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Published in: Journal of Medical Systems 3/2012

01-06-2012 | Original Paper

Automatic Quantification of Spinal Curvature in Scoliotic Radiograph using Image Processing

Authors: Anitha H, G. K. Prabhu

Published in: Journal of Medical Systems | Issue 3/2012

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Abstract

Choosing the most suitable treatment for the scoliosis relies heavily on accurate and reproducible spinal curvature measurement from radiographs. Our objective is to reduce the variability in spinal curvature measurement by reducing the user intervention and bias. In order to determine the reliability of the spinal curvature measurement as it is in the clinical measurement of scoliosis a methodological survey has been carried out that concludes with inter and intra observer error variation. The proposed method list out horizontal inclination of all the vertebrae’s in terms of slopes using active contour models and morphological operators. This facilitates the radiologist to decide end vertebrae and hence inter/intra observer variation is completely eliminated. Tables 1 and 2 shows the observer error variation between manual and proposed methods in terms of mean and standard deviation.
Literature
1.
go back to reference Cobb, J., Outline for the study of scoliosis. Ar. Acad. Orthop. Surg. Instr. Course Lect. 5:261–175, 1948. Cobb, J., Outline for the study of scoliosis. Ar. Acad. Orthop. Surg. Instr. Course Lect. 5:261–175, 1948.
2.
go back to reference Nash, C., and Moe, J., A study of vertebral rotation. J. Bone Jt. Surg. Am. 51:223–229, 1969. Nash, C., and Moe, J., A study of vertebral rotation. J. Bone Jt. Surg. Am. 51:223–229, 1969.
3.
go back to reference Jeffries, B. F., et al., Computerized measurement and analysis of scoliosis. Pediatr. Radiol. 134:381–385, 1980. Jeffries, B. F., et al., Computerized measurement and analysis of scoliosis. Pediatr. Radiol. 134:381–385, 1980.
4.
go back to reference Arthur, A., et al., A clinical study of the differences between the scoliotic angles measured on poster anterior and antero posterior radiographs. J. Bone Jt. Surg. 64(A):489–493, 1982. Arthur, A., et al., A clinical study of the differences between the scoliotic angles measured on poster anterior and antero posterior radiographs. J. Bone Jt. Surg. 64(A):489–493, 1982.
5.
go back to reference Pruijis, J. E. H., et al., Variation in Cobb angle measurements in scoliosis. Skelet. Radiol. 23:517–520, 1994. Pruijis, J. E. H., et al., Variation in Cobb angle measurements in scoliosis. Skelet. Radiol. 23:517–520, 1994.
6.
go back to reference Diab, K. M., et al., Accuracy and applicability of measurement of the scoliotic angle at the frontal plane by Cobb’s method, by Ferguson’s method and by a new method. Eur. Spine J. 4:291–295, 1995.CrossRef Diab, K. M., et al., Accuracy and applicability of measurement of the scoliotic angle at the frontal plane by Cobb’s method, by Ferguson’s method and by a new method. Eur. Spine J. 4:291–295, 1995.CrossRef
7.
go back to reference Cheung, J., et al., The reliability of quantitative analysis on digital image of the scoliotic spine. Eur. Spine 11:535–542, 2002.CrossRef Cheung, J., et al., The reliability of quantitative analysis on digital image of the scoliotic spine. Eur. Spine 11:535–542, 2002.CrossRef
8.
go back to reference Linial, A. V., and Aktinson, R. W., Methods and apparatus for detection and measurement of scoliosis of the spine, USPatent-US2006/0015042 A1, 2006. Linial, A. V., and Aktinson, R. W., Methods and apparatus for detection and measurement of scoliosis of the spine, USPatent-US2006/0015042 A1, 2006.
9.
go back to reference Perona, P., and Malik, J., Scale-space and edge detection using anisotropic diffusion. IEEE Trans. Pattern Anal. Mach. Intell. 12(7), 1990. Perona, P., and Malik, J., Scale-space and edge detection using anisotropic diffusion. IEEE Trans. Pattern Anal. Mach. Intell. 12(7), 1990.
10.
go back to reference Kass, M., et al., Snakes: active contour models. Int. J. Comput. Vis. 9:321–331, 1988.CrossRef Kass, M., et al., Snakes: active contour models. Int. J. Comput. Vis. 9:321–331, 1988.CrossRef
12.
go back to reference Vrtovec, T., et al., A review of methods for quantitative evaluation of spinal curvature. Eur. Spine. J., 2009. Vrtovec, T., et al., A review of methods for quantitative evaluation of spinal curvature. Eur. Spine. J., 2009.
13.
go back to reference Lin, Z., Davis, L. S., Doermann, D., and DeMenthon, D., Hierarchical part-template matching for human detection and segmentation. 978-1-4244-1631-8/07/25.00, IEEE, 2007. Lin, Z., Davis, L. S., Doermann, D., and DeMenthon, D., Hierarchical part-template matching for human detection and segmentation. 978-1-4244-1631-8/07/25.00, IEEE, 2007.
14.
go back to reference Allen, S., Parent, E., Khorasani, M., Hill, D. L., Lou, E., and Raso, J. V., Validity and reliability of active shape models for the estimation of Cobb angle in patients with adolescent idiopathic scoliosis. J. Digit. Imaging 21(2):208–218, 2008.CrossRef Allen, S., Parent, E., Khorasani, M., Hill, D. L., Lou, E., and Raso, J. V., Validity and reliability of active shape models for the estimation of Cobb angle in patients with adolescent idiopathic scoliosis. J. Digit. Imaging 21(2):208–218, 2008.CrossRef
15.
go back to reference Gstoettner, M., Sekyra, K., Walochnik, N., Winter, P., Wachter, R., and Bach, C. M., Inter and intra-observer reliability assessment of the Cobb angle: manual versus digital measurement tools. Eur. Spine J. 16:1587–1592, 2007.CrossRef Gstoettner, M., Sekyra, K., Walochnik, N., Winter, P., Wachter, R., and Bach, C. M., Inter and intra-observer reliability assessment of the Cobb angle: manual versus digital measurement tools. Eur. Spine J. 16:1587–1592, 2007.CrossRef
16.
go back to reference Modi, H. N., Chen, T., Suh, S. W., Mehta, S., Srinivasalu, S., Yang, J.-H., and Song, H.-R., Observer reliability between juvenile and adolescent idiopathic scoliosis in measurement of stable Cobb’s angle. Eur. Spine J. 18:52–58, 2009.CrossRef Modi, H. N., Chen, T., Suh, S. W., Mehta, S., Srinivasalu, S., Yang, J.-H., and Song, H.-R., Observer reliability between juvenile and adolescent idiopathic scoliosis in measurement of stable Cobb’s angle. Eur. Spine J. 18:52–58, 2009.CrossRef
17.
go back to reference Segev, E., Hemo, Y., Wientroub, S., Ovadia, D., Fishkin, M., Steinberg, D. M., and Hayek, S., Intra and interob server reliability analysis of digital radiographic measurements for pediatric orthopedic parameters using a novel PACS integrated computer software program. J. Child Orthop. 4:331–341, 2010.CrossRef Segev, E., Hemo, Y., Wientroub, S., Ovadia, D., Fishkin, M., Steinberg, D. M., and Hayek, S., Intra and interob server reliability analysis of digital radiographic measurements for pediatric orthopedic parameters using a novel PACS integrated computer software program. J. Child Orthop. 4:331–341, 2010.CrossRef
18.
go back to reference Tanure, M. C., Pinheiro, A. P., and Oliveira, A. S., Technical report reliability assessment of Cobb angle measurements using manual and digital. Spine J. 10:769–774, 2010.CrossRef Tanure, M. C., Pinheiro, A. P., and Oliveira, A. S., Technical report reliability assessment of Cobb angle measurements using manual and digital. Spine J. 10:769–774, 2010.CrossRef
19.
go back to reference Capasso, G., et al., The validity and reliability of measurement of spinal deformity. Acta orthopedia Belgica 58(2):126–135, 1992. Capasso, G., et al., The validity and reliability of measurement of spinal deformity. Acta orthopedia Belgica 58(2):126–135, 1992.
20.
go back to reference Ian, A. F., et al., Identifying sources of variability in scoliosis classification using a rule-based automated algorithm. SPINE 27(24):2801–2805. Ian, A. F., et al., Identifying sources of variability in scoliosis classification using a rule-based automated algorithm. SPINE 27(24):2801–2805.
Metadata
Title
Automatic Quantification of Spinal Curvature in Scoliotic Radiograph using Image Processing
Authors
Anitha H
G. K. Prabhu
Publication date
01-06-2012
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 3/2012
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-011-9654-9

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