Berger, Steve; Hasler, Carol-Claudius; Grant, Caroline A; Zheng, Guoyan; Schumann, Steffen; Büchler, Philippe (2017). A software program to measure the three-dimensional length of the spine from radiographic images: Validation and reliability assessment for adolescent idiopathic scoliosis. Computer methods and programs in biomedicine, 138, pp. 57-64. Elsevier 10.1016/j.cmpb.2016.10.012
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BACKGROUND AND OBJECTIVE
The aim of this study was to validate a new program which aims at measuring the three-dimensional length of the spine's midline based on two calibrated orthogonal radiographic images. The traditional uniplanar T1-S1 measurement method is not reflecting the actual three dimensional curvature of a scoliotic spine and is therefore not accurate. The Spinal Measurement Software (SMS) is an alternative to conveniently measure the true spine's length.
METHODS
The validity, inter- and intra-observer variability and usability of the program were evaluated. The usability was quantified based on a subjective questionnaire filled by eight participants using the program for the first time. The validity and variability were assessed by comparing the length of five phantom spines measured based on CT-scan data and on radiographic images with the SMS. The lengths were measured independently by each participant using both techniques.
RESULTS
The SMS is easy and intuitive to use, even for non-clinicians. The SMS measured spinal length with an error below 2 millimeters compared to length obtained using CT scan datasets. The inter- and intra-observer variability of the SMS measurements was below 5 millimeters.
CONCLUSIONS
The SMS provides accurate measurement of the spinal length based on orthogonal radiographic images. The software is easy to use and could easily integrate the clinical workflow and replace current approximations of the spinal length based on a single radiographic image such as the traditional T1-S1 measurement.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Surgical Technology & Biomechanics ISTB [discontinued] |
Graduate School: |
Graduate School for Cellular and Biomedical Sciences (GCB) |
UniBE Contributor: |
Berger, Steve, Zheng, Guoyan, Schumann, Steffen, Büchler, Philippe |
Subjects: |
500 Science > 570 Life sciences; biology 600 Technology > 610 Medicine & health 600 Technology > 620 Engineering |
ISSN: |
0169-2607 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Philippe Büchler |
Date Deposited: |
14 Jul 2017 15:31 |
Last Modified: |
05 Dec 2022 15:02 |
Publisher DOI: |
10.1016/j.cmpb.2016.10.012 |
PubMed ID: |
27886715 |
Uncontrolled Keywords: |
Adolescent idiopathic scoliosis; Early onset scoliosis; Height; Software program; Spine's length; T1-S1 |
BORIS DOI: |
10.7892/boris.95281 |
URI: |
https://boris.unibe.ch/id/eprint/95281 |