Extraction of 3D Femur Neck Trabecular Bone Architecture from Clinical CT Images in Osteoporotic Evaluation: a Novel Framework.

The early detection of osteoporosis risk enhances the lifespan and quality of life of an individual. A reasonable in-vivo assessment of trabecular bone strength at the proximal femur helps to evaluate the fracture risk and henceforth, to understand the associated structural dynamics on occurrence of...

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Published in:Journal of Medical Systems Vol. 39; no. 8; pp. 1 - 12
Main Authors: Sapthagirivasan, V., Anburajan, M., Janarthanam, S.
Format: diagnostic images equations & formulas pictorial research tables/charts Journal Article
Published: Springer Nature Aug2015
Online Access:View this record in EBSCOhost
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      dt: Aug2015
      vid: 39
      iid: 8
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-015-0266-7
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        atl: Extraction of 3D Femur Neck Trabecular Bone Architecture from Clinical CT Images in Osteoporotic Evaluation: a Novel Framework.
      aug:
        au:
          Sapthagirivasan, V.
          Anburajan, M.
          Janarthanam, S.
        affil: Department of Biomedical Engineering, SRM University, Kattankalathur Chennai 603203 India
      sug:
        subj:
          Osteoporosis Risk Factors
          Cancellous Bone Anatomy and Histology
          Femur Neck Radiography
          Tomography, X-Ray Computed
          Imaging, Three-Dimensional
          Bone Density Evaluation
          Human
          Fractures Risk Factors
          India
          Female
          Confidence Intervals
          Absorptiometry, Photon
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Cortical Bone
          Data Analysis Software
          Descriptive Statistics
          Pearson's Correlation Coefficient
          T-Tests
          In Vivo Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
      ab: The early detection of osteoporosis risk enhances the lifespan and quality of life of an individual. A reasonable in-vivo assessment of trabecular bone strength at the proximal femur helps to evaluate the fracture risk and henceforth, to understand the associated structural dynamics on occurrence of osteoporosis. The main aim of our study was to develop a framework to automatically determine the trabecular bone strength from clinical femur CT images and thereby to estimate its correlation with BMD. All the 50 studied south Indian female subjects aged 30 to 80 years underwent CT and DXA measurements at right femur region. Initially, the original CT slices were intensified and active contour model was utilised for the extraction of the neck region. After processing through a novel process called trabecular enrichment approach (TEA), the three dimensional (3D) trabecular features were extracted. The extracted 3D trabecular features, such as volume fraction ( VF), solidity of delta points ( SDP) and boundness, demonstrated a significant correlation with femoral neck bone mineral density ( r = 0.551, r = 0.432, r = 0.552 respectively) at p < 0.001. The higher area under the curve values of the extracted features ( VF: 85.3 %; 95CI: 68.2-100 %, SDP: 82.1 %; 95CI: 65.1-98.9 % and boundness: 90.4 %; 95CI: 78.7-100 %) were observed. The findings suggest that the proposed framework with TEA method would be useful for spotting women vulnerable to osteoporotic risk.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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