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An ambiguity-aware classifier of lumbar disc degeneration. Knowl Based Syst 2022. [DOI: 10.1016/j.knosys.2022.109992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Alukaev D, Kiselev S, Mustafaev T, Ainur A, Ibragimov B, Vrtovec T. A deep learning framework for vertebral morphometry and Cobb angle measurement with external validation. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2022; 31:2115-2124. [PMID: 35596800 DOI: 10.1007/s00586-022-07245-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 04/11/2022] [Accepted: 04/21/2022] [Indexed: 01/20/2023]
Abstract
PURPOSE To propose a fully automated deep learning (DL) framework for the vertebral morphometry and Cobb angle measurement from three-dimensional (3D) computed tomography (CT) images of the spine, and validate the proposed framework on an external database. METHODS The vertebrae were first localized and segmented in each 3D CT image using a DL architecture based on an ensemble of U-Nets, and then automated vertebral morphometry in the form of vertebral body (VB) and intervertebral disk (IVD) heights, and spinal curvature measurements in the form of coronal and sagittal Cobb angles (thoracic kyphosis and lumbar lordosis) were performed using dedicated machine learning techniques. The framework was trained on 1725 vertebrae from 160 CT images and validated on an external database of 157 vertebrae from 15 CT images. RESULTS The resulting mean absolute errors (± standard deviation) between the obtained DL and corresponding manual measurements were 1.17 ± 0.40 mm for VB heights, 0.54 ± 0.21 mm for IVD heights, and 3.42 ± 1.36° for coronal and sagittal Cobb angles, with respective maximal absolute errors of 2.51 mm, 1.64 mm, and 5.52°. Linear regression revealed excellent agreement, with Pearson's correlation coefficient of 0.943, 0.928, and 0.996, respectively. CONCLUSION The obtained results are within the range of values, obtained by existing DL approaches without external validation. The results therefore confirm the scalability of the proposed DL framework from the perspective of application to external data, and time and computational resource consumption required for framework training.
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Affiliation(s)
- Danis Alukaev
- AI Lab, Innopolis University, Universitetskaya St 1, 420500, Innopolis, Republic of Tatarstan, Russian Federation
| | - Semen Kiselev
- AI Lab, Innopolis University, Universitetskaya St 1, 420500, Innopolis, Republic of Tatarstan, Russian Federation
| | - Tamerlan Mustafaev
- AI Lab, Innopolis University, Universitetskaya St 1, 420500, Innopolis, Republic of Tatarstan, Russian Federation.,Kazan Public Hospital, Chekhova 1A, 42000, Kazan, Republic of Tatarstan, Russian Federation
| | - Ahatov Ainur
- Barsmed Diagnostic Center, Daurskaya 12, 42000, Kazan, Republic of Tatarstan, Russian Federation
| | - Bulat Ibragimov
- Department of Computer Science, University of Copenhagen, Universitetsparken 1, 2100, Copenhagen, Denmark.,Laboratory of Imaging Technologies, Faculty of Electrical Engineering, University of Ljubljana, Tržaška cesta 25, 1000, Ljubljana, Slovenia
| | - Tomaž Vrtovec
- Laboratory of Imaging Technologies, Faculty of Electrical Engineering, University of Ljubljana, Tržaška cesta 25, 1000, Ljubljana, Slovenia.
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D’Antoni F, Russo F, Ambrosio L, Vollero L, Vadalà G, Merone M, Papalia R, Denaro V. Artificial Intelligence and Computer Vision in Low Back Pain: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010909. [PMID: 34682647 PMCID: PMC8535895 DOI: 10.3390/ijerph182010909] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/04/2021] [Accepted: 10/09/2021] [Indexed: 12/16/2022]
Abstract
Chronic Low Back Pain (LBP) is a symptom that may be caused by several diseases, and it is currently the leading cause of disability worldwide. The increased amount of digital images in orthopaedics has led to the development of methods related to artificial intelligence, and to computer vision in particular, which aim to improve diagnosis and treatment of LBP. In this manuscript, we have systematically reviewed the available literature on the use of computer vision in the diagnosis and treatment of LBP. A systematic research of PubMed electronic database was performed. The search strategy was set as the combinations of the following keywords: "Artificial Intelligence", "Feature Extraction", "Segmentation", "Computer Vision", "Machine Learning", "Deep Learning", "Neural Network", "Low Back Pain", "Lumbar". Results: The search returned a total of 558 articles. After careful evaluation of the abstracts, 358 were excluded, whereas 124 papers were excluded after full-text examination, taking the number of eligible articles to 76. The main applications of computer vision in LBP include feature extraction and segmentation, which are usually followed by further tasks. Most recent methods use deep learning models rather than digital image processing techniques. The best performing methods for segmentation of vertebrae, intervertebral discs, spinal canal and lumbar muscles achieve Sørensen-Dice scores greater than 90%, whereas studies focusing on localization and identification of structures collectively showed an accuracy greater than 80%. Future advances in artificial intelligence are expected to increase systems' autonomy and reliability, thus providing even more effective tools for the diagnosis and treatment of LBP.
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Affiliation(s)
- Federico D’Antoni
- Unit of Computer Systems and Bioinformatics, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 21, 00128 Rome, Italy; (F.D.); (L.V.)
| | - Fabrizio Russo
- Department of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy; (L.A.); (G.V.); (R.P.); (V.D.)
- Correspondence: (F.R.); (M.M.)
| | - Luca Ambrosio
- Department of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy; (L.A.); (G.V.); (R.P.); (V.D.)
| | - Luca Vollero
- Unit of Computer Systems and Bioinformatics, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 21, 00128 Rome, Italy; (F.D.); (L.V.)
| | - Gianluca Vadalà
- Department of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy; (L.A.); (G.V.); (R.P.); (V.D.)
| | - Mario Merone
- Unit of Computer Systems and Bioinformatics, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 21, 00128 Rome, Italy; (F.D.); (L.V.)
- Correspondence: (F.R.); (M.M.)
| | - Rocco Papalia
- Department of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy; (L.A.); (G.V.); (R.P.); (V.D.)
| | - Vincenzo Denaro
- Department of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy; (L.A.); (G.V.); (R.P.); (V.D.)
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Mbarki W, Bouchouicha M, Frizzi S, Tshibasu F, Farhat LB, Sayadi M. Lumbar spine discs classification based on deep convolutional neural networks using axial view MRI. INTERDISCIPLINARY NEUROSURGERY 2020. [DOI: 10.1016/j.inat.2020.100837] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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5
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Fu M, Ye Q, Jiang C, Qian L, Xu D, Wang Y, Sun P, Ouyang J. The segment-dependent changes in lumbar intervertebral space height during flexion-extension motion. Bone Joint Res 2017; 6:245-252. [PMID: 28450317 PMCID: PMC5415903 DOI: 10.1302/2046-3758.64.bjr-2016-0245.r1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2016] [Accepted: 02/07/2017] [Indexed: 11/09/2022] Open
Abstract
Objectives Many studies have investigated the kinematics of the lumbar spine and the morphological features of the lumbar discs. However, the segment-dependent immediate changes of the lumbar intervertebral space height during flexion-extension motion are still unclear. This study examined the changes of intervertebral space height during flexion-extension motion of lumbar specimens. Methods First, we validated the accuracy and repeatability of a custom-made mechanical loading equipment set-up. Eight lumbar specimens underwent CT scanning in flexion, neural, and extension positions by using the equipment set-up. The changes in the disc height and distance between adjacent two pedicle screw entry points (DASEP) of the posterior approach at different lumbar levels (L3/4, L4/5 and L5/S1) were examined on three-dimensional lumbar models, which were reconstructed from the CT images. Results All the vertebral motion segments (L3/4, L4/5 and L5/S1) had greater changes in disc height and DASEP from neutral to flexion than from neutral to extension. The change in anterior disc height gradually increased from upper to lower levels, from neutral to flexion. The changes in anterior and posterior disc heights were similar at the L4/5 level from neutral to extension, but the changes in anterior disc height were significantly greater than those in posterior disc height at the L3/4 and L5/S1 levels, from neutral to extension. Conclusions The lumbar motion segment showed level-specific changes in disc height and DASEP. The data may be helpful in understanding the physiologic dynamic characteristics of the lumbar spine and in optimising the parameters of lumbar surgical instruments. Cite this article: M. Fu, Q. Ye, C. Jiang, L. Qian, D. Xu, Y. Wang, P. Sun, J. Ouyang. The segment-dependent changes in lumbar intervertebral space height during flexion-extension motion. Bone Joint Res 2017;6:245–252. DOI: 10.1302/2046-3758.64.BJR-2016-0245.R1.
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Affiliation(s)
- M Fu
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
| | - Q Ye
- Department of Radiology, The Third Affiliated Hospital of Southern Medical University, Tianhe District, Guangzhou, Guangdong, China
| | - C Jiang
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
| | - L Qian
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
| | - D Xu
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
| | - Y Wang
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
| | - P Sun
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
| | - J Ouyang
- Director of Department of Anatomy, Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, Southern Medical University, Baiyun District, Guangzhou, Guangdong, China
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Chandra SS, Dowling JA, Greer PB, Martin J, Wratten C, Pichler P, Fripp J, Crozier S. Fast automated segmentation of multiple objects via spatially weighted shape learning. Phys Med Biol 2016; 61:8070-8084. [PMID: 27779139 DOI: 10.1088/0031-9155/61/22/8070] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Active shape models (ASMs) have proved successful in automatic segmentation by using shape and appearance priors in a number of areas such as prostate segmentation, where accurate contouring is important in treatment planning for prostate cancer. The ASM approach however, is heavily reliant on a good initialisation for achieving high segmentation quality. This initialisation often requires algorithms with high computational complexity, such as three dimensional (3D) image registration. In this work, we present a fast, self-initialised ASM approach that simultaneously fits multiple objects hierarchically controlled by spatially weighted shape learning. Prominent objects are targeted initially and spatial weights are progressively adjusted so that the next (more difficult, less visible) object is simultaneously initialised using a series of weighted shape models. The scheme was validated and compared to a multi-atlas approach on 3D magnetic resonance (MR) images of 38 cancer patients and had the same (mean, median, inter-rater) Dice's similarity coefficients of (0.79, 0.81, 0.85), while having no registration error and a computational time of 12-15 min, nearly an order of magnitude faster than the multi-atlas approach.
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Affiliation(s)
- Shekhar S Chandra
- School of Information Technology and Electrical Engineering, The University of Queensland, Australia
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Intervertebral disc classification by its degree of degeneration from T2-weighted magnetic resonance images. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2016; 25:2721-7. [DOI: 10.1007/s00586-016-4654-6] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2015] [Revised: 06/05/2016] [Accepted: 06/05/2016] [Indexed: 11/25/2022]
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Zhu X, He X, Wang P, He Q, Gao D, Cheng J, Wu B. A method of localization and segmentation of intervertebral discs in spine MRI based on Gabor filter bank. Biomed Eng Online 2016; 15:32. [PMID: 27000749 PMCID: PMC4802867 DOI: 10.1186/s12938-016-0146-5] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 03/14/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Spine magnetic resonance image (MRI) plays a very important role in the diagnosis of various spinal diseases, such as disc degeneration, scoliosis, and osteoporosis. Accurate localization and segmentation of the intervertebral disc (IVD) in spine MRI can help accelerate the diagnosis time and assist in the treatment by providing quantitative parameters. In this paper, a method based on Gabor filter bank is proposed for IVD localization and segmentation. METHODS First, the structural features of IVDs are extracted using a Gabor filter bank. Second, the Gabor features of spine are calculated and spinal curves are detected. Third, the Gabor feature images (GFI) of IVDs are calculated and adjusted according to the spinal curves. Fourth, the IVDs are localized by clustering analysis with GFI. Finally, an optimum grayscale-based algorithm with self-adaptive threshold, combined with the localization results and Gabor features of the spine, is performed for IVDs segmentation. RESULTS The proposed method is verified by an MRI dataset consisting of 278 IVDs from 37 patients. The accuracy of localization is 98.23 % and the dice similarity index for segmentation evaluation is 0.9237. CONCLUSIONS The proposed Gabor filter based method is effective for IVD localization and segmentation. It would be useful in computer-aided diagnosis of IVD diseases and computer-assisted spine surgery.
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Affiliation(s)
- Xinjian Zhu
- State Key Laboratory for Trauma, Burn and Combined Injury, Fifth Department, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University of Chinese PLA, Chongqing, 400042, China
| | - Xuan He
- College of Communication Engineering, Chongqing University, Chongqing, 400044, China
| | - Pin Wang
- College of Communication Engineering, Chongqing University, Chongqing, 400044, China
| | - Qinghua He
- State Key Laboratory for Trauma, Burn and Combined Injury, Fifth Department, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University of Chinese PLA, Chongqing, 400042, China
| | - Dandan Gao
- State Key Laboratory for Trauma, Burn and Combined Injury, Fifth Department, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University of Chinese PLA, Chongqing, 400042, China
| | - Jiwei Cheng
- Department of Orthopaedics, 113th Hospital, Ningbo, 315040, Zhejiang, China.
| | - Baoming Wu
- State Key Laboratory for Trauma, Burn and Combined Injury, Fifth Department, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University of Chinese PLA, Chongqing, 400042, China.
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9
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On computerized methods for spine analysis in MRI: a systematic review. Int J Comput Assist Radiol Surg 2016; 11:1445-65. [DOI: 10.1007/s11548-016-1350-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Accepted: 01/06/2016] [Indexed: 10/22/2022]
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10
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Han D, Wang S, Jiang C, Jiang X, Kim HE, Sun J, Ohno-Machado L. Trends in biomedical informatics: automated topic analysis of JAMIA articles. J Am Med Inform Assoc 2015; 22:1153-63. [PMID: 26555018 PMCID: PMC5009912 DOI: 10.1093/jamia/ocv157] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Revised: 09/08/2015] [Accepted: 09/14/2015] [Indexed: 01/26/2023] Open
Abstract
Biomedical Informatics is a growing interdisciplinary field in which research topics and citation trends have been evolving rapidly in recent years. To analyze these data in a fast, reproducible manner, automation of certain processes is needed. JAMIA is a "generalist" journal for biomedical informatics. Its articles reflect the wide range of topics in informatics. In this study, we retrieved Medical Subject Headings (MeSH) terms and citations of JAMIA articles published between 2009 and 2014. We use tensors (i.e., multidimensional arrays) to represent the interaction among topics, time and citations, and applied tensor decomposition to automate the analysis. The trends represented by tensors were then carefully interpreted and the results were compared with previous findings based on manual topic analysis. A list of most cited JAMIA articles, their topics, and publication trends over recent years is presented. The analyses confirmed previous studies and showed that, from 2012 to 2014, the number of articles related to MeSH terms Methods, Organization & Administration, and Algorithms increased significantly both in number of publications and citations. Citation trends varied widely by topic, with Natural Language Processing having a large number of citations in particular years, and Medical Record Systems, Computerized remaining a very popular topic in all years.
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Affiliation(s)
- Dong Han
- Health System Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA School of Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, 74135, USA
| | - Shuang Wang
- Health System Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA
| | - Chao Jiang
- Health System Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA School of Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, 74135, USA
| | - Xiaoqian Jiang
- Health System Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA
| | - Hyeon-Eui Kim
- Health System Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA
| | - Jimeng Sun
- School of Computational Science and Engineering, Georgia Institute of Technology, Atlanta, GA, S30313, USA
| | - Lucila Ohno-Machado
- Health System Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA
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Daenzer S, Freitag S, von Sachsen S, Steinke H, Groll M, Meixensberger J, Leimert M. VolHOG: a volumetric object recognition approach based on bivariate histograms of oriented gradients for vertebra detection in cervical spine MRI. Med Phys 2015; 41:082305. [PMID: 25086554 DOI: 10.1118/1.4890587] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE The automatic recognition of vertebrae in volumetric images is an important step toward automatic spinal diagnosis and therapy support systems. There are many applications such as the detection of pathologies and segmentation which would benefit from automatic initialization by the detection of vertebrae. One possible application is the initialization of local vertebral segmentation methods, eliminating the need for manual initialization by a human operator. Automating the initialization process would optimize the clinical workflow. However, automatic vertebra recognition in magnetic resonance (MR) images is a challenging task due to noise in images, pathological deformations of the spine, and image contrast variations. METHODS This work presents a fully automatic algorithm for 3D cervical vertebra detection in MR images. We propose a machine learning method for cervical vertebra detection based on new features combined with a linear support vector machine for classification. An algorithm for bivariate gradient orientation histogram generation from three-dimensional raster image data is introduced which allows us to describe three-dimensional objects using the authors' proposed bivariate histograms. RESULTS A detailed performance evaluation on 21 T2-weighted MR images of the cervical vertebral region is given. A single model for cervical vertebrae C3-C7 is generated and evaluated. The results show that the generic model performs equally well for each of the cervical vertebrae C3-C7. The algorithm's performance is also evaluated on images containing various levels of artificial noise. The results indicate that the proposed algorithm achieves good results despite the presence of severe image noise. CONCLUSIONS The proposed detection method delivers accurate locations of cervical vertebrae in MR images which can be used in diagnosis and therapy. In order to achieve absolute comparability with the results of future work, the authors are following an open data approach by making the image dataset used in their performance evaluation available to the public.
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Affiliation(s)
- Stefan Daenzer
- Innovation Center for Computer Assisted Surgery, Leipzig 04103, Germany
| | - Stefan Freitag
- Innovation Center for Computer Assisted Surgery, Leipzig 04103, Germany
| | | | - Hanno Steinke
- Institute of Anatomy, Leipzig University Hospital, Leipzig 04103, Germany
| | - Mathias Groll
- Department of Neurosurgery, Leipzig University Hospital, Leipzig 04103, Germany
| | | | - Mario Leimert
- Department of Neurosurgery, Dresden University Hospital, Dresden 01307, Germany
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Statistical shape model reconstruction with sparse anomalous deformations: Application to intervertebral disc herniation. Comput Med Imaging Graph 2015; 46 Pt 1:11-19. [PMID: 26060085 DOI: 10.1016/j.compmedimag.2015.05.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2015] [Revised: 04/15/2015] [Accepted: 05/04/2015] [Indexed: 11/23/2022]
Abstract
Many medical image processing techniques rely on accurate shape modeling of anatomical features. The presence of shape abnormalities challenges traditional processing algorithms based on strong morphological priors. In this work, a sparse shape reconstruction from a statistical shape model is presented. It combines the advantages of traditional statistical shape models (defining a 'normal' shape space) and previously presented sparse shape composition (providing localized descriptors of anomalies). The algorithm was incorporated into our image segmentation and classification software. Evaluation was performed on simulated and clinical MRI data from 22 sciatica patients with intervertebral disc herniation, containing 35 herniated and 97 normal discs. Moderate to high correlation (R=0.73) was achieved between simulated and detected herniations. The sparse reconstruction provided novel quantitative features describing the herniation morphology and MRI signal appearance in three dimensions (3D). The proposed descriptors of local disc morphology resulted to the 3D segmentation accuracy of 1.07±1.00mm (mean absolute vertex-to-vertex mesh distance over the posterior disc region), and improved the intervertebral disc classification from 0.888 to 0.931 (area under receiver operating curve). The results show that the sparse shape reconstruction may improve computer-aided diagnosis of pathological conditions presenting local morphological alterations, as seen in intervertebral disc herniation.
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Neubert A, Fripp J, Engstrom C, Gal Y, Crozier S, Kingsley MIC. Validity and reliability of computerized measurement of lumbar intervertebral disc height and volume from magnetic resonance images. Spine J 2014; 14:2773-81. [PMID: 24929060 DOI: 10.1016/j.spinee.2014.05.023] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Revised: 03/06/2014] [Accepted: 05/20/2014] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Magnetic resonance (MR) examinations of morphologic characteristics of intervertebral discs (IVDs) have been used extensively for biomechanical studies and clinical investigations of the lumbar spine. Traditionally, the morphologic measurements have been performed using time- and expertise-intensive manual segmentation techniques not well suited for analyses of large-scale studies.. PURPOSE The purpose of this study is to introduce and validate a semiautomated method for measuring IVD height and mean sagittal area (and volume) from MR images to determine if it can replace the manual assessment and enable analyses of large MR cohorts. STUDY DESIGN/SETTING This study compares semiautomated and manual measurements and assesses their reliability and agreement using data from repeated MR examinations. METHODS Seven healthy asymptomatic males underwent 1.5-T MR examinations of the lumbar spine involving sagittal T2-weighted fast spin-echo images obtained at baseline, pre-exercise, and postexercise conditions. Measures of the mean height and the mean sagittal area of lumbar IVDs (L1-L2 to L4-L5) were compared for two segmentation approaches: a conventional manual method (10-15 minutes to process one IVD) and a specifically developed semiautomated method (requiring only a few mouse clicks to process each subject). RESULTS Both methods showed strong test-retest reproducibility evaluated on baseline and pre-exercise examinations with strong intraclass correlations for the semiautomated and manual methods for mean IVD height (intraclass correlation coefficient [ICC]=0.99, 0.98) and mean IVD area (ICC=0.98, 0.99), respectively. A bias (average deviation) of 0.38 mm (4.1%, 95% confidence interval 0.18-0.59 mm) was observed between the manual and semiautomated methods for the IVD height, whereas there was no statistically significant difference for the mean IVD area (0.1%±3.5%). The semiautomated and manual methods both detected significant exercise-induced changes in IVD height (0.20 and 0.28 mm) and mean IVD area (5.7 and 8.3 mm(2)), respectively. CONCLUSIONS The presented semiautomated method provides an alternative to time- and expertise-intensive manual procedures for analysis of larger, cross-sectional, interventional, and longitudinal MR studies for morphometric analyses of lumbar IVDs.
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Affiliation(s)
- Ales Neubert
- The Australian E-Health Research Centre, CSIRO Computational Informatics, Brisbane, Australia; School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia
| | - Jurgen Fripp
- The Australian E-Health Research Centre, CSIRO Computational Informatics, Brisbane, Australia
| | - Craig Engstrom
- School of Human Movement Studies, University of Queensland, Brisbane, Australia
| | - Yaniv Gal
- School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia
| | - Stuart Crozier
- School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia
| | - Michael I C Kingsley
- Exercise Physiology, La Trobe Rural Health School, La Trobe University, Victoria 3550, Australia.
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Opportunities for image analysis in radiation oncology. AUSTRALASIAN PHYSICAL & ENGINEERING SCIENCES IN MEDICINE 2014; 37:275-7. [DOI: 10.1007/s13246-014-0278-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Hsu W, Markey MK, Wang MD. Biomedical imaging informatics in the era of precision medicine: progress, challenges, and opportunities. J Am Med Inform Assoc 2013; 20:1010-3. [PMID: 24114330 DOI: 10.1136/amiajnl-2013-002315] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- William Hsu
- Medical Imaging Informatics (MII) Group, Department of Radiological Sciences, UCLA David Geffen School of Medicine, Los Angeles, California, USA
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