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55 changes: 48 additions & 7 deletions README.md
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# SlicerMp2rageBackgroundSuppression
This is an extension for 3D Slicer that is used to filter background noise (aka denoising) for MP2RAGE Image acquisitions.

Required Inputs:
This is an extension for 3D Slicer that provides tools for working with MRI
images using the MP2RAGE contrast. Currently it supplies a single tool for suppressing divide-by-zero background noise (aka denoising).

The MP2RAGE MRI contrast<sup>[1](#1)</sup> is acquired by simultaneously collecting two MPRAGE images at different inversion times and combining them to form a new, derived contrast. MP2RAGE generates excellent T1-weighted images and is useful for generating other derived contrasts (e.g. T1 maps, synthetic white matter-nulled T1s, and synthetic FGATIR<sup>[2](#2)</sup>). However, it contains “salt-and-pepper” noise, rather than zero values, in areas of low or no signal. This noise can cause algorithms developed for traditional T1 images processing to fail. A “denoising” (more accurately, background suppression) method for eliminating such noise has been published<sup>[3](#3)</sup>, but it relies on additional phase data which is typically not available. This extension implements a method for retrospectively applying a similar noise suppression approach which relies only on available scanner output images.

## Installation Instructions
1. In Slicer, open the Extensions Manager
(View &rarr Extensions Manager).

2. Search for `MP2RAGE` and click `INSTALL`

3. Restart Slicer.


### Alternate Installation Method: Manual Installation Via Github
For development and testing, the extension may also be installed from the
project's GitHub repository.

1. Open a terminal, change directory to the path that you will input into Step 3, and type into the command line:

`git clone [email protected]:harellab/SlicerMp2rageBackgroundSuppression.git`

2. Open Slicer and go to Edit &rarr; Application Settings &rarr; Modules
3. Copy the mp2rageBackgroundSuppression directory path into the Additional module paths and click ok

Note: the module path will be the directory where the github was cloned
with ~/mp2rageBackgroundSuppression/BackgroundNoiseSuppression
![Alt text](doc/AdditionalModulePaths.png)

4. Restart Slicer and go back to
Edit &rarr; Application Settings &rarr; Modules. Make sure the BackgroundNoiseSupression module checkbox is checked, click and drag the module to the Favorite Modules list.
![Alt text](doc/FavoriteModules.png)

## Usage

### Required Inputs:
1. MP2RAGE uniform images (UNI)
2. The first inversion recovery sequence (INV1) from MP2RAGE
3. The second inversion recovery sequence (INV2) from MP2RAGE

Extension Workflow:
### Extension Workflow:
1. Load the MP2RAGE data sets (UNI, INV1, INV2) into 3D Slicer as volumes.
![Alt text](Screenshot1.png)

Expand All @@ -15,15 +49,22 @@ Extension Workflow:
![Alt text](Screenshot2.png)


Disclaimer
## Disclaimer

Mp2rageBackgroundSuppression, same as 3D Slicer, is a research software. It is NOT an FDA-approved medical device. It is not intended for clinical use. The user assumes full responsibility to comply with the appropriate regulations.

Support
## Support

Please feel free to contact The Harel Lab github organization for questions, feedback, suggestions or bugs. https://github.com/harellab/SlicerMp2rageBackgroundSuppression/issues

Acknowledgments
## Acknowledgments

Development of mp2rageBackgroundSuppression was supported in part by the following NIH grants:
Udall NIH P50 NS123109
Udall NIH P50 NS123109

## References
<a id="1">1.</a> Marques JP, Kober T, Krueger G, Van Der Zwaag W, Van De Moortele PF, Gruetter R. MP2RAGE, a self bias-field corrected sequence for improved segmentation and T1-mapping at high field. *NeuroImage*. 2010;49(2):1271-1281. doi:10.1016/j.neuroimage.2009.10.002

<a id="2">2.</a> Middlebrooks EH, Tao S, Zhou X, et al. Synthetic Inversion Image Generation using MP2RAGE T1 Mapping for Surgical Targeting in Deep Brain Stimulation and Lesioning. *Ster Funct Neurosurg*. 2023;101(5):326-331. doi:10.1159/000533259

<a id="3">3.</a> O’Brien KR, Kober T, Hagmann P, et al. Robust T1-Weighted Structural Brain Imaging and Morphometry at 7T Using MP2RAGE. Margulies D, ed. *PLoS ONE*. 2014;9(6):e99676. doi:10.1371/journal.pone.0099676
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