Deep sulcal landmarks: algorithmic and conceptual improvements in the definition and extraction of sulcal pits.

Recent interest has been growing concerning points of maximum depth within folds, the sulcal pits, that can be used as reliable cortical landmarks. These remarkable points on the cortical surface are defined algorithmically as the outcome of an automatic extraction procedure. The influence of several crucial parameters of the reference technique (Im et al., 2010) has not been evaluated extensively, and no optimization procedure has been proposed so far. Designing an appropriate optimization framework for these parameters is mandatory to guarantee the reproducibility of results across studies and to ensure the feasibility of sulcal pit extraction and analysis on large cohorts. In this work, we propose a framework specifically dedicated to the optimization of the parameters of the method. This optimization framework relies on new measures for better quantifying the reproducibility of the number of sulcal pits per region across individuals, in line with the assumptions of one-to-one correspondence of sulcal roots across individuals which is an explicit aspect of the sulcal roots model (Régis et al., 2005). Our procedure benefits from a combination of improvements, including the use of a convenient sulcal depth estimation and is methodologically sound. Our experiments on two different groups of individuals, with a total of 137 subjects, show an increased reliability across subjects in deeper sulcal pits, as compared to the previous approach, and cover the entire cortical surface, including shallower and more variable folds that were not considered before. The effectiveness of our method ensures the feasibility of a systematic study of sulcal pits on large cohorts. On top of these methodological advances, we quantify the relationship between the reproducibility of the number of sulcal pits per region across individuals and their respective depth and demonstrate the relatively high reproducibility of several pits corresponding to shallower folds. Finally, we report new results regarding the local pit asymmetry, providing evidence that the algorithmic and conceptual approach defended here may contribute to better understanding of the key role of sulcal pits in neuroanatomy.