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Introduction
This tutorial guides you through a voxel-based
morphometry. We will compare scans from patients with Temporal Lobe
Epilepsy with controls who do not show epilepsy..
- You will want to install a copy of MRIcron - this also includes NPM
- This tutorial requires a sample dataset named npmdata.zip.
- Our sample dataset that includes images from 30 control
participants (c1..c30.nii.gz) and 28 people with temporal lobe epilepsy
(e1..e28.nii.gz). These scans are the smoothed normalized segmented
gray matter maps (using a toolbox for SPM5 created by Christian Gaser). There is also a mask image (mask50.nii.gz), which is
a binary file (black/white) showing brain regions that were more than
50% gray matter in the whole group (combining individuals with and
without epilepsy).

Compute results
Next, we we compute our statistical results. You could do this with SPM, but here we will use NPM which can
conduct permutation thresholding and the non-parametric Brunner and Munzel test. To
conduct these statistics,
you need to download and install npm.exe - this only works on the
Windows operating system.
- Launch NPM.exe.
- First go to the 'Options' menu and set the permutations to None.
Permutation thresholding can be useful, but it will take at least 1000
times longer than a normal False-Discovery Rate corrected threshold,
and is typically less sensitive. Therfore, for you first glance at your
data, turn this feature off.
- Go to 'Option' menu and click 'Tests' - make sure the 'Brunner Munzel' is checked and the t-test and Welch test are unchecked.
Our data is normally distributed, so the t-test and BM test should give similar results.
- Click the File/ContinuousImagesBinaryGroups(VBM) command you will be asked to select three groups of images:
- "Select Brain Mask" - select mask50.nii.gz
- "Select Positive Group (Z scores positive if this group
is brighter)" c1..c30.nii.gz - use the shift or control keys to select
multiple images.
- "Select Negative Group (Z scores negative if this group
is brighter)" e1..e28.nii.gz - use the shift or control keys to select
multiple images.
- You will be asked to name your output files - lets call them "conpos_epineg".
- NPM will now compute the requested tests. It will create
overlap images of all your patients (e.g. conpos_epinegMn.nii.gz) and a statistical
map (conpos_epinegttest.nii.gz for the t-test, conpos_epinegBM.nii.gz for the BM test).

Viewing results
We can open up the statistical maps generated and place them
on top of an anatomical scan. If your lesion maps were aligned to
stereotaxic MNI space, you can open them on top of one of the standard
templates (File/OpenTemplates/ch2). Here is a quick guide:
- Launch MRIcron and choose File/OpenTemplates/ch2bet as our background image
- Choose Overlay/Add and choose the statistical map created in the previous step (e.g. C:\dataset\binL.nii.gz).
- When MRIcron detects a statistical map, it calculates the
p-values
for each test in order to determine the false discover rate (FDR)
threshold - e.g. how much robust signal is present in your data.
MRIcron displays a histogram of the Z-scores. Note in the example
below, most of the data has positive Z scores suggesting a robust
signal (if our data was merely noise, we should see a bell-shaped
distribution with a mean of 0, instead the mean Z score is around 2).

- Next, MRIcron displays the overlay. Note at the bottom of the
screen the software reports the critical values: the p05/p01 values
correspond to uncorrected p<0.05 and p<0.01 values that are very
liberal (these tests will make many false alarms, e.g. here we have
conducted 1100647 tests, so p05 should result in many false positives).
The fwe05 and fwe01 values correspond to the Bonferroni-corrected
values: this test is very conservative, and you will often fail to
detect real effects. The FDR05 and FDR01 results reflect the False
Discover Rate - e.g. a FDR05 should show around 20 real activations for
every false positive. Note that when there is very little or no signal,
FDR is as conservative as Bonferroni, but it is adaptive to the actual
signal in your dataset. Note that you can select the image thresholding
and cutoff for your overlay, as described in the MRIcron manual. Note that by default,
my software loads statistical maps with thresholds from FDR05 to FDR01,
unless there is insufficient signal, in which case it uses the
uncorrected 0.05...0.01 values. Also note that the current overlay is
set to appear in a monochromatic red color scheme.

- We can repeat steps 2..4 to load multiple overlays, to compare
different statistical tests. For example, clicking on the
'tutorialfmri.bat' icon will launch MRIcron and load to overlapping
regions of interest. By using the Overlay/TransparencyOnOtherOverlays
command we can view both of these overlays simultaneously.
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