Intra-operator Repeatability of Manual Segmentations of the Hip Muscles on Clinical Magnetic Resonance Images.

The manual segmentation of muscles on magnetic resonance images is the gold standard procedure to reconstruct muscle volumes from medical imaging data and extract critical information for clinical and research purposes. (Semi)automatic methods have been proposed to expedite the otherwise lengthy pro...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 1; pp. 143 - 153
Autores principales: Davico, Giorgio, Bottin, Francesca, Di Martino, Alberto, Castafaro, Vanita, Baruffaldi, Fabio, Faldini, Cesare, Viceconti, Marco
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Feb2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2023
      vid: 36
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-022-00700-0
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        atl: Intra-operator Repeatability of Manual Segmentations of the Hip Muscles on Clinical Magnetic Resonance Images.
      aug:
        au:
          Davico, Giorgio
          Bottin, Francesca
          Di Martino, Alberto
          Castafaro, Vanita
          Baruffaldi, Fabio
          Faldini, Cesare
          Viceconti, Marco
        affil: Department of Industrial Engineering (DIN), Alma Mater Studiorum – University of Bologna, Bologna, Italy
      sug:
        subj:
          Muscle, Skeletal
          Hip
          Magnetic Resonance Imaging Methods
          Image Processing, Computer Assisted
          Human
          Psoas Muscles
          Gluteal Muscles
          Arthroplasty, Replacement, Hip
          One-Way Analysis of Variance
          Repeated Measures
          Post Hoc Analysis
          Statistical Significance
          Descriptive Statistics
          Funding Source
      ab: The manual segmentation of muscles on magnetic resonance images is the gold standard procedure to reconstruct muscle volumes from medical imaging data and extract critical information for clinical and research purposes. (Semi)automatic methods have been proposed to expedite the otherwise lengthy process. These, however, rely on manual segmentations. Nonetheless, the repeatability of manual muscle volume segmentations performed on clinical MRI data has not been thoroughly assessed. When conducted, volumetric assessments often disregard the hip muscles. Therefore, one trained operator performed repeated manual segmentations (n = 3) of the iliopsoas (n = 34) and gluteus medius (n = 40) muscles on coronal T1-weighted MRI scans, acquired on 1.5 T scanners on a clinical population of patients elected for hip replacement surgery. Reconstructed muscle volumes were divided in sub-volumes and compared in terms of volume variance (normalized variance of volumes – nVV), shape (Jaccard Index—JI) and surface similarity (maximal Hausdorff distance—HD), to quantify intra-operator repeatability. One-way repeated measures ANOVA (or equivalent) tests with Bonferroni corrections for multiple comparisons were conducted to assess statistical significance. For both muscles, repeated manual segmentations were highly similar to one another (nVV: 2–6%, JI > 0.78, HD < 15 mm). However, shape and surface similarity were significantly lower when muscle extremities were included in the segmentations (e.g., iliopsoas: HD –12.06 to 14.42 mm, P < 0.05). Our findings show that the manual segmentation of hip muscle volumes on clinical MRI scans provides repeatable results over time. Nonetheless, extreme care should be taken in the segmentation of muscle extremities.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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