Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair

The goal of this study was to develop an image analysis algorithm for quantifying the effects of remodelling on cortical bone during early fracture healing. An adaptive thresholding technique with boundary curvature and tortuosity control was developed to automatically identify the endocortical and...

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Main Authors: Alireza Ariyanfar, Karina Klein, Brigitte von Rechenberg, Salim Darwiche, Hannah L. Dailey
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/10.1080/21681163.2024.2345165
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author Alireza Ariyanfar
Karina Klein
Brigitte von Rechenberg
Salim Darwiche
Hannah L. Dailey
author_facet Alireza Ariyanfar
Karina Klein
Brigitte von Rechenberg
Salim Darwiche
Hannah L. Dailey
author_sort Alireza Ariyanfar
collection DOAJ
description The goal of this study was to develop an image analysis algorithm for quantifying the effects of remodelling on cortical bone during early fracture healing. An adaptive thresholding technique with boundary curvature and tortuosity control was developed to automatically identify the endocortical and pericortical boundaries in the presence of high-gradient bone mineral density (BMD) near the healing zone. The algorithm successfully detected boundaries in more than 47,000 microCT images from 12 pairs of healing ovine osteotomies and intact contralateral tibiae. Resampling techniques were used to achieve data dimensionality reduction on the segmented images, allowing characterisation of radial, circumferential, and axial distributions of cortical BMD. Local (transverse slice) and total (whole bone) remodelling scores were produced. These surrogate measures of cortical remodelling derived from BMD revealed that cortical changes were detectable throughout the region covered by callus and that the localised loss of cortical BMD was highest near the osteotomy. Total remodelling score was moderately and significantly correlated with callus volume and mineral composition (r > 0.64, p < 0.05), suggesting that the cortex may be a source of mineral needed to build callus.
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issn 2168-1163
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language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
spelling doaj-art-6b619e3dbaa046fe80a1b47b1ef8813d2025-07-08T10:28:29ZengTaylor & Francis GroupComputer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization2168-11632168-11712024-12-0112110.1080/21681163.2024.2345165Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repairAlireza Ariyanfar0Karina Klein1Brigitte von Rechenberg2Salim Darwiche3Hannah L. Dailey4Mechanical Engineering &amp; Mechanics, Lehigh University, Bethlehem, PA, USAMusculoskeletal Research Unit (MSRU), Vetsuisse Faculty, University of Zurich, Zurich, SwitzerlandMusculoskeletal Research Unit (MSRU), Vetsuisse Faculty, University of Zurich, Zurich, SwitzerlandMusculoskeletal Research Unit (MSRU), Vetsuisse Faculty, University of Zurich, Zurich, SwitzerlandMechanical Engineering &amp; Mechanics, Lehigh University, Bethlehem, PA, USAThe goal of this study was to develop an image analysis algorithm for quantifying the effects of remodelling on cortical bone during early fracture healing. An adaptive thresholding technique with boundary curvature and tortuosity control was developed to automatically identify the endocortical and pericortical boundaries in the presence of high-gradient bone mineral density (BMD) near the healing zone. The algorithm successfully detected boundaries in more than 47,000 microCT images from 12 pairs of healing ovine osteotomies and intact contralateral tibiae. Resampling techniques were used to achieve data dimensionality reduction on the segmented images, allowing characterisation of radial, circumferential, and axial distributions of cortical BMD. Local (transverse slice) and total (whole bone) remodelling scores were produced. These surrogate measures of cortical remodelling derived from BMD revealed that cortical changes were detectable throughout the region covered by callus and that the localised loss of cortical BMD was highest near the osteotomy. Total remodelling score was moderately and significantly correlated with callus volume and mineral composition (r > 0.64, p < 0.05), suggesting that the cortex may be a source of mineral needed to build callus.https://www.tandfonline.com/doi/10.1080/21681163.2024.2345165Bone fracture healingcortical remodellingadaptive thresholdingmicro-computed tomographyovine osteotomy
spellingShingle Alireza Ariyanfar
Karina Klein
Brigitte von Rechenberg
Salim Darwiche
Hannah L. Dailey
Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
Bone fracture healing
cortical remodelling
adaptive thresholding
micro-computed tomography
ovine osteotomy
title Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
title_full Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
title_fullStr Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
title_full_unstemmed Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
title_short Adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
title_sort adaptive image segmentation reveals substantial cortical bone remodelling during early fracture repair
topic Bone fracture healing
cortical remodelling
adaptive thresholding
micro-computed tomography
ovine osteotomy
url https://www.tandfonline.com/doi/10.1080/21681163.2024.2345165
work_keys_str_mv AT alirezaariyanfar adaptiveimagesegmentationrevealssubstantialcorticalboneremodellingduringearlyfracturerepair
AT karinaklein adaptiveimagesegmentationrevealssubstantialcorticalboneremodellingduringearlyfracturerepair
AT brigittevonrechenberg adaptiveimagesegmentationrevealssubstantialcorticalboneremodellingduringearlyfracturerepair
AT salimdarwiche adaptiveimagesegmentationrevealssubstantialcorticalboneremodellingduringearlyfracturerepair
AT hannahldailey adaptiveimagesegmentationrevealssubstantialcorticalboneremodellingduringearlyfracturerepair