We present an unsupervised three-dimensional feature clustering algorithm to gather the mTOP2016 challenge data into 3 groups. We use the brain MR-T1, diffusion tensor fractional anisotropy, and diffusion tensor mean diffusivity images provided by the mTOP2016 competition. A distance-based size constraint method for data clustering is used. The proposed approach achieves 0.267 adjusted rand index and 0.3556 homogeneity score within the 15 labeled subjects, corresponding to 10 correctly classified data items. Based on visual exploration of the data, we believe that a localized analysis of the lesion regions, using the computed tractography data, is a promising direction to pursue.

Traumatic brain injury (TBI) can disrupt the white matter (WM) integrity in the brain, leading to functional and cognitive disruptions that may persist for years. There is considerable heterogeneity within the patient group, which complicates group analyses. Here we present improvements to a tract identification workflow, automated multi-atlas tract extraction (autoMATE), evaluating the effects of improved registration. Use of study-specific template improved group classification accuracy over the standard workflow. The addition of a multi-modal registration that includes information from diffusion weighted imaging (DWI), T₁-weighted, and Fluid-Attenuated Inversion Recovery (FLAIR) further improved classification accuracy. We also examined whether particular tracts contribute more to group classification than others. Parts of the corpus callosum contributed most, and there were unexpected asymmetries between bilateral tracts.