Processing strategies for improving cortical thickness correspondence between low-field and high-field MRI in young people
- 1Department of Psychiatry and Behavioral Sciences, Boston Children's Hospital, Boston, MA, United States
Abstract
Portable low-field MRI systems are a promising complement to conventional high-field systems, enabling broader access to MRI. However, correspondence in cortical thickness estimates between low- and high-field MRI in young people remains limited despite its importance for neurodevelopment and psychopathology. To evaluate how multiple low-field image processing approaches improve cortical thickness correspondence with high-field MRI in a large sample of young individuals, we collected T1-weighted (T1w) and T2-weighted (T2w) data using both low-field (64mT) and high-field (3T) MRI within one week of each other from a community sample of young people. We applied deep learning-based super-resolution methods (SynthSR v1 and SynthSR v2) followed by recon-all, or other reconstruction methods (recon-all-clinical and recon-any), to low-field data acquired across multiple sequences (T1w and T2w) and orientations (axial, coronal, sagittal, and multi-orientation average), with and without resampling and/or co-registration. We assessed global, lobar, and regional cortical thickness correspondence with 3T MRI measures based on the Desikan-Killiany atlas using Pearson and intraclass correlations. We compared pipelines using Steiger's Z-tests and Fisher's Z-tests. A total of 150 individuals (mean age, 18.63+/-5.07; 80 female) were included. We observed the highest global correspondence with recon-all-clinical applied to coronal T1w images (r=0.40, pFDR=3.02e-05), which significantly exceeded the best global correspondence in our previous study (Fisher's Z=1.99, p=0.047). At the lobar and regional levels, multi-orientation T2w images processed with recon-all-clinical showed the highest correspondence across the greatest number of regions (4/12 lobes; 13/68 regions). This pipeline showed the highest correspondence and largest improvements relative to recon-all alone in frontal, cingulate, and temporal regions, including the right pars triangularis (r=0.52, pFDR=4.78e-11; Steiger's Z=4.78, pFDR=4.25e-06), right caudal anterior cingulate (r=0.47, pFDR=3.83e-09; Steiger's Z=5.46, pFDR=1.32e-07), and left parahippocampal regions (r=0.58, pFDR=2.98e-14; Steiger's Z=5.17, pFDR=6.01e-07). We observed significantly improved cortical thickness correspondence in low-field MRI in young people relative to recon-all alone and our prior work. The recon-all-clinical pipeline yielded moderate correspondence, particularly in frontal, cingulate, and temporal regions. Our results demonstrate a methodological improvement in the use of low-field MRI for assessing cortical thickness in young people, providing a quantitative benchmark for current tools in this area.
Versions
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BibTeX
@misc{choi2026processing,
title = {{Processing strategies for improving cortical thickness correspondence between low-field and high-field MRI in young people}},
author = {S. Choi and J. Shaw and R. Cooper and M. Corcoran and S. Sathe and R. Hayes and I. Elder and A. Lucas and C. Vadali and J. Stein and M. Jalbrzikowski},
howpublished = {bioRxiv},
year = {2026},
month = jul,
doi = {10.64898/2026.07.08.737238},
url = {https://www.biorxiv.org/content/10.64898/2026.07.08.737238v2},
note = {CC BY-NC-ND},
}
RIS
TY - UNPB
TI - Processing strategies for improving cortical thickness correspondence between low-field and high-field MRI in young people
AU - S. Choi
AU - J. Shaw
AU - R. Cooper
AU - M. Corcoran
AU - S. Sathe
AU - R. Hayes
AU - I. Elder
AU - A. Lucas
AU - C. Vadali
AU - J. Stein
AU - M. Jalbrzikowski
PY - 2026
DA - 2026/07/08
PB - bioRxiv
DO - 10.64898/2026.07.08.737238
UR - https://www.biorxiv.org/content/10.64898/2026.07.08.737238v2
AB - Portable low-field MRI systems are a promising complement to conventional high-field systems, enabling broader access to MRI. However, correspondence in cortical thickness estimates between low- and high-field MRI in young people remains limited despite its importance for neurodevelopment and psychopathology. To evaluate how multiple low-field image processing approaches improve cortical thickness correspondence with high-field MRI in a large sample of young individuals, we collected T1-weighted (T1w) and T2-weighted (T2w) data using both low-field (64mT) and high-field (3T) MRI within one week of each other from a community sample of young people. We applied deep learning-based super-resolution methods (SynthSR v1 and SynthSR v2) followed by recon-all, or other reconstruction methods (recon-all-clinical and recon-any), to low-field data acquired across multiple sequences (T1w and T2w) and orientations (axial, coronal, sagittal, and multi-orientation average), with and without resampling and/or co-registration. We assessed global, lobar, and regional cortical thickness correspondence with 3T MRI measures based on the Desikan-Killiany atlas using Pearson and intraclass correlations. We compared pipelines using Steiger's Z-tests and Fisher's Z-tests. A total of 150 individuals (mean age, 18.63+/-5.07; 80 female) were included. We observed the highest global correspondence with recon-all-clinical applied to coronal T1w images (r=0.40, pFDR=3.02e-05), which significantly exceeded the best global correspondence in our previous study (Fisher's Z=1.99, p=0.047). At the lobar and regional levels, multi-orientation T2w images processed with recon-all-clinical showed the highest correspondence across the greatest number of regions (4/12 lobes; 13/68 regions). This pipeline showed the highest correspondence and largest improvements relative to recon-all alone in frontal, cingulate, and temporal regions, including the right pars triangularis (r=0.52, pFDR=4.78e-11; Steiger's Z=4.78, pFDR=4.25e-06), right caudal anterior cingulate (r=0.47, pFDR=3.83e-09; Steiger's Z=5.46, pFDR=1.32e-07), and left parahippocampal regions (r=0.58, pFDR=2.98e-14; Steiger's Z=5.17, pFDR=6.01e-07). We observed significantly improved cortical thickness correspondence in low-field MRI in young people relative to recon-all alone and our prior work. The recon-all-clinical pipeline yielded moderate correspondence, particularly in frontal, cingulate, and temporal regions. Our results demonstrate a methodological improvement in the use of low-field MRI for assessing cortical thickness in young people, providing a quantitative benchmark for current tools in this area.
ER -