A4 Refereed article in a conference publication

Analysis of Trabecular Bone Microstructure Using Contour Tree Connectivity




AuthorsAydogan DB, Moritz N, Aro HT, Hyttinen J

EditorsMori K., Sakuma I., Sato Y., Barillot C., Navab N.

Conference nameInternational Conference on Medical Image Computing and Computer-Assisted Intervention

PublisherSPRINGER-VERLAG BERLIN

Publishing placeNagoya, Japan

Publication year2013

JournalLecture Notes in Computer Science

Book title Medical Image Computing and Computer-Assisted Intervention – MICCAI 2013

Series titleLecture Notes in Computer Science

Volume8150

First page 428

Last page435

ISBN978-3-642-40762-8

eISBN978-3-642-40763-5

ISSN0302-9743

DOIhttps://doi.org/10.1007/978-3-642-40763-5_53


Abstract
Millions of people worldwide suffer from fragility fractures, which cause significant morbidity, financial costs and even mortality. The gold standard to quantify structural properties of trabecular bone is based on the morphometric parameters obtained from mu CT images of clinical bone biopsy specimens. The currently used image processing approaches are not able to fully explain the variation in bone strength. In this study, we introduce the contour tree connectivity (CTC) as a novel morphometric parameter to study trabecular bone quality. With CTC, we calculate a new connectivity measure for trabecular bone by using contour tree representation of binary images and algebraic graph theory. To test our approach, we use trabecular bone biopsies obtained from 55 female patients. We study the correlation of CTC with biomechanical test results as well as other morphometric parameters obtained from mu CT. The results based on our dataset show that CTC is the 3rd best predictive feature of ultimate bone strength after bone volume fraction and degree of anisotropy.



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