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Description
Context
After discussing with several researchers (incl. Nawal Kinany, Ilaria Ricchi, Rob Barry, Olivia Kowalcyk), and verifying the validity of the current spinal levels of the PAM50 template, we came to the conclusion that there is a 'missing' level at around C7, shifting all the caudal levels upwards. Consequently, the PAM50 spinal level file needs to be corrected.
Solution
A consensus strategy to update it, is to rely on the article by Frostell et al. Figure 1 from the paper is a good illustration of the spinal vs. vertebral segment location:
Methods
Table 3 from Frostell et al. indicates the location of spinal segments as a proportion of the cord:
So the plan is to identify the beginning of C1 and the end of S5 from the PAM50, and then place the spinal levels from these two upper/lower reference points.
The most rostral location of the C1 nerve rootlets seem to correspond to slice z=984:
The most caudal portion of the spinal cord seems to be located at the L1-L2 disc (which is also what is reported in Frostell et al.'s article), at slice z=40:
Implementation
My plan is to update the script that were used to generate the previous version of the spinal levels based on the Cadotte et al. article.



