We investigate the value added by diffusion fiber tractography dissection of white matter pathways over standard T1w images in which WM is largely homogenous. We analyze structural differences in pathway segmentations between a deep learning network trained to label WM directly on T1w images and the same pathways dissected using tractography, and find that although the core of the stem of many fiber bundles is accurately delineated, the value of tractography is in delineating terminal connections and determining fine-scale stem geometrical properties. Thus, while localizing regions-of-interest is possible in structural images, tractography is needed for increased pathway and connection information.
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