Abstract:With a standard laboratory micro-CT system, it was possible to measure cartilage volume and thickness with good precision and accuracy relative to the biological variation of the specimen cohort. Cartilage measurements from micro-CT probably will improve the knowledge of the relationship between cartilage and subchondral bone and may allow to better understand the OA process.
“…Regarding cartilage thickness measurement, this method has initially been applied to small animal studies [25], [26]. An application for human cartilage morphology assessment can be found in a recent study by Delecourt et al [27].…”
Abstract:Osteoarthritis is a degenerative disease affecting bones and cartilage especially in the human knee. In this context, cartilage thickness is an indicator for knee cartilage health. Thickness measurements are performed on medical images acquired in-vivo. Currently, there is no standard method agreed upon that defines a distance measure in articular cartilage. In this work, we present a comparison of different methods commonly used in literature. These methods are based on nearest neighbors, surface normal vectors, local thickness and potential field lines. All approaches were applied to manual segmentations of tibia and lateral and medial tibial cartilage performed by experienced raters. The underlying data were contrast agent-enhanced cone-beam C-arm CT reconstructions of one healthy subject's knee. The subject was scanned three times, once in supine position and two times in a standing weight-bearing position. A comparison of the resulting thickness maps shows similar distributions and high correlation coefficients between the approaches above 0.90. The nearest neighbor method results on average in the lowest cartilage thickness values, while the local thickness approach assigns the highest values. We showed that the different methods agree in their thickness distribution. The results will be used for a future evaluation of cartilage change under weight-bearing conditions.
“…Regarding cartilage thickness measurement, this method has initially been applied to small animal studies [25], [26]. An application for human cartilage morphology assessment can be found in a recent study by Delecourt et al [27].…”
Abstract:Osteoarthritis is a degenerative disease affecting bones and cartilage especially in the human knee. In this context, cartilage thickness is an indicator for knee cartilage health. Thickness measurements are performed on medical images acquired in-vivo. Currently, there is no standard method agreed upon that defines a distance measure in articular cartilage. In this work, we present a comparison of different methods commonly used in literature. These methods are based on nearest neighbors, surface normal vectors, local thickness and potential field lines. All approaches were applied to manual segmentations of tibia and lateral and medial tibial cartilage performed by experienced raters. The underlying data were contrast agent-enhanced cone-beam C-arm CT reconstructions of one healthy subject's knee. The subject was scanned three times, once in supine position and two times in a standing weight-bearing position. A comparison of the resulting thickness maps shows similar distributions and high correlation coefficients between the approaches above 0.90. The nearest neighbor method results on average in the lowest cartilage thickness values, while the local thickness approach assigns the highest values. We showed that the different methods agree in their thickness distribution. The results will be used for a future evaluation of cartilage change under weight-bearing conditions.
“…[18] Cartilage measurements from micro-CT may improve the knowledge in the relationship between cartilage and SCB and may lead to better understanding of the OA process.…”
“…The modified Outerbridge classification was used to assess the grade of cartilage degradation: grade 0, normal cartilage; grade 1, cartilage softening and swelling; grade 2, mild surface fibrillation and/or loss of cartilage less than 50% of the cartilage thickness; grade 3, severe surface fibrillation and/or loss of more than 50% of the cartilage thickness; and grade 4, complete loss of cartilage with subchondral bone exposure 25. The meniscal classification has been previously described 26. Briefly, it is as follows: Gr1, normal intact menisci attached with sharp inner borders; Gr2, fraying at inner borders, surface fibrillation, and no tears; Gr 3, partial substance tears, fraying, and fibrillations; Gr4, complete substance tear and loss of tissue.…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.