Hi Tayebeh,
Indeed, ensuring that you inspect and/or analyse the correct hemisphere is not trivial, since the hemispheres have a too similar appearance for algorithms to automatically detect that they have not been flipped during the process.
Any other flips (e.g. superior/inferior or anterior/posterior) are easy to observe by a human or machine.
What ExploreASL does (and many others):
1) The MRI scanner saves the original orientation of the image (including the left-right orientation) as it comes from the scanner (in the NIfTI header this is stored as .mat0).
2) After image processing, there is a test that compares if there has been a left-right flip in the new orientation (after image processing, which is stored as .mat in the NIfTI header), with the original orientation (.mat0). This would issue a warning
and can be checked in the QC, e.g. in the PDF report you have the parameter “TL1_LR_flip_YesNo” for the T1 (and similarly for other scan types), which should be 0 (no flip).
3) MRICron is certainly a helpful visualization tool. There is an option to view the image in the “true orientation”, which is referred to as the “world coordinates”. You can activate this by checking >HELP>Preferences>Reorient images when loading.