, click on the point
and hit SavePoint (icon looks like a floppy disk), then, in tkmedit,
hit GotoSavedPoint (icon looks like an open file).

Be sure to see the tutorials found at:
https://surfer.nmr.mgh.harvard.edu/fswiki/FsTutorial


TOUCH FILES

This script creates a directory called "touch". Each time a stage is
run a "touch file" is created (eg, skull_strip.touch). This will be
used in the future to automatically determine which stages need to be
run or re-run. The modification time of the touch file is important.
The content is irrelevent, though it often contains a command-line.


FLATTENING

Flattening is not actually done in this script. This part just documents
how one would go about performing the flattening. First, load the subject
surface into tksurfer:

  tksurfer subjid lh inflated

Load the curvature through the File->Curvature->Load menu (load
lh.curv). This should show a green/red curvature pattern. Red = sulci.

Right click before making a cut; this will clear previous points. This
is needed because it will string together all the previous places you
have clicked to make the cut. To make a line cut, left click on a line
of points. Make the points fairly close together; if they are too far
appart, the cut fails. After making your line of points, execute the
cut by clicking on the Cut icon (scissors with an open triangle for a
line cut or scissors with a closed triangle for a closed cut). To make
a plane cut, left click on three points to define the plane, then left
click on the side to keep. Then hit the CutPlane icon.

Fill the patch. Left click in the part of the surface that you want to
form your patch. Then hit the Fill Uncut Area button (icon = filled
triangle). This will fill the patch with white. The non-patch area
will be unaccessible through the interface.  Save the patch through
File->Patch->SaveAs. For whole cortex, save it to something like
lh.cort.patch.3d. For occipital patches, save it to lh.occip.patch.3d.

Cd into the subject surf directory and run

  mris_flatten -w N -distances Size Radius lh.patch.3d lh.patch.flat

where N instructs mris_flatten to write out an intermediate surface
every N interations. This is only useful for making movies; otherwise
set N=0.  Size is maximum number of neighbors; Radius radius (mm) in
which to search for neighbors. In general, the more neighbors that are
taken into account, the less the metric distortion but the more
computationally intensive. Typical values are Size=12 for large
patches, and Size=20 for small patches. Radius is typically 7.
Note: flattening may take 12-24 hours to complete. The patch can be
viewed at any time by loading the subjects inflated surface, then
loading the patch through File->Patch->LoadPatch...


GETTING HELP

See https://surfer.nmr.mgh.harvard.edu
Send email to freesurfer@nmr.mgh.harvard.edu


REFERENCES

See https://www.zotero.org/freesurfer

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Automatic 3D Inter-Subject Registration of MR Volumetric Data in
Standardized Talairach Space, Journal of Computer Assisted Tomography,
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[2] Cortical Surface-Based Analysis I: Segmentation and Surface
Reconstruction Dale, A.M., Fischl, Bruce, Sereno, M.I.,
(1999). Cortical Surface-Based Analysis I: Segmentation and Surface
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[3] Fischl, B.R., Sereno, M.I.,Dale, A. M.  (1999) Cortical
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[4] Fischl, Bruce, Sereno, M.I., Tootell, R.B.H., and Dale, A.M.,
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[6] Fischl, Bruce, Liu, Arthur, and Dale, A.M., (2001). Automated
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[7] Non-Uniform Intensity Correction.
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[8] Fischl B, Salat DH, Busa E, Albert M, Dieterich M, Haselgrove C,
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[9] Bruce Fischl, Andre van der Kouwe, Christophe Destrieux, Eric
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[10] Fischl B, Salat DH, van der Kouwe AJW, Makris N, Ségonne F, Dale
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[11] Segonne F, Dale, AM, Busa E, Glessner M, Salvolini U, Hahn HK,
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[12] Han et al.,  Reliability of MRI-derived measurements of human
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[13] Schaer et al., A Surface-based Approach to Quantify Local Cortical
Gyrification (2007) IEEE Transactions on Medical Imaging.

[14] Martin Reuter, H Diana Rosas, Bruce Fischl.
Highly Accurate Inverse Consistent Registration: A Robust Approach.
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[15] Martin Reuter, Bruce Fischl.
Avoiding Asymmetry-Induced Bias in Longitudinal Image Processing.
NeuroImage 51(1), 19-21, 2011. http://dx.doi.org/10.1016/j.neuroimage.2011.02.076

[16] Martin Reuter, Nicholas J Schmansky, H Diana Rosas, Bruce Fischl.
Within-Subject Template Estimation for Unbiased Longitudinal Image Analysis.
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[17] Iglesias, J.E., Augustinack, J.C., Nguyen, K., Player, C.M., Player, A., Wright,
M., Roy, N., Frosch, M.P., McKee, A.C., Wald, L.L., Fischl, B., and Van Leemput, K.,
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[dpane@mind-0-12 ~]$ 
Updated on January 11, 2022

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