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CortexMorph: fast cortical thickness estimation via diffeomorphic registration using VoxelMorph

2023/07/21 by Richard McKinley, Christian Rummel, McKinley, Richard +1
Computer Science · Medicine · #Advanced MRI Techniques and Applications #Advanced Neuroimaging Techniques and Applications #Computer Vision and Pattern Recognition (cs.CV) #FOS: Biological sciences #FOS: Computer and information sciences #FOS: Electrical engineering #Image and Video Processing (eess.IV) #Medical Image Segmentation Techniques #Quantitative Methods (q-bio.QM) #electronic engineering #information engineering

paper · pdf · doi:10.48550/arxiv.2307.11567

openalex publication_date 2023/07/21 · openalex created_date 2023/07/25 · openalex updated_date 2026/07/28

Abstract

The thickness of the cortical band is linked to various neurological and psychiatric conditions, and is often estimated through surface-based methods such as Freesurfer in MRI studies. The DiReCT method, which calculates cortical thickness using a diffeomorphic deformation of the gray-white matter interface towards the pial surface, offers an alternative to surface-based methods. Recent studies using a synthetic cortical thickness phantom have demonstrated that the combination of DiReCT and deep-learning-based segmentation is more sensitive to subvoxel cortical thinning than Freesurfer. While anatomical segmentation of a T1-weighted image now takes seconds, existing implementations of DiReCT rely on iterative image registration methods which can take up to an hour per volume. On the other hand, learning-based deformable image registration methods like VoxelMorph have been shown to be faster than classical methods while improving registration accuracy. This paper proposes CortexMorph, a new method that employs unsupervised deep learning to directly regress the deformation field needed for DiReCT. By combining CortexMorph with a deep-learning-based segmentation model, it is possible to estimate region-wise thickness in seconds from a T1-weighted image, while maintaining the ability to detect cortical atrophy. We validate this claim on the OASIS-3 dataset and the synthetic cortical thickness phantom of Rusak et al.

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