Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach

Dynamic computer tomography (CT) is an emerging modality to analyze in-vivo joint kinematics at the bone level, but it requires manual bone segmentation and, in some instances, landmark identification. The objective of this study is to present an automated workflow for the assessment of three-dimens...

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Autores principales: Benyameen Keelson, Luca Buzzatti, Jakub Ceranka, Adrián Gutiérrez, Simone Battista, Thierry Scheerlinck, Gert Van Gompel, Johan De Mey, Erik Cattrysse, Nico Buls, Jef Vandemeulebroucke
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/a67f0b85b0984c4a9a2f461bcf1b41ed
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spelling oai:doaj.org-article:a67f0b85b0984c4a9a2f461bcf1b41ed2021-11-25T17:21:16ZAutomated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach10.3390/diagnostics111120622075-4418https://doaj.org/article/a67f0b85b0984c4a9a2f461bcf1b41ed2021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2062https://doaj.org/toc/2075-4418Dynamic computer tomography (CT) is an emerging modality to analyze in-vivo joint kinematics at the bone level, but it requires manual bone segmentation and, in some instances, landmark identification. The objective of this study is to present an automated workflow for the assessment of three-dimensional in vivo joint kinematics from dynamic musculoskeletal CT images. The proposed method relies on a multi-atlas, multi-label segmentation and landmark propagation framework to extract bony structures and detect anatomical landmarks on the CT dataset. The segmented structures serve as regions of interest for the subsequent motion estimation across the dynamic sequence. The landmarks are propagated across the dynamic sequence for the construction of bone embedded reference frames from which kinematic parameters are estimated. We applied our workflow on dynamic CT images obtained from 15 healthy subjects on two different joints: thumb base (<i>n</i> = 5) and knee (<i>n</i> = 10). The proposed method resulted in segmentation accuracies of 0.90 ± 0.01 for the thumb dataset and 0.94 ± 0.02 for the knee as measured by the Dice score coefficient. In terms of motion estimation, mean differences in cardan angles between the automated algorithm and manual segmentation, and landmark identification performed by an expert were below 1°. Intraclass correlation (ICC) between cardan angles from the algorithm and results from expert manual landmarks ranged from 0.72 to 0.99 for all joints across all axes. The proposed automated method resulted in reproducible and reliable measurements, enabling the assessment of joint kinematics using 4DCT in clinical routine.Benyameen KeelsonLuca BuzzattiJakub CerankaAdrián GutiérrezSimone BattistaThierry ScheerlinckGert Van GompelJohan De MeyErik CattrysseNico BulsJef VandemeulebrouckeMDPI AGarticledynamic CTmotion analysismusculoskeletal imagingregistrationsegmentationmulti-atlas segmentationMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2062, p 2062 (2021)
institution DOAJ
collection DOAJ
language EN
topic dynamic CT
motion analysis
musculoskeletal imaging
registration
segmentation
multi-atlas segmentation
Medicine (General)
R5-920
spellingShingle dynamic CT
motion analysis
musculoskeletal imaging
registration
segmentation
multi-atlas segmentation
Medicine (General)
R5-920
Benyameen Keelson
Luca Buzzatti
Jakub Ceranka
Adrián Gutiérrez
Simone Battista
Thierry Scheerlinck
Gert Van Gompel
Johan De Mey
Erik Cattrysse
Nico Buls
Jef Vandemeulebroucke
Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach
description Dynamic computer tomography (CT) is an emerging modality to analyze in-vivo joint kinematics at the bone level, but it requires manual bone segmentation and, in some instances, landmark identification. The objective of this study is to present an automated workflow for the assessment of three-dimensional in vivo joint kinematics from dynamic musculoskeletal CT images. The proposed method relies on a multi-atlas, multi-label segmentation and landmark propagation framework to extract bony structures and detect anatomical landmarks on the CT dataset. The segmented structures serve as regions of interest for the subsequent motion estimation across the dynamic sequence. The landmarks are propagated across the dynamic sequence for the construction of bone embedded reference frames from which kinematic parameters are estimated. We applied our workflow on dynamic CT images obtained from 15 healthy subjects on two different joints: thumb base (<i>n</i> = 5) and knee (<i>n</i> = 10). The proposed method resulted in segmentation accuracies of 0.90 ± 0.01 for the thumb dataset and 0.94 ± 0.02 for the knee as measured by the Dice score coefficient. In terms of motion estimation, mean differences in cardan angles between the automated algorithm and manual segmentation, and landmark identification performed by an expert were below 1°. Intraclass correlation (ICC) between cardan angles from the algorithm and results from expert manual landmarks ranged from 0.72 to 0.99 for all joints across all axes. The proposed automated method resulted in reproducible and reliable measurements, enabling the assessment of joint kinematics using 4DCT in clinical routine.
format article
author Benyameen Keelson
Luca Buzzatti
Jakub Ceranka
Adrián Gutiérrez
Simone Battista
Thierry Scheerlinck
Gert Van Gompel
Johan De Mey
Erik Cattrysse
Nico Buls
Jef Vandemeulebroucke
author_facet Benyameen Keelson
Luca Buzzatti
Jakub Ceranka
Adrián Gutiérrez
Simone Battista
Thierry Scheerlinck
Gert Van Gompel
Johan De Mey
Erik Cattrysse
Nico Buls
Jef Vandemeulebroucke
author_sort Benyameen Keelson
title Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach
title_short Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach
title_full Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach
title_fullStr Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach
title_full_unstemmed Automated Motion Analysis of Bony Joint Structures from Dynamic Computer Tomography Images: A Multi-Atlas Approach
title_sort automated motion analysis of bony joint structures from dynamic computer tomography images: a multi-atlas approach
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a67f0b85b0984c4a9a2f461bcf1b41ed
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