A semi-automatic 3D ultrasound reconstruction method to assess the true severity of adolescent idiopathic scoliosis.

Adolescent idiopathic scoliosis (AIS) is a three-dimensional (3D) spinal deformity. Current practice uses the Cobb method to measure spinal severity on postero-anterior (PA) radiographs. This method may underestimate spinal deformity and exposes patients to ionizing radiation, increasing the risk of...

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Publicado en:Medical & Biological Engineering & Computing Vol. 57; no. 10; pp. 2115 - 2129
Autores principales: Vo, Quang N., Le, Lawrence H., Lou, Edmond
Formato: Journal Article
Publicado: Springer Nature Oct2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2019
      vid: 57
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11517-019-02015-9
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        atl: A semi-automatic 3D ultrasound reconstruction method to assess the true severity of adolescent idiopathic scoliosis.
      aug:
        au:
          Vo, Quang N.
          Le, Lawrence H.
          Lou, Edmond
        affil: Department of Biomedical Engineering, University of Alberta, Edmonton, Alberta, Canada
      sug:
        subj:
          Imaging, Three-Dimensional
          Ultrasonography Methods
          Scoliosis
          Severity of Illness Indices
          Automation
          Cadaver
          Phantoms, Imaging
          Female
          Spine
          Reproducibility of Results
          Adolescence
          Rotation
          Scales
          Adolescent: 13-18 years
          Female
      ab: Adolescent idiopathic scoliosis (AIS) is a three-dimensional (3D) spinal deformity. Current practice uses the Cobb method to measure spinal severity on postero-anterior (PA) radiographs. This method may underestimate spinal deformity and exposes patients to ionizing radiation, increasing the risk of cancer. This paper reports a new 3D ultrasound method using the voxel-based reconstruction technique with bilinear interpolation to reconstruct a 3D spinal image and measure true spinal curvature on the plane of maximal curvature (PMC). Axial vertebral rotation (AVR) was measured on the 3D image and utilized to estimate the PMC. In vitro phantom experiments and in vivo clinical study were conducted to evaluate reconstruction accuracy and measurement reliability. The in vitro study showed a high accuracy of the reconstruction of vertebrae with the mean absolute difference (MAD) < 3 mm. The in vitro and in vivo measurements of AVR were reliable (> 0.90). The in vivo study also showed high intra- and inter-rater reliabilities of the PA and PMC Cobb angle measurements with ICC values > 0.90 and MADs within the clinical accepted tolerances. The PMC Cobb angles were up to 7° greater than their corresponding PA Cobb angles. This method demonstrated a non-ionizing radiation method to assess the actual severity of AIS. Graphical abstract Adolescent idiopathic scoliosis (AIS) is a lateral curvature of spine with vertebral rotation. Using the Cobb method to measure spinal severity on postero-anterior (PA) radiographs may under estimate its severity.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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