Explicit segmentation is required for many forms of quantitative neuro
anatomic analysis. However, manual methods are time-consuming and subj
ect to errors in both accuracy and reproducibility (precision). A 3-D
model-based segmentation method is presented in this paper for the com
pletely automatic identification and delineation of gross anatomical s
tructures of the human brain based on their appearance in magnetic res
onance images (MRI). The approach depends on a general, iterative, hie
rarchical non-linear registration procedure and a 3-D digital model of
human brain anatomy that contains both volumetric intensity-based dat
a and a geometric atlas. Here, the traditional segmentation strategy i
s inverted: instead of matching geometric contours from an idealized a
tlas directly to the MRI data, segmentation is achieved by identifying
the non-linear spatial transformation that best maps corresponding in
tensity-based features between a model image and a new MRI brain volum
e. When completed, atlas contours defined on the model image are mappe
d through the same transformation to segment and label individual stru
ctures in the new data set. Using manually segmented structure boundar
ies for comparison, measures of volumetric difference and volumetric o
verlap were less than 2% and better than 97% for realistic brain phant
om data, and less than 10% and better than 85%, respectively, for huma
n MRI data. This compares favorably to intra-observer variability esti
mates of 4.9% and 87%, respectively. The procedure performs well, is o
bjective and its implementation robust. The procedure requires no manu
al intervention, and is thus applicable to studies of large numbers of
subjects. The general method for non-linear image matching is also us
eful for non-linear mapping of brain data sets into stereotaxic space
if the target volume is already in stereotaxic space. (C) 1995 Wiley-L
iss, Inc.