RELIABILITY AND VALIDITY STUDY OF A MEASUREMENT METHOD FOR THE GLENOID VERSION BY A 3-DIMENSIONAL BONE MODEL FROM 3.0 TESLA MRI

2016 ◽  
Vol 19 (03) ◽  
pp. 1650012 ◽  
Author(s):  
Yohei Kanno ◽  
Hajime Toda ◽  
Tsutomu Horiuchi ◽  
Katsuaki Nagai ◽  
Masaki Katayose
Keyword(s):  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Ct Images ◽  
Imaging Method ◽  
3D Ct ◽  
3D Mri ◽  
Glenoid Version ◽  
Bone Model ◽  
3 Dimensional ◽  
Ct And Mri

Objective: The authors investigated reliability and validity of 3D-MRI bone model of scapula by comparing the Glenoid versions that were measured each in 3D-CT images and 3D-MRI images. Materials and Methods: The scapula extraction DICOM data of MRI and CT was made to extract only a scapular domain. The scapula bone model was made with the scapula extraction DICOM data of MRI and CT. Glenoid version was measured on the scapula bone model. The mean and standard deviation of the Glenoid version was calculated by each imaging method (CT and MRI). Intraclass reliability of each imaging method (CT and MRI) and agreement between the two methods were evaluated. This was accomplished by calculating two separate measures of agreement: the intraclass correlation coefficient (ICC) and the Bland–Altman analysis. Results: Glenoid version measured from the 3D-CT images averaged [Formula: see text]0.679[Formula: see text][Formula: see text][Formula: see text]3.797, with an ICC of 0.975. Glenoid version measured from the 3D-MRI images averaged [Formula: see text]0.801[Formula: see text][Formula: see text][Formula: see text]3.682, with an ICC of 0.980. Conclusions: 3D-MRI bone model of scapula evaluated the reliability and the validity. 3D-MRI bone model of scapula was found to measure like 3D-CT bone model of scapula.

scholarly journals Interobserver and intraobserver comparison of imaging glenoid morphology, glenoid version and humeral head subluxation

2018 ◽  
Vol 11 (3) ◽  
pp. 204-209 ◽  
Author(s):  
Paul J Cagle ◽  
Birgit Werner ◽  
Dave R Shukla ◽  
Daniel A London ◽  
Bradford O Parsons ◽  
...  
Keyword(s):  
Humeral Head ◽  
Interobserver Agreement ◽  
Weighted Kappa ◽  
Similar Efficacy ◽  
Ct Images ◽  
Glenoid Version ◽  
Kappa Value ◽  
Glenoid Morphology ◽  
Magnetic Resonance Imaging Mri ◽  
Ct And Mri

Background Glenoid morphology, glenoid version and humeral head subluxation represent important parameters for the treating physician. The most common method of assessing glenoid morphology is the Walch classification which has only been validated with computed tomography (CT). Methods CT images and magnetic resonance imaging (MRI) images of 25 patients were de-identified and randomized. Three reviewers assessed the images for each parameter twice. The Walch classification was assessed with a weighted kappa value. Glenoid version and humeral head subluxation were comparted with a reproducibility coefficient. Results The Walch classification demonstrated almost perfect intraobserver agreement for MRI and CT images (k = 0.87). Weighted interobserver agreement values for the Walch classification were fair for CT and MRI (k = 0.34). The weighted reproducibility coefficient for glenoid version measured 9.13 (CI 7.16–12.60) degrees for CT and 13.44 (CI 10.54–18.55) degrees for MRI images. The weighted reproducibility coefficient for percentage of humeral head subluxation was 17.43% (CI 13.67–24.06) for CT and 18.49% (CI 14.5–25.52) for MRI images. Discussion CT and MRI images demonstrated similar efficacy in classifying glenoid morphology, measuring glenoid version and measuring posterior humeral head subluxation. MRI can be used as an alternative to CT for measuring these parameters.

scholarly journals Reproducibility of Maxillofacial Anatomic Landmarks on 3-Dimensional Computed Tomographic Images Determined with the 95% Confidence Ellipse Method

2008 ◽  
Vol 78 (3) ◽  
pp. 396-402 ◽  
Author(s):  
Atsushi Muramatsu ◽  
Hiroyuki Nawa ◽  
Momoko Kimura ◽  
Kazuhito Yoshida ◽  
Masahito Maeda ◽  
...  
Keyword(s):  
Ct Images ◽  
Reference Points ◽  
3D Ct ◽  
Confidence Ellipse ◽  
High Reproducibility ◽  
Tomographic Images ◽  
3 Dimensional ◽  
Computed Tomographic ◽  
Ellipse Method ◽  
Characteristic Features

Abstract Objective: To assess the plotting reproducibility of landmarks on 3-dimensional computed tomography (3D-CT) images through use of the 95% confidence ellipse in order to propose sufficiently stable coordinate systems for 3D-CT measurements. Materials and Methods: Six dentists plotted 19 landmarks twice on 3D-CT images. Scatterplots and the 95% ellipses were produced 3-dimensionally, and the areas of the ellipses were calculated for evaluating the reproducibility of landmarks. Results: The plotting reproducibility of each landmark showed characteristic features. Among five landmarks (the sella [S], nasion [N], basion [Ba], orbitale [Or], and true porion [Po]) that are frequently used as reference points on cephalograms, Ba showed the smallest areas for all three coordinate axes, indicating high reproducibility. The coronoid process (CP) and the tooth-related landmarks showed relatively high reproducibility. Conclusion: Sufficiently stable coordinate axes could be proposed for different treatments and studies.

Creating an Optimal 3D Printed Model for Temporal Bone Dissection Training

2017 ◽  
Vol 126 (7) ◽  
pp. 530-536 ◽  
Author(s):  
Kuniyuki Takahashi ◽  
Yuka Morita ◽  
Shinsuke Ohshima ◽  
Shuji Izumi ◽  
Yamato Kubota ◽  
...  
Keyword(s):  
Temporal Bone ◽  
Model Comparison ◽  
3D Models ◽  
Ct Images ◽  
Tactile Sensation ◽  
Powder Bed ◽  
Bone Model ◽  
Training Tool ◽  
3 Dimensional ◽  
3D Printed

Objective: Making a 3-dimensional (3D) temporal bone model is simple using a plaster powder bed and an inkjet printer. However, it is difficult to reproduce air-containing spaces and precise middle ear structures. The objective of this study was to overcome these problems and create a temporal bone model that would be useful both as a training tool and for preoperative simulation. Methods: Drainage holes were made to remove excess materials from air-containing spaces, ossicle ligaments were manually changed to bony structures, and small and/or soft tissue structures were colored differently while designing the 3D models. The outcomes were evaluated by 3 procedures: macroscopic and endoscopic inspection of the model, comparison of computed tomography (CT) images of the model to the original CT, and assessment of tactile sensation and reproducibility by 20 surgeons performing surgery on the model. Results: Macroscopic and endoscopic inspection, CT images, and assessment by surgeons were in agreement in terms of reproducibility of model structures. Most structures could be reproduced, but the stapes, tympanic sinus, and mastoid air cells were unsatisfactory. Perioperative tactile sensation of the model was excellent. Conclusions: Although this model still does not embody perfect reproducibility, it proved sufficiently practical for use in surgical training.

scholarly journals Consistency of 3D femoral torsion measurement from MRI compared to CT gold standard

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Thomas Vincent Häller ◽  
Pascal Schenk ◽  
Lukas Jud ◽  
Armando Hoch ◽  
Tobias Götschi ◽  
...  
Keyword(s):  
Gold Standard ◽  
Intraclass Correlation ◽  
Three Dimensional ◽  
Ct Images ◽  
Diagnostic Workup ◽  
3D Analysis ◽  
3D Measurement ◽  
Femoral Torsion ◽  
3D Measurements ◽  
Ct And Mri

Abstract Background Several hip and knee pathologies are associated with aberrant femoral torsion. Diagnostic workup includes computed tomography (CT) and magnetic resonance imaging (MRI). For three-dimensional (3D) analysis of complex deformities it would be desirable to measure femoral torsion from MRI data to avoid ionizing radiation of CT in a young patient population. 3D measurement of femoral torsion from MRI has not yet been compared to measurements from CT images. We hypothesize that agreement will exist between MRI and CT 3D measurements of femoral torsion. Methods CT and MRI data from 29 hips of 15 patients with routine diagnostic workup for suspected femoroacetabular impingement (FAI) were used to generate 3D bone models. 3D measurement of femoral torsion was performed by two independent readers using the method of Kim et al. which is validated for CT. Inter-modalitiy and inter-reader intraclass correlation coefficients (ICC) were calculated. Results Between MRI and CT 3D measurements an ICC of 0.950 (0.898; 0.976) (reader 1) respectively 0.950 (0.897; 0.976) (Reader 2) was found. The ICC (95% CI) expressing the inter-reader reliability for both modalities was 0.945 (0.886; 0.973) for MRI and 0.957 (0.910; 0.979) for CT, respectively. Mean difference between CT and MRI measurement was 0.42° (MRI – CT, SD: 2.77°, p = 0.253). Conclusions There was consistency between 3D measurements of femoral torsion between computer rendered MRI images compared to measurements with the “gold standard” of CT images. ICC for inter-modality and inter-reader consistency indicate excellent reliability. Accurate, reliable and reproducible 3D measurement of femoral torsion is possible from MRI images.

A framework for pulmonary fissure segmentation in 3D CT images using a directional derivative of plate filter

2020 ◽  
Vol 173 ◽  
pp. 107602 ◽  
Author(s):  
Hong Zhao ◽  
Berend C. Stoel ◽  
Marius Staring ◽  
M. Bakker ◽  
Jan Stolk ◽  
...  
Keyword(s):  
Directional Derivative ◽  
Ct Images ◽  
3D Ct ◽  
Fissure Segmentation ◽  
Plate Filter

scholarly journals A deep learning method for automatic segmentation of the bony orbit in MRI and CT images

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jared Hamwood ◽  
Beat Schmutz ◽  
Michael J. Collins ◽  
Mark C. Allenby ◽  
David Alonso-Caneiro
Keyword(s):  
Deep Learning ◽  
Human Performance ◽  
Automatic Segmentation ◽  
Ct Images ◽  
Human Observer ◽  
In Series ◽  
Magnetic Resonance Imaging Mri ◽  
High Degree ◽  
Orbital Region ◽  
Ct And Mri

AbstractThis paper proposes a fully automatic method to segment the inner boundary of the bony orbit in two different image modalities: magnetic resonance imaging (MRI) and computed tomography (CT). The method, based on a deep learning architecture, uses two fully convolutional neural networks in series followed by a graph-search method to generate a boundary for the orbit. When compared to human performance for segmentation of both CT and MRI data, the proposed method achieves high Dice coefficients on both orbit and background, with scores of 0.813 and 0.975 in CT images and 0.930 and 0.995 in MRI images, showing a high degree of agreement with a manual segmentation by a human expert. Given the volumetric characteristics of these imaging modalities and the complexity and time-consuming nature of the segmentation of the orbital region in the human skull, it is often impractical to manually segment these images. Thus, the proposed method provides a valid clinical and research tool that performs similarly to the human observer.

scholarly journals Quantitative evaluation and comparison of coronary artery characteristics by 3D coronary volume reconstruction

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yongcheol Kim ◽  
Jonathan James Hyett Bray ◽  
Benjamin Waterhouse ◽  
Alexander Gall ◽  
Georgia May Connolly ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Arteries ◽  
Intraclass Correlation ◽  
Quantitative Coronary Angiography ◽  
Volume Estimation ◽  
Diabetic Patients ◽  
Volume Reconstruction ◽  
3 Dimensional ◽  
Inter Observer Variability

AbstractNon-atherosclerotic abnormalities of vessel calibre, aneurysm and ectasia, are challenging to quantify and are often overlooked in qualitative reporting. Utilising a novel 3-dimensional (3D) quantitative coronary angiography (QCA) application, we have evaluated the characteristics of normal, diabetic and aneurysmal or ectatic coronary arteries. We selected 131 individuals under 50 years-of-age, who had undergone coronary angiography for suspected myocardial ischaemia between 1st January 2011 and 31st December 2015, at the Bristol Heart Institute, Bristol, UK. This included 42 patients with angiographically normal coronary arteries, 36 diabetic patients with unobstructed coronaries, and 53 patients with abnormal coronary dilatation (aneurysm and ectasia). A total of 1105 coronary segments were analysed using QAngio XA 3D (Research Edition, Medis medical imaging systems, Leiden, The Netherlands). The combined volume of the major coronary arteries was significantly different between each group (1240 ± 476 mm3 diabetic group, 1646 ± 391 mm3 normal group, and 2072 ± 687 mm3 abnormal group). Moreover, the combined coronary artery volumes correlated with patient body surface area (r = 0.483, p < 0.01). Inter-observer variability was assessed and intraclass correlation coefficient of the total coronary artery volume demonstrated a low variability of 3D QCA (r = 0.996, p < 0.001). Dedicated 3D QCA facilitates reproducible coronary artery volume estimation and allows discrimination of normal and diseased vessels.

scholarly journals Assessment of reliability and validity of the 5-scale grading system of the point-of-care immunoassay for tear matrix metalloproteinase-9

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Minjeong Kim ◽  
Ja Young Oh ◽  
Seon Ha Bae ◽  
Seung Hyeun Lee ◽  
Won Jun Lee ◽  
...  
Keyword(s):  
Matrix Metalloproteinase ◽  
Calibration Curve ◽  
Point Of Care ◽  
Interobserver Reliability ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Grading System ◽  
Intraclass Correlation Coefficients ◽  
The Difference

AbstractWe evaluated the reliability and validity of the 5-scale grading system to interpret the point-of-care immunoassay for tear matrix metalloproteinase (MMP)-9. Six observers graded red bands of photographs of the readout window in MMP-9 immunoassay kit (InflammaDry) two times with 2-week interval based on the 5-scale grading system (i.e. grade 0–4). Interobserver and intraobserver reliability were evaluated using intraclass correlation coefficients. The interobserver agreements were analyzed according to the severity of tear MMP-9 expression. To validate the system, a concentration calibration curve was made using MMP-9 solutions with reference concentrations, then the distribution of MMP-9 concentrations was analyzed according to the 5-scale grading system. Both intraobserver and interobserver reliability was excellent. The readout grades were significantly correlated with the quantified colorimetric densities. The interobserver variance of readout grades had no correlation with the severity of the measured densities. The band density continued to increase up to a maximal concentration (i.e. 5000 ng/mL) according to the calibration curve. The difference of grades reflected the change of MMP-9 concentrations sensitively, especially between grade 2 and 4. Together, our data indicate that the subjective 5-scale grading system in the point-of-care MMP-9 immunoassay is an easy and reliable method with acceptable accuracy.

Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China

2021 ◽  
Author(s):  
Qi Zhang ◽  
Ke Zhang ◽  
Miao Li ◽  
Jiaxin Gu ◽  
Xintong Li ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Therapeutic Interventions ◽  
Treatment Burden ◽  
Validity And Reliability ◽  
Stroke Patients ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Objectives To examine the validity and reliability of the Mandarin version of the Treatment Burden Questionnaire (TBQ) among stroke patients. Background Stroke patients need long-term management of symptoms and life situation, and treatment burden has recently emerged as a new concept that can influence the health outcomes during the rehabilitation process. Methods The convenience sampling method was used to recruit 187 cases of stroke patients in a tertiary grade hospital in Tianjin for a formal investigation. Item analysis, reliability and validity tests were carried out. The reliability test included internal consistency and test–retest reliability. And as well as content, structure and convergent validity were performed for the validity test. Results Of the 187 completed questionnaires, only 180 (96.3%) were suitable for analysis. According to the experts’ evaluation, the I-CVI of each item was from 0.833 to 1.000, and the S-CVI was 0.967. The exploratory factor analysis yielded three-factor components with a cumulative variation of 53.054%. Convergent validity was demonstrated using measures of Morisky’s Medication Adherence Scale 8 (r = –0.450, P &lt; 0.01). All correlations between items and global scores ranged from 0.403 to 0.638. Internal consistency reliability and test–retest reliability were found to be acceptable, as indicated by a Cronbach’s α of 0.824 and an intraclass correlation coefficient of 0.846, respectively. Conclusions The Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.

scholarly journals Comparing the Tibial Tuberosity–Trochlear Groove Distance Between CT and MRI in Skeletally Immature Patients With and Without Patellar Instability

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097366
Author(s):  
Zhen-Zhen Dai ◽  
Lin Sha ◽  
Zi-Ming Zhang ◽  
Zhen-Peng Liang ◽  
Hao Li ◽  
...  
Keyword(s):  
Patellar Instability ◽  
Intraclass Correlation ◽  
Mean Difference ◽  
Tibial Tubercle ◽  
Control Group ◽  
Trochlear Groove ◽  
Skeletally Immature ◽  
Bony Landmarks ◽  
The Difference ◽  
Ct And Mri

Background: The tibial tubercle–trochlear groove (TT-TG) distance was originally described for computed tomography (CT), but it has been measured on magnetic resonance imaging (MRI) in patients with patellar instability (PI). Whether the TT-TG measured on CT versus MRI can be considered equivalent in skeletally immature children remains unclear. Purpose: To investigate in skeletally immature patients (1) the effects of CT versus MRI imaging modality and cartilage versus bony landmarks on consistency of TT-TG measurement, (2) the difference between CT and MRI measurements of the TT-TG, and (3) the difference in TT-TG between patients with and without PI. Study Design: Cross-sectional study; Level of evidence, 3. Methods: We retrospectively identified 24 skeletally immature patients with PI and 24 patients with other knee disorders or injury but without PI. The bony and cartilaginous TT-TG distances on CT and MRI were measured by 2 researchers, and related clinical data were collected. The interrater, interperiod (bony vs cartilaginous), and intermethod (CT vs MRI) reliabilities of TT-TG measurement were assessed with intraclass correlation coefficients. Results: The 48 study patients (19 boys, 29 girls) had a mean age of 11.3 years (range, 7-14 years). TT-TG measurements had excellent interrater reliability and good or excellent interperiod reliability but fair or poor intermethod reliability. TT-TG distance was greater on CT versus MRI (mean difference, 4.07 mm; 95% CI, 2.6-5.5 mm), and cartilaginous distance was greater than bony distance (mean difference, 2.3 mm; 95% CI, 0.79-3.8 mm). The TT-TG measured on CT was found to increase with the femoral width. Patients in the PI group had increased TT-TG distance compared with those in the control group, regardless of landmarks or modality used ( P > .05 for all). Conclusion: For skeletally immature patients, the TT-TG distance could be evaluated on MRI, regardless of whether cartilage or bony landmarks were used. Its value could not be interchanged with CT according to our results; however, further research on this topic is needed.

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