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  1. Article ; Online: Getting Cartilage Thickness Measurements Right: A Systematic Inter-Method Comparison Using MRI Data from the Osteoarthritis Initiative.

    Nolte, Teresa / Westfechtel, Simon / Schock, Justus / Knobe, Matthias / Pastor, Torsten / Pfaehler, Elisabeth / Kuhl, Christiane / Truhn, Daniel / Nebelung, Sven

    Cartilage

    2023  Volume 14, Issue 1, Page(s) 26–38

    Abstract: Objective: Magnetic resonance imaging is the standard imaging modality to assess articular cartilage. As the imaging surrogate of degenerative joint disease, cartilage thickness is commonly quantified after tissue segmentation. In lack of a standard ... ...

    Abstract Objective: Magnetic resonance imaging is the standard imaging modality to assess articular cartilage. As the imaging surrogate of degenerative joint disease, cartilage thickness is commonly quantified after tissue segmentation. In lack of a standard method, this study systematically compared five methods for automatic cartilage thickness measurements across the knee joint and as a function of region and sub-region: 3D mesh normals (3D-MN), 3D nearest neighbors (3D-NN), 3D ray tracing (3D-RT), 2D centerline normals (2D-CN), and 2D surface normals (2D-SN).
    Design: Based on the manually segmented femoral and tibial cartilage of 507 human knee joints, mean cartilage thickness was computed for the entire femorotibial joint, 4 joint regions, and 20 subregions using these methods. Inter-method comparisons of mean cartilage thickness and computation times were performed by one-way analysis of variance (ANOVA), Bland-Altman analyses and Lin's concordance correlation coefficient (CCC).
    Results: Mean inter-method differences in cartilage thickness were significant in nearly all subregions (
    Conclusions: In automatic cartilage thickness determination, quantification accuracy and computational burden are largely affected by the underlying method. Mesh and surface normals or nearest neighbor searches should be used because they accurately capture variable geometries while being time-efficient.
    MeSH term(s) Humans ; Knee Joint/diagnostic imaging ; Knee Joint/pathology ; Cartilage, Articular/diagnostic imaging ; Cartilage, Articular/pathology ; Femur/diagnostic imaging ; Femur/pathology ; Magnetic Resonance Imaging/methods ; Osteoarthritis/pathology
    Language English
    Publishing date 2023-01-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2515870-3
    ISSN 1947-6043 ; 1947-6035
    ISSN (online) 1947-6043
    ISSN 1947-6035
    DOI 10.1177/19476035221144744
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Varus stress MRI in the refined assessment of the posterolateral corner of the knee joint.

    Ciba, Malin / Winkelmeyer, Eva-Maria / Schock, Justus / Westfechtel, Simon / Nolte, Teresa / Knobe, Matthias / Prescher, Andreas / Kuhl, Christiane / Truhn, Daniel / Nebelung, Sven

    Scientific reports

    2022  Volume 12, Issue 1, Page(s) 11858

    Abstract: Magnetic resonance imaging (MRI) is commonly used to assess traumatic and non-traumatic conditions of the knee. Due to its complex and variable anatomy, the posterolateral corner (PLC)-often referred to as the joint's dark side-remains diagnostically ... ...

    Abstract Magnetic resonance imaging (MRI) is commonly used to assess traumatic and non-traumatic conditions of the knee. Due to its complex and variable anatomy, the posterolateral corner (PLC)-often referred to as the joint's dark side-remains diagnostically challenging. We aimed to render the diagnostic evaluation of the PLC more functional by combining MRI, varus loading, and image post-processing in a model of graded PLC injury that used sequential transections of the lateral collateral ligament, popliteus tendon, popliteofibular ligament, and anterior cruciate ligament. Ten human cadaveric knee joint specimens underwent imaging in each condition as above, and both unloaded and loaded using an MR-compatible device that standardized loading (of 147 N) and position (at 30° flexion). Following manual segmentation, 3D joint models were used to computationally measure lateral joint space opening for each specimen, configuration, and condition, while manual measurements provided the reference standard. With more extensive ligament deficiency and loading, lateral joint spaces increased significantly. In conclusion, varus stress MRI allows comprehensive PLC evaluation concerning structural integrity and associated functional capacity. Beyond providing normative values of lateral compartment opening, this study has potential implications for diagnostic and surgical decision-making and treatment monitoring in PLC injuries.
    MeSH term(s) Anterior Cruciate Ligament ; Cadaver ; Humans ; Knee Joint ; Magnetic Resonance Imaging ; Range of Motion, Articular
    Language English
    Publishing date 2022-07-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-022-15787-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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