Improved radiograph measurement inter-observer reliability by use of statistical shape models.

Pre- and post-operative radiographs of patients undergoing joint arthroplasty are often examined for a variety of purposes including preoperative planning and patient assessment. This work examines the feasibility of using active shape models (ASM) to semi-automate measurements from post-operative r...

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Main Authors: Pegg, E, Mellon, S, Salmon, G, Alvand, A, Pandit, H, Murray, D, Gill, H
Format: Journal article
Language:English
Published: Elsevier 2012
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author Pegg, E
Mellon, S
Salmon, G
Alvand, A
Pandit, H
Murray, D
Gill, H
author_facet Pegg, E
Mellon, S
Salmon, G
Alvand, A
Pandit, H
Murray, D
Gill, H
author_sort Pegg, E
collection OXFORD
description Pre- and post-operative radiographs of patients undergoing joint arthroplasty are often examined for a variety of purposes including preoperative planning and patient assessment. This work examines the feasibility of using active shape models (ASM) to semi-automate measurements from post-operative radiographs for the specific case of the Oxford™ Unicompartmental Knee. Measurements of the proximal tibia and the position of the tibial tray were made using the ASM model and manually. Data were obtained by four observers and one observer took four sets of measurements to allow assessment of the inter- and intra-observer reliability, respectively. The parameters measured were the tibial tray angle, the tray overhang, the tray size, the sagittal cut position, the resection level and the tibial width. Results demonstrated improved reliability (average of 27% and 11.2% increase for intra- and inter-reliability, respectively) and equivalent accuracy (p>0.05 for compared data values) for all of the measurements using the ASM model, with the exception of the tray overhang (p=0.0001). Less time (15s) was required to take measurements using the ASM model compared with manual measurements, which was significant. These encouraging results indicate that semi-automated measurement techniques could improve the reliability of radiographic measurements.
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spelling oxford-uuid:9b127c54-7b08-4d96-b928-0aca075e921a2022-03-27T00:26:02ZImproved radiograph measurement inter-observer reliability by use of statistical shape models.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9b127c54-7b08-4d96-b928-0aca075e921aEnglishSymplectic Elements at OxfordElsevier2012Pegg, EMellon, SSalmon, GAlvand, APandit, HMurray, DGill, HPre- and post-operative radiographs of patients undergoing joint arthroplasty are often examined for a variety of purposes including preoperative planning and patient assessment. This work examines the feasibility of using active shape models (ASM) to semi-automate measurements from post-operative radiographs for the specific case of the Oxford™ Unicompartmental Knee. Measurements of the proximal tibia and the position of the tibial tray were made using the ASM model and manually. Data were obtained by four observers and one observer took four sets of measurements to allow assessment of the inter- and intra-observer reliability, respectively. The parameters measured were the tibial tray angle, the tray overhang, the tray size, the sagittal cut position, the resection level and the tibial width. Results demonstrated improved reliability (average of 27% and 11.2% increase for intra- and inter-reliability, respectively) and equivalent accuracy (p>0.05 for compared data values) for all of the measurements using the ASM model, with the exception of the tray overhang (p=0.0001). Less time (15s) was required to take measurements using the ASM model compared with manual measurements, which was significant. These encouraging results indicate that semi-automated measurement techniques could improve the reliability of radiographic measurements.
spellingShingle Pegg, E
Mellon, S
Salmon, G
Alvand, A
Pandit, H
Murray, D
Gill, H
Improved radiograph measurement inter-observer reliability by use of statistical shape models.
title Improved radiograph measurement inter-observer reliability by use of statistical shape models.
title_full Improved radiograph measurement inter-observer reliability by use of statistical shape models.
title_fullStr Improved radiograph measurement inter-observer reliability by use of statistical shape models.
title_full_unstemmed Improved radiograph measurement inter-observer reliability by use of statistical shape models.
title_short Improved radiograph measurement inter-observer reliability by use of statistical shape models.
title_sort improved radiograph measurement inter observer reliability by use of statistical shape models
work_keys_str_mv AT pegge improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels
AT mellons improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels
AT salmong improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels
AT alvanda improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels
AT pandith improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels
AT murrayd improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels
AT gillh improvedradiographmeasurementinterobserverreliabilitybyuseofstatisticalshapemodels