Dear All,
I am interested at getting as good pial/cortical reconstructions as
possible on a series of epilepsy pt scans, some showing eccentric
(cortical) lesions (focal encephalomalacias, infarcts, or after focal
resections). One particularly difficult lesion type to get an accurate
cortical surface is where there are prongs of grey matter bulging out (like
a bag of worms), (mostly) without visible wm, see attached picture. These
prongs are maintained in the brainmask.mgz and brain.finalsurfs.mgz, but
not included in the pia with the default recon. Lesion voxel intensities
vary from 30-90.
I tried cp, wm edits (using brainmask or T1 as referece), both, did not
matter, it did not work.
Since I am not intested in wm/subcortical segmentation but just in a good
pia, I was wondering if I 'create' thin wm tracts through the center of
these gm prongs to help pial segmentation. If this is a valid option,
should I create those in brainmask, brain.finalsurfs or wm.mgz, and should
I use 110 or 255 for the brush?
Any other suggestions are appreciated. Nevertheless, I know there is a lot
of tweaking of each lesion, and I try for more of a global approach to
these kinds of lesions.
Thank you,
Octavian.