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FreeSurfer

FreeSurfer reconstructs the cortical surface from a T1-weighted scan and derives the structural measures most anatomical studies report: cortical thickness, surface area, curvature, subcortical volumes, and a parcellation into named regions. Its single command, recon-all, runs an hours-long sequence of skull-stripping, intensity normalization, tissue segmentation, and surface tessellation.

Two practical points matter for anyone here. First, you may already be running it: fMRIPrep calls FreeSurfer internally for surface reconstruction and registration, so a fMRIPrep derivatives directory usually contains a full FreeSurfer output tree you can use without re-running anything. Second, recon-all takes 6–12 hours per subject, which makes it the step that dominates wall-clock time on a cohort and the one that most needs job array scheduling rather than a loop.

Its outputs are also the input to a great deal else — surface-based statistics, normative models of cortical thickness, and most structural biomarkers in the aging and dementia literature.