Parcellation of the cortex using Surface-based Melbourne Children's Regional Infant Brain atlases (M-CRIB-S)
Authors: Adamson Chris L. , Alexander Bonnie , Ball Gareth , Beare Richard , Cheong Jeanie L.Y. , Spittle Alicia J. , Doyle Lex W. , Anderson Peter J. , Seal Marc L. , Thompson Deanne K. 
Published: February 2019

Background

Longitudinal studies of cortical morphology are best facilitated by parcellation schemes that are compatible across all life stages. Until recently, neonatal atlases derived strictly from neonatal data, rather than warping brain labels from an adult atlas, did not exist. The Melbourne Children’s Regional Infant Brain (M-CRIB) and M-CRIB 2.0 atlases now provide voxel-based parcellations of the cerebral cortex within T2-weighted neonatal images. These atlases are compatible with the Desikan-Killiany (DK) and the Desikan-Killiany-Tourville (DKT) cortical labelling schemes commonly used for older children and adults. However, there is still a need for a surface-based approach for parcellating neonatal images using these atlases.

Aims

We aimed to introduce surface-based versions of the M-CRIB and M-CRIB 2.0 atlases, termed M-CRIB-S(DK) and M-CRIB-S(DKT), along with a pipeline for automated parcellation with FreeSurfer tools. We also aimed to evaluate the automated parcellation accuracy of our M-CRIB-S atlases using cross-validation with manually labelled data; and to evaluate accuracy of the proposed automated parcellation pipeline for the M-CRIB-S labels against the publicly available surface-based University of North Carolina (UNC) 4D neonatal atlas, which has labels derived from the DK adult atlas.

Methods

Using datasets of 10 M-CRIB or M-CRIB 2.0 manually labelled ground truth images and 48 unlabelled T2-weighted magnetic resonance images (MRI) of healthy neonates, cortical surfaces were extracted using the Deformable module within MIRTK. Cortical regions from the labelled images were encoded into a spherical template space using FreeSurfer tools wherein M-CRIB-S(DK) and M-CRIB-S(DKT) atlases were constructed. Automatic parcellation of the labelled and unlabelled (L+U) images (n=58) using the M-CRIB-S(DK) and M-CRIB-S(DKT) atlases were computed with Bayesian labelling using FreeSurfer tools. Accuracy was assessed by comparison with manually labelled ground truth data (n=10) using Dice coefficients and within a Leave-One-Out (LOO) cross-validation framework. Agreement of the UNC atlas parcellations with manual M-CRIB labelling was also evaluated using Dice coefficients.

Results

When comparing automated parcellations from the M-CRIB-S atlases to manual labels, disagreements were mostly closely confined to region boundaries, suggesting high overlap overall. Quantitatively, average regional Dice coefficients were 0.88 (L+U) and 0.83 (LOO) for the M-CRIB 2.0 labels and 0.87 (L+U), 0.80 (LOO) for the M-CRIB labels, and 0.67 for the UNC atlas.

Conclusions

The M-CRIB-S atlases and automatic pipeline described in this paper allow infant cortical surfaces to be accurately parcellated according to the DK or DKT parcellation schemes. This will help facilitate surface-based investigations of brain function at the neonatal time point, and potentially longitudinally across the lifespan. The use of M-CRIB-S outperformed a technique that relies on an adult-derived atlas. The atlases, averaged white, inflated, pial and spherical surfaces, along with customised scripts for segmentation, cortical surface extraction and parcellation, are available for public download.