An MRI-based semiautomated volumetric quantification of hip osteonecrosis

dc.contributor.authorMalizos, K. N.en
dc.contributor.authorSiafakas, M. S.en
dc.contributor.authorFotiadis, D. I.en
dc.contributor.authorKarachalios, T. S.en
dc.contributor.authorSoucacos, P. N.en
dc.date.accessioned2015-11-24T17:32:05Z
dc.date.available2015-11-24T17:32:05Z
dc.identifier.issn0364-2348-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/13667
dc.rightsDefault Licence-
dc.subjectosteonecrosisen
dc.subjectvolumetric feature extractionen
dc.subjectautomated diagnosisen
dc.subjectfemoral-headen
dc.subjectavascular necrosisen
dc.subjectdiseaseen
dc.titleAn MRI-based semiautomated volumetric quantification of hip osteonecrosisen
heal.abstractObjective: To objectively and precisely define the spatial distribution of osteonecrosis and to investigate the influence of various factors including etiology. Design: A volumetric method is presented to describe the size and spatial distribution of necrotic lesions of the femoral head, using MRI scans. The technique is based on the definition of an equivalent sphere model for the femoral head. Patients: The gender, age, number of hips involved, disease duration, pain intensity, limping disability and etiology were correlated with the distribution of the pathologic bone. Seventy-nine patients with 122 hips affected, by osteonecrosis were evaluated. Results: The lesion size ranged from 7% to 73% of the sphere equivalent. The lateral octants presented considerable variability, ranging from wide lateral lesions extending beyond the lip of the acetabulum, to narrow medial lesions, leaving a lateral supporting pillar of intact bone. Patients with sickle cell disease and steroid administration presented the largest lesions. The extent of the posterior superior medial octant involvement correlated with the symptom intensity, a younger age and male gender. Conclusion: The methodology presented here. has proven a reliable and straightforward imaging tool for precise assessment of necrotic lesions. It also enables us to target accurately the drilling and grafting procedures.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primaryDOI 10.1007/s002560100399-
heal.identifier.secondary<Go to ISI>://000173040300005-
heal.identifier.secondaryhttp://www.springerlink.com/content/yg7ppbrmnxpg4k7g/fulltext.pdf-
heal.journalNameSkeletal Radiolen
heal.journalTypepeer reviewed-
heal.languageen-
heal.publicationDate2001-
heal.publisherSpringer-Verlagen
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Μηχανικών Επιστήμης Υλικώνel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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