Validation study of the CT-based cross-sectional evaluation of muscular atrophy and fatty degeneration around the pelvis and the femur.


Journal

Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
ISSN: 1436-2023
Titre abrégé: J Orthop Sci
Pays: Japan
ID NLM: 9604934

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 05 06 2018
revised: 18 12 2018
accepted: 05 02 2019
pubmed: 5 3 2019
medline: 25 6 2020
entrez: 5 3 2019
Statut: ppublish

Résumé

Muscle atrophy and degeneration around hip joint have been evaluated using computer tomography (CT) or magnetic resonance imaging two-dimensionally (2D). However, it is unclear how these 2D measurements of muscle atrophy and degeneration reflect their three-dimensional (3D) measurements. The purpose of this study is to examine the validity of the 2D evaluation of muscular atrophy and fatty degeneration compared to 3D evaluation. The study included computed tomography (CT) images of 20 patients with unilateral hip joint disorders. We manually segmented the edges of 14 muscles around the pelvis and the femur. The correlation coefficient between the 3D and 2D measurements at the anatomic landmarks was calculated. Furthermore, the 2D evaluation was performed at 1 cm interval from each anatomic landmark to determine the cross-section that correlated most strongly with the 3D measurements. A strong correlation in Spearman's rank correlation coefficient (r) was defined as r > 0.7. Nine (64%) and 10 (71%) muscles had a strong correlation coefficient between the 3D and 2D anatomic landmark measurements of muscular atrophy and degeneration, respectively. The maximum distance between the cross-section with the highest correlation coefficient and the anatomical landmark was 11 cm. More than half of muscles exhibited a strong correlation between the 3D and 2D anatomic landmark measurements of muscular atrophy and degeneration. To improve the correlation coefficient, the position of the cross-section was needed to be changed.

Sections du résumé

BACKGROUND BACKGROUND
Muscle atrophy and degeneration around hip joint have been evaluated using computer tomography (CT) or magnetic resonance imaging two-dimensionally (2D). However, it is unclear how these 2D measurements of muscle atrophy and degeneration reflect their three-dimensional (3D) measurements. The purpose of this study is to examine the validity of the 2D evaluation of muscular atrophy and fatty degeneration compared to 3D evaluation.
METHODS METHODS
The study included computed tomography (CT) images of 20 patients with unilateral hip joint disorders. We manually segmented the edges of 14 muscles around the pelvis and the femur. The correlation coefficient between the 3D and 2D measurements at the anatomic landmarks was calculated. Furthermore, the 2D evaluation was performed at 1 cm interval from each anatomic landmark to determine the cross-section that correlated most strongly with the 3D measurements. A strong correlation in Spearman's rank correlation coefficient (r) was defined as r > 0.7.
RESULTS RESULTS
Nine (64%) and 10 (71%) muscles had a strong correlation coefficient between the 3D and 2D anatomic landmark measurements of muscular atrophy and degeneration, respectively. The maximum distance between the cross-section with the highest correlation coefficient and the anatomical landmark was 11 cm.
CONCLUSIONS CONCLUSIONS
More than half of muscles exhibited a strong correlation between the 3D and 2D anatomic landmark measurements of muscular atrophy and degeneration. To improve the correlation coefficient, the position of the cross-section was needed to be changed.

Identifiants

pubmed: 30827700
pii: S0949-2658(19)30052-1
doi: 10.1016/j.jos.2019.02.004
pii:
doi:

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

139-144

Informations de copyright

Copyright © 2019 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

Auteurs

Takeshi Ogawa (T)

Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Masaki Takao (M)

Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. Electronic address: masaki-tko@umin.ac.jp.

Yoshito Otake (Y)

Graduate School of Information Science, Nara Institute of Science and Technology, Ikoma, Nara, Japan.

Futoshi Yokota (F)

Graduate School of Information Science, Nara Institute of Science and Technology, Ikoma, Nara, Japan.

Hidetoshi Hamada (H)

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Takashi Sakai (T)

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Yoshinobu Sato (Y)

Graduate School of Information Science, Nara Institute of Science and Technology, Ikoma, Nara, Japan.

Nobuhiko Sugano (N)

Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

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