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We provide and evaluate an open-source software solution for automatically measuring hippocampal volume and hippocampal surface roughness based on T1-weighted MRI, which allows for discriminating between patients with Alzheimer's disease (AD) or mild cognitive impairment (MCI) and elderly controls (NC) using only one scan.

This solution is based on a fast multiple-atlas segmentation technique, which combines a patch-based labeling method with an atlas-warping using non-rigid registrations.

The classifications are comparable to the best classifications in a large clinical dataset. For AD vs control, we obtain a high degree of accuracy, approximately 90%. For MCI vs control, we obtain accuracies ranging from 70% to 78%. The average time for the hippocampal segmentation from a T1-MRI is less than 17 min.

In this study, we investigate a …