Coupled Reconstruction of Cortical Surfaces by Diffeomorphic Mesh Deformation.

Accurate reconstruction of cortical surfaces from brain magnetic resonance images (MRIs) remains a challenging task due to the notorious partial volume effect in brain MRIs and the cerebral cortex's thin and highly folded patterns. Although many promising deep learning-based cortical surface reconstruction methods have been developed, they typically fail to model the interdependence between inner (white matter) and outer (pial) cortical surfaces, which can help generate cortical surfaces with spherical topology. To robustly reconstruct the cortical surfaces with topological correctness, we develop a new deep learning framework to jointly reconstruct the inner, outer, and their in-between (midthickness) surfaces and estimate cortical thickness directly from 3D MRIs. Our method first estimates the midthickness surface and then learns three diffeomorphic flows jointly to optimize the midthickness surface and deform it inward and outward to the inner and outer cortical surfaces respectively, regularized by topological correctness. Our method also outputs a cortex thickness value for each surface vertex, estimated from its diffeomorphic deformation trajectory. Our method has been evaluated on two large-scale neuroimaging datasets, including ADNI and OASIS, achieving state-of-the-art cortical surface reconstruction performance in terms of accuracy, surface regularity, and computation efficiency.