Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation

In this paper a non-invasive method using routine CT scan to assess the vertebral geometry through normalised Cortical Thickness (CTh) and Cortical Bone Density (CBD) is proposed. This paper aims to propose a new automated method to segment cortical bone and measure its thickness and local density....

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Main Authors: Florent Tomi, Morgane Evin, Yves Godio-Raboutet, Raphael La Greca, Thomas Clement, Yann Glard
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
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Online Access:https://www.tandfonline.com/doi/10.1080/21681163.2024.2412332
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author Florent Tomi
Morgane Evin
Yves Godio-Raboutet
Raphael La Greca
Thomas Clement
Yann Glard
author_facet Florent Tomi
Morgane Evin
Yves Godio-Raboutet
Raphael La Greca
Thomas Clement
Yann Glard
author_sort Florent Tomi
collection DOAJ
description In this paper a non-invasive method using routine CT scan to assess the vertebral geometry through normalised Cortical Thickness (CTh) and Cortical Bone Density (CBD) is proposed. This paper aims to propose a new automated method to segment cortical bone and measure its thickness and local density. This method were then used as a tool to compare these parameters between different vertebra models (in-vivo, cadaver and swine) and vertebra levels. An automated technique to segment cortical bone was proposed, assuming a two Gaussian bone density distribution. 42 vertebrae (3 high-thoracic, 3 low-thoracic and 1 lumbar vertebra for each subject) from three sub-groups (human in-vivo, cadaver and swine) were investigated. In the human in-vivo sub-group, the vertebral level was shown to influence normalised CTh and CBD. The CBD was found uniform within all the functional areas of the vertebral body (p > 0.05), while the normalised CTh showed significant differences (p < 0.001). Both CBD and normalised CTh showed significantly different between the inferior articular processes area and the posterior arch area d (p < 0.02 *). In each of the three sub-groups (human in-vivo Vs cadaveric Vs swine), normalised CTh and CBD were found significantly different across most functional areas (p < 0.001 ***). The proposed method offers an automated and accurate way of measuring cortical thickness and cortical bone density. Vertebra level and vertebra function areas were found to have influences on both proposed cortical bone characteristics. The influence of the vertebral level and of the vertebral functional areas on normalised CTh and CBD were reported within in-vivo and two vertebral models. Such a methodology could be used as a tool for image-guided surgery.
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spelling doaj-art-03a21c6d6f7546e6b82d416f1b48e4c12025-07-08T10:28:35ZengTaylor & Francis GroupComputer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization2168-11632168-11712024-12-0112110.1080/21681163.2024.2412332Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentationFlorent Tomi0Morgane Evin1Yves Godio-Raboutet2Raphael La Greca3Thomas Clement4Yann Glard5iLab Spine - Laboratoire de BiomécaniqueAppliquée, Aix-Marseille Université, Université Gustave Eiffel, Marseille, FranceiLab Spine - Laboratoire de BiomécaniqueAppliquée, Aix-Marseille Université, Université Gustave Eiffel, Marseille, FranceiLab Spine - Laboratoire de BiomécaniqueAppliquée, Aix-Marseille Université, Université Gustave Eiffel, Marseille, FranceiLab Spine - Laboratoire de BiomécaniqueAppliquée, Aix-Marseille Université, Université Gustave Eiffel, Marseille, FranceiLab Spine - Laboratoire de BiomécaniqueAppliquée, Aix-Marseille Université, Université Gustave Eiffel, Marseille, FranceDepartment of Pediatric Orthopedics, Saint Joseph Hospital, Marseille, FranceIn this paper a non-invasive method using routine CT scan to assess the vertebral geometry through normalised Cortical Thickness (CTh) and Cortical Bone Density (CBD) is proposed. This paper aims to propose a new automated method to segment cortical bone and measure its thickness and local density. This method were then used as a tool to compare these parameters between different vertebra models (in-vivo, cadaver and swine) and vertebra levels. An automated technique to segment cortical bone was proposed, assuming a two Gaussian bone density distribution. 42 vertebrae (3 high-thoracic, 3 low-thoracic and 1 lumbar vertebra for each subject) from three sub-groups (human in-vivo, cadaver and swine) were investigated. In the human in-vivo sub-group, the vertebral level was shown to influence normalised CTh and CBD. The CBD was found uniform within all the functional areas of the vertebral body (p > 0.05), while the normalised CTh showed significant differences (p < 0.001). Both CBD and normalised CTh showed significantly different between the inferior articular processes area and the posterior arch area d (p < 0.02 *). In each of the three sub-groups (human in-vivo Vs cadaveric Vs swine), normalised CTh and CBD were found significantly different across most functional areas (p < 0.001 ***). The proposed method offers an automated and accurate way of measuring cortical thickness and cortical bone density. Vertebra level and vertebra function areas were found to have influences on both proposed cortical bone characteristics. The influence of the vertebral level and of the vertebral functional areas on normalised CTh and CBD were reported within in-vivo and two vertebral models. Such a methodology could be used as a tool for image-guided surgery.https://www.tandfonline.com/doi/10.1080/21681163.2024.2412332Segmentationcorticalbonethicknessvertebra
spellingShingle Florent Tomi
Morgane Evin
Yves Godio-Raboutet
Raphael La Greca
Thomas Clement
Yann Glard
Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation
Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
Segmentation
cortical
bone
thickness
vertebra
title Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation
title_full Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation
title_fullStr Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation
title_full_unstemmed Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation
title_short Vertebral cortical thickness and cortical bone density: an automated CT assessment - towards enhanced spine segmentation
title_sort vertebral cortical thickness and cortical bone density an automated ct assessment towards enhanced spine segmentation
topic Segmentation
cortical
bone
thickness
vertebra
url https://www.tandfonline.com/doi/10.1080/21681163.2024.2412332
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