Conventional brain segmentation approaches typically require high resolution 3D-T1 weighted images, which are often unavailable in clinical multiple sclerosis (MS) protocols. Recently, SynthSeg was released which allows 3D-FLAIR to be used for segmentations. This study compared segmentation on 3D-FLAIR with SynthSeg to segmentation in the same patients on 3D-T1 (SynthSeg, FastSurfer and SAMSEG). Brain segmentation was performed on 100 patients with 3D-T1 and 3D-FLAIR images from research and clinical datasets. ICC results showed good comparability for brain tissue, ventricle and grey matter assessments in research data. In clinical data only good comparability was found for ventricle segmentation.
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