scholarly journals Reliability measure of the rib cage deformity by a postural assessment software in patients with adolescent idiopathic scoliosis

2020 ◽  
Vol 22 ◽  
Author(s):  
Bruna Marques de Almeida Saraiva ◽  
Thais Moraes de Vieira ◽  
Anderson Sales Alexandre ◽  
Geferson da Silva Araújo ◽  
Evandro Fornias Sperandio ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Statistical Tests ◽  
Interobserver Reliability ◽  
Intraclass Correlation ◽  
Three Dimensional ◽  
Correlation Coefficients ◽  
Good Reliability ◽  
Cross Sectional ◽  
Rib Cage

Abstract Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine that generates changes in the biomechanics of the rib cage. Digital photogrammetry enables the recording of subtle changes and the interrelationship between parts of the human body that are difficult to measure by other means. The aim of this study was to create angles and thoracic distances and to evaluate the interobserver and intraobserver reliability of these measurements using the Software de Avaliação Postural (SAPO) in patients with AIS. This cross-sectional study evaluated 30 individuals aged between 11 and 18 years with AIS. We used SAPO with the thoracic markers in the form of angles (A) and distances (D) with involves structures like acromion, manubrium, xiphoid process, lower angle of the scapula, last false rib, anterior iliac spine process. Two experienced observers (A and B) analyzed the photos and all followed the same routine of analysis. Intraobserver and interobserver reproducibility was assessed by the Bland-Altman plot and intraclass correlation coefficient (ICC), while intraobserver and interobserver reliability was assessed by the T-Test and Wilcoxon's Test. A high repeatability index was obtained among the evaluations, with twelve of the sixteen variables considered as reliable in all statistical tests. The interobserver analyzes presented excellent correlation coefficients (ICC), showing good reliability for six of the sixteen variables proposed. The SAPO method presented good reproducibility and reliability for most of the thoracic markers created, showing that photogrammetry may be a complementary tool in the evaluation of thoracic alterations in patients with AIS.

scholarly journals THE ETIOLOGIC RELEVANCE OF 3-D PATHOANATOMY OF ADOLESCENT IDIOPATHIC SCOLIOSIS

2017 ◽  
Vol 16 (4) ◽  
pp. 302-307
Author(s):  
Tom Schlösser ◽  
Rob Brink ◽  
René Castelein
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Ongoing Research ◽  
Biomechanical Loading ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
The One

ABSTRACT Despite many years of dedicated research into the etiopathogenesis of adolescent idiopathic scoliosis, there is still no single distinct cause for this puzzling condition. In this overview, we attempt to link knowledge on the complex three-dimensional pathoanatomy of AIS, based on our ongoing research in this field, with etiopathogenic questions. Evidence from multiple recent cross-sectional imaging studies is provided that supports the hypothesis that AIS has an intrinsic biomechanical basis: an imbalance between the biomechanical loading of the upright human spine due to its unique sagittal configuration on the one hand, and the body’s compensating mechanisms on the other. The question that remains in the etiology of AIS, and the focus of our ongoing research, is to determine what causes or induces this imbalance.

scholarly journals Reliability of a Three-Dimensional Wound Camera and Correlation With Routine Ruler Measurement in Diabetes-Related Foot Ulceration

2020 ◽  
pp. 193229682097465
Author(s):  
Joel Willem Johan Lasschuit ◽  
Jill Featherston ◽  
Katherine Thuy Trang Tonks
Keyword(s):  
Interobserver Reliability ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Three Dimensional ◽  
Correlation Coefficients ◽  
Area Measurement ◽  
Foot Care ◽  
Foot Ulceration ◽  
Intraclass Correlation Coefficients ◽  
Service Setting

Background: In an era of increasing technology and telehealth utilization, three-dimensional (3D) wound cameras promise reliable, rapid, and touch-free ulceration measurements. However, reliability data for commercially available devices in the diabetes foot service setting is lacking. We aimed to evaluate the reliability of diabetes-related foot ulceration measurement using a 3D wound camera in comparison to the routinely used ruler and probe. Method: Participants were prospectively recruited from a tertiary interdisciplinary diabetes foot service. Ulcerations were measured at each visit by two blinded observers, first by ruler and probe, and then using a 3D wound camera twice. Reliability was evaluated using intraclass correlation coefficients (ICC). Measurement methods were compared by Pearson correlation. Results: Sixty-three ulcerations affecting 38 participants were measured over 122 visits. Interobserver reliability of ruler measurement was excellent for estimated area (ICC 0.98, 95% CI 0.97-0.98) and depth (ICC 0.93, 95% CI 0.90-0.95). Intraobserver and interobserver reliability of the 3D wound camera area was excellent (ICC 0.96, 95%CI 0.95-0.97 and 0.97 95% CI 0.96-0.98, respectively). Depth was unrecordable in over half of 3D wound camera measurements, and reliability was inferior to probe measurement. Area correlation between methods was good ( R = 0.88 and 0.94 per observer); however, depth correlation was poor ( R = 0.49 and 0.65). Conclusions: 3D wound cameras offer practical advantages over ruler-based measurement. In diabetes-related foot ulceration, the reliability and comparability of area measurement was excellent across both methods, although depth was more reliably obtained by the probe. These limitations, together with cost, are important considerations if implementing this technology in diabetes foot care.

Evaluation of body geometry and symmetry for adolescent idiopathic scoliosis with 3D body scanning system

2017 ◽  
Vol 21 (4) ◽  
pp. 276-292
Author(s):  
Lu Lu ◽  
Kit-Lun Yick ◽  
Sun Pui Ng ◽  
Joanne Yip ◽  
Chi Yung Tse
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
The Body ◽  
Scanning System ◽  
X Rays ◽  
Cross Sectional ◽  
Content Type ◽  
Body Scanning ◽  
The Cross

Purpose The purpose of this paper is to quantitatively assess the three-dimensional (3D) geometry and symmetry of the torso for spinal deformity and the use of orthotic bracewear by using non-invasive 3D body scanning technology. Design/methodology/approach In pursuing greater accuracy of body anthropometric measurements to improve the fit and design of apparel, 3D body scanning technology and image analysis provide many more advantages over the traditional manual methods that use contact measurements. To measure the changes in the torso geometry and profile symmetry of patients with adolescent idiopathic scoliosis, five individuals are recruited to undergo body scanning both with and without wearing a rigid brace during a period of six months. The cross-sectional areas and profiles of the reconstructed 3D torso models are examined to evaluate the level of body symmetry. Findings Significant changes in the cross-sectional profile are found amongst four of the patients over the different visits for measurements (p < 0.05), which are consistent with the X-rays results. The 3D body scanning system can reliably evaluate changes in the body geometry of patients with scoliosis. Nevertheless, improvements in the symmetry of the torso are found to be somewhat inconsistent among the patients and across different visits. Originality/value This pilot study demonstrates a practical and safe means to measure and analyse the torso geometry and symmetry so as to allow for more frequent evaluations, which would result in effective and optimal treatment of spinal deformation.

Three-dimensional reconstructions of the rib cage in adolescent idiopathic scoliosis: What determines gibbosity?

2017 ◽  
Vol 103 (7) ◽  
pp. S54
Author(s):  
Ayman Assi ◽  
Mohammad Karam ◽  
Michel Salameh ◽  
Gerard Bakhos ◽  
Aya Karam ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
Rib Cage

scholarly journals Head Orientation in CBCT-generated Cephalograms

2009 ◽  
Vol 79 (5) ◽  
pp. 971-977 ◽  
Author(s):  
Lucia Cevidanes ◽  
Ana E. F. Oliveira ◽  
Alexandre Motta ◽  
Ceib Phillips ◽  
Brandon Burke ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Three Dimensional ◽  
Correlation Coefficients ◽  
Dental Student ◽  
Head Orientation ◽  
Class Iii ◽  
Good Reliability ◽  
Mean Values ◽  
Lateral Cephalograms ◽  
The Difference

Abstract Objective: To determine the reliability of obtaining two-dimensional cephalometric measurements using two virtual head orientations from cone-beam computed tomography (CBCT) models. Materials and Methods: CBCT scans of 12 patients (6 class II and 6 class III) were randomly selected from a pool of 159 patients. An orthodontist, a dental radiologist, and a third-year dental student independently oriented CBCT three-dimensional (3D) renderings in either visual natural head position (simulated NHP) or 3D intracranial reference planes (3D IRP). Each observer created and digitized four CBCT-generated lateral cephalograms per patient, two using simulated NHP and two using 3D IRP at intervals of at least 3 days. Mixed-effects analysis of variance was used to calculate intraclass correlation coefficients (ICCs) and to test the difference between the orientations for each measure. Results: ICC indicated good reliability both within each head orientation and between orientations. Of the 50 measurements, the reliability coefficients were ≥0.9 for 45 measurements obtained with 3D IRP orientation and 36 measurements with simulated NHP. The difference in mean values of the two orientations exceeded 2 mm or 2° for 14 (28%) of the measurements. Conclusions: The reliability of both virtual head orientations was acceptable, although the percentage of measurements with ICC &gt;0.9 was greater for 3D IRP. This may reflect the ease of using the guide planes to position the head in the 3D IRP during the simulation process.

Pellucid marginal degeneration versus keratoconus: distinction with wide-field SD-OCT corneal sublayer pachymetry

2020 ◽  
pp. bjophthalmol-2020-316496
Author(s):  
Niklas Mohr ◽  
Mehdi Shajari ◽  
Daniel Krause ◽  
Stefan Kassumeh ◽  
Jakob Siedlecki ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Area Under The Curve ◽  
Correlation Coefficients ◽  
Cross Sectional Study ◽  
Wide Field ◽  
Good Reliability ◽  
Cross Sectional ◽  
Intraclass Correlation Coefficients ◽  
Calculated Ratio ◽  
Sd Oct

PurposeTo evaluate the capability of wide-field spectral-domain optical coherence tomography (SD-OCT) corneal sublayer pachymetry to distinguish between keratoconus and pellucid marginal degeneration (PMD).MethodsThis prospective cross-sectional study included 69 eyes (59 with keratoconus and 10 with PMD) of 69 patients. All patients were examined three subsequent times with the RTVue XR system. Pachymetry maps of the total cornea (CT), the epithelium (ET) and the stroma were generated using the onboard software. For analysis of reliability, the coefficients of variation and intraclass correlation coefficients (ICC) were calculated. Receiver operating characteristic analyses were performed to elaborate the most accurate pachymetric parameters for distinguishing between PMD and keratoconus.ResultsOverall repeatability of (sublayer) pachymetry was comparably good in both keratoconus (ICC ranging between 0.827 and 0.986) and PMD (ICC ranging between 0.753 and 0.998). Measurement reliability in keratoconic eyes was a negative function of Kmax (p<0.05). As compared with keratoconus, PMD exhibited higher CT (526±31 µm vs 503±30 µm; p=0.02) and ET (56±7 µm vs 51±5 µm; p=0.02) in the inferotemporal 2–5 mm sector as well as lower ET in the inferior 7–9 mm sector (52±5 µm vs 57±5 µm; p<0.01). The calculated ratio between CT in the inferotemporal 2–5 mm and in the inferior 7–9 mm sector yielded the highest diagnostic accuracy for distinguishing between PMD and keratoconus with an area under the curve of 0.977 and an optimal cut-off value of 0.90.ConclusionWide-field SD-OCT corneal sublayer pachymetry showed good reliability in PMD and keratoconus and may be useful to differentiate between the two ectatic diseases.

scholarly journals Anatomical sacral slope, a new pelvic parameter, is associated with lumbar lordosis and pelvic incidence in healthy Japanese women: A retrospective cross-sectional study

2019 ◽  
Vol 28 (1) ◽  
pp. 230949901988880
Author(s):  
Hayato Suzuki ◽  
Norio Imai ◽  
Asami Nozaki ◽  
Yuki Hirano ◽  
Naoto Endo
Keyword(s):  
Lumbar Lordosis ◽  
Pelvic Incidence ◽  
Intraclass Correlation ◽  
Three Dimensional ◽  
Correlation Coefficients ◽  
Normal Subjects ◽  
Cross Sectional Study ◽  
Sacral Slope ◽  
Cross Sectional ◽  
Pelvic Parameters

Purpose: Anatomical sacral slope (a-SS), a pelvic anatomical parameter that does not require the center of the femoral head, strongly correlates with pelvic incidence (PI) during three-dimensional measurements in normal subjects. Sagittal alignment of spinal and pelvic parameters is typically evaluated using two-dimensional radiographs; however, the relationship between a-SS and PI has not been evaluated using radiographs. This study aimed to evaluate the correlation between a-SS and other spinal and pelvic parameters using radiographs. Methods: We evaluated 144 healthy women. Using sagittal radiographs, we measured lumbar lordosis (LL), thoracic kyphosis, PI, SS, pelvic tilt, and a-SS, which were defined as the angle between the superior end plate of S1 and a line perpendicular to the anterior pelvic plane. Pearson coefficients were used to determine correlations, and intraobserver and interobserver intraclass correlation coefficients (ICCs) were used for validation. Results: There was a strong correlation between PI and a-SS ( r = 0.756). Moreover, correlations between a-SS and LL and between PI and LL were similar ( r = 0.661 and r = 0.554, respectively). The intraobserver ICCs were 0.884 for a-SS and 0.840 for PI. The interobserver ICCs were 0.856 for a-SS and 0.653 for PI. Conclusion: a-SS was strongly correlated with PI. The correlation between a-SS and LL was equivalent to the correlation between PI and LL. Moreover, the ICC for a-SS was larger than that of PI. This study suggests that a-SS is a useful new pelvic anatomical parameter that can be used instead of PI.

scholarly journals Preoperative and early postoperative three-dimensional changes of the rib cage after posterior instrumentation in adolescent idiopathic scoliosis

2000 ◽  
Vol 10 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Sébastien Delorme ◽  
Philippe Violas ◽  
Jean Dansereau ◽  
Jacques de Guise ◽  
Carl-Éric Aubin ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Posterior Instrumentation ◽  
Three Dimensional ◽  
Rib Cage ◽  
Dimensional Changes

scholarly journals Three-dimensional classification of the Lenke 1 adolescent idiopathic scoliosis using coronal and lateral spinal radiographs

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Saba Pasha ◽  
Victor Ho-Fung ◽  
Malcolm Eker ◽  
Sarah Nossov ◽  
Michael Francavilla
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Classification System ◽  
Classification Accuracy ◽  
Interobserver Reliability ◽  
Three Dimensional ◽  
Classification Systems ◽  
Dimensional Classification ◽  
Third Dimension

Abstract Background Classification of the spinal deformity in adolescent idiopathic scoliosis (AIS) remains two-dimensional (2D) as the spinal radiographs remain the mainstay in clinical evaluation of the disease. 3D classification systems are proposed, however are time consuming. We here aim to evaluate the clinical application of a 3D classification system by the use of only posterior-anterior and lateral radiographs in Lenke 1 adolescent idiopathic scoliosis (AIS). Methods Forty Lenke 1 AIS were classified by five observers following a three-step flowchart, developed based on our previous 3D classification system. This 3D classification characterizes the curve in the frontal and sagittal views and infers the third dimension with rules based on prior data to determine the 3D subtypes of the curve. Repeated rating was performed for 20 randomly selected patients in the same cohort. In addition to the classification by the raters, the 3D model of the spines were generated to determine the actual curve subtype based on the algorithm that was originally used to develop the 3D classification system. The interobserver and intraobserver reliability and the classification accuracy were determined for both 3D and axial classifications of the cohort. Results The interobserver reliability was moderate to strong with a kappa value between 0.61–0.89 for 3D and axial classifications. Comparing the mathematical classification and the raters’ classification, the classification accuracy among all raters ranged between 56 and 89%. Conclusion We evaluated the reliability of a previously developed 3D classification system for Lenke 1 AIS patients when only two-view spinal radiographs are available. Radiologists and orthopedic surgeons were able to identify the 3D subtypes of Lenke 1 AIS from the patients’ radiographs with moderate to strong reliability. The new 3D classification has the potential to identify the subtypes of the Lenke 1 AIS without a need for quantitative 3D image post-processing.

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