Brain atrophy Z-score
From a single 3D T1-weighted MRI series, it computes a voxel-wise Z-score (positive for gray-matter atrophy) against a healthy reference (373 healthy subjects aged 20 to 84 from the public IXI dataset), and produces a Z map, hippocampal volumes, differential reference indices and a two-page A4 report. The pipeline is HD-BET brain extraction, N4 bias correction, ANTs (Affine + SyN) registration to a standard brain, Atropos tissue segmentation, modulated gray matter, then voxel-wise regression Z. Hippocampal volumes come from HippoDeep.
Everything runs on this PC; no images leave it. You can check each stage (brain extraction, registration, segmentation, the Z map) in three planes before saving the report as HTML or PDF.
Development version 0.1.0, not yet distributed. It is research and educational software, not a medical device. The output is a reference value showing the difference from a healthy reference and does not replace a physician's judgment based on the images and clinical information. Sensitivity in Alzheimer's disease cases has not been evaluated. The screens below show one healthy subject from the public IXI dataset; the patient name, ID and birth date are fictitious.
Screenshots
Technical note: Method and evaluation of the gray-matter atrophy Z-score plugin for T1-weighted MRI (PDF, Japanese, 22 pages)
The processing pipeline, the reference database, pre-registered evaluation results, comparison with VSRAD, limitations and reproducibility.
Public: free, available on GitHub. Exclusive: provided only to site-support (enterprise plan) customers. Apply for site support →