Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis

Computed tomography (CT) offers advanced biomedical imaging of the body and is broadly utilized for clinical diagnosis. Traditionally, clinical CT scans have not been used for volumetric bone mineral density (vBMD) assessment; however, computational advances can now leverage clinically obtained CT d...

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Main Authors: Kirsten N. Bott, Bryn E. Matheson, Ainsley C. J. Smith, Justin J. Tse, Steven K. Boyd, Sarah L. Manske
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/15/2572
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author Kirsten N. Bott
Bryn E. Matheson
Ainsley C. J. Smith
Justin J. Tse
Steven K. Boyd
Sarah L. Manske
author_facet Kirsten N. Bott
Bryn E. Matheson
Ainsley C. J. Smith
Justin J. Tse
Steven K. Boyd
Sarah L. Manske
author_sort Kirsten N. Bott
collection DOAJ
description Computed tomography (CT) offers advanced biomedical imaging of the body and is broadly utilized for clinical diagnosis. Traditionally, clinical CT scans have not been used for volumetric bone mineral density (vBMD) assessment; however, computational advances can now leverage clinically obtained CT data for the secondary analysis of bone, known as opportunistic CT analysis. Initial applications focused on using clinically acquired CT scans for secondary osteoporosis screening, but opportunistic CT analysis can also be applied to answer research questions related to vBMD changes in response to various disease states. There are several considerations for opportunistic CT analysis, including scan acquisition, contrast enhancement, the internal calibration technique, and bone segmentation, but there remains no consensus on applying these methods. These factors may influence vBMD measures and therefore the robustness of the opportunistic CT analysis. Further research and standardization efforts are needed to establish a consensus and optimize the application of opportunistic CT analysis for accurate and reliable assessment of vBMD in clinical and research settings. This review summarizes the current state of opportunistic CT analysis, highlighting its potential and addressing the associated challenges.
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spelling doaj.art-abe2d21449fd4f83afea370143297bf72023-11-18T22:47:19ZengMDPI AGDiagnostics2075-44182023-08-011315257210.3390/diagnostics13152572Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density AnalysisKirsten N. Bott0Bryn E. Matheson1Ainsley C. J. Smith2Justin J. Tse3Steven K. Boyd4Sarah L. Manske5Department of Radiology, University of Calgary, Calgary, AB T2N 1N4, CanadaMcCaig Institute for Bone and Joint Health, University of Calgary, Calgary, AB T2N 4Z6, CanadaDepartment of Radiology, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Radiology, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Radiology, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Radiology, University of Calgary, Calgary, AB T2N 1N4, CanadaComputed tomography (CT) offers advanced biomedical imaging of the body and is broadly utilized for clinical diagnosis. Traditionally, clinical CT scans have not been used for volumetric bone mineral density (vBMD) assessment; however, computational advances can now leverage clinically obtained CT data for the secondary analysis of bone, known as opportunistic CT analysis. Initial applications focused on using clinically acquired CT scans for secondary osteoporosis screening, but opportunistic CT analysis can also be applied to answer research questions related to vBMD changes in response to various disease states. There are several considerations for opportunistic CT analysis, including scan acquisition, contrast enhancement, the internal calibration technique, and bone segmentation, but there remains no consensus on applying these methods. These factors may influence vBMD measures and therefore the robustness of the opportunistic CT analysis. Further research and standardization efforts are needed to establish a consensus and optimize the application of opportunistic CT analysis for accurate and reliable assessment of vBMD in clinical and research settings. This review summarizes the current state of opportunistic CT analysis, highlighting its potential and addressing the associated challenges.https://www.mdpi.com/2075-4418/13/15/2572computed tomographyinternal BMD calibrationopportunistic analysis
spellingShingle Kirsten N. Bott
Bryn E. Matheson
Ainsley C. J. Smith
Justin J. Tse
Steven K. Boyd
Sarah L. Manske
Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis
Diagnostics
computed tomography
internal BMD calibration
opportunistic analysis
title Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis
title_full Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis
title_fullStr Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis
title_full_unstemmed Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis
title_short Addressing Challenges of Opportunistic Computed Tomography Bone Mineral Density Analysis
title_sort addressing challenges of opportunistic computed tomography bone mineral density analysis
topic computed tomography
internal BMD calibration
opportunistic analysis
url https://www.mdpi.com/2075-4418/13/15/2572
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