The use of a high resolution atlas for segmentation and normalization greatly improves the accuracy of voxel-based morphometry analysis of magnetic resonance images. An adjusted method including the high resolution atlas was compared to the default method with the standard resolution atlas in a case-control study on essential tremor to demonstrate the impact of higher resolution segmentation. After multiple comparison correction using extent cluster thresholding, the adjusted method showed bilaterally consistent results, while the default method showed some false positive results in peripheral regions of the brain. A high resolution atlas should be used to segment equally high resolution images.
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