Abstract
A decision support system was developed for the grading of hip osteoarthritis (OA) severity. Sixty four hips (18 normal, 46 osteoarthritic) were studied from the digitized radiographs of 32 patients with unilateral or bilateral hip-OA. Hips were allocated into three OA-severity categories, formed accordingly to the Kellgren and Lawrence scale: “Normal”, “Mild-Moderate”, and “Severe”. Employing custom developed algorithms: (i) the radiographic contrast was enhanced, (ii) 64 ROIs, corresponding to patients’ radiographic Hip Joint Spaces (HJSs), were determined, and (iii) Fourier descriptors of the HJS-ROIs boundary were generated. These descriptors were used in the design of a two-level hierarchical decision tree structure, employed for the discrimination of the OA-severity categories. The overall classification accuracies accomplished by the system, regarding the discrimination between: (i) Normal and osteoarthritic hips, and (ii) hips of “Mild-Moderate” OA and of “Severe” OA were 92.2% and 86.0%, respectively. The proposed system may contribute to osteoarthritic patients management.
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Hinton, R., Moody, R.L., Davis, A.W., Thomas, S.F.: Osteoarthritis: Diagnosis and Therapeutic Considerations. Am. Fam. Physician 65, 841–848 (2002)
Iannone, F., Lapadula, G.: The Pathophysiology of Osteoarthritis. Aging Clin. Exp. Res. 15, 364–372 (2003)
Peterfy, C.G.: Imaging of the Disease Process. Curr. Opin. Rheumatol 14, 590–596 (2002)
Ory, P.A.: Radiography in the Assessment of Musculoskeletal Conditions. Best. Pract. Res. Clin. Rheumatol 17, 495–512 (2003)
Altman, R.D., Fries, J.F., Bloch, D.A., et al.: Radiographic Assessment of Progression in Osteoarthritis. Arthritis Rheum 30, 1214–1225 (1987)
Sun, Y., Günther, K.P., Brenner, H.: Reliability of Radiographic Grading of Osteoarthritis of the Hip and Knee. Scand. J. Rheumatol 26, 155–165 (1997)
Kellgren, J.H., Lawrence, J.S.: Radiological Assessment of Osteoarthrosis. Ann. Rheum. Dis. 16, 494–501 (1957)
Spector, T.D., Cooper, C.: Radiographic Assessment of Osteoarthritis in Population Studies: Whither Kellgren and Lawrence? Osteoarthritis Cartilage 1, 203–206 (1993)
Croft, P., Cooper, C., Wickham, C., Coggon, D.: Defining Osteoarthritis of the Hip for Epdemiologic Studies. Am. J. Epidemiol. 132, 514–522 (1990)
Ingvarsson, T., Hägglund, G., Lindberg, H., Lohmander, L.S.: Assessment of Primary Osteoarthritis: Comparison of Radiographic Methods Using Colon Radiographs. Ann. Rheum. Dis. 59, 650–653 (2000)
Boniatis, I., Costaridou, L., Cavouras, D., Panagiotopoulos, E., Panayiotakis, G.: Quantitative Assessment of Hip Osteoarthritis Based on Image Texture Analysis. Br. J. Radiol. 79, 232–238 (2006)
Boniatis, I., Costaridou, L., Cavouras, D., Kalatzis, I., Panagiotopoulos, E., Panayiotakis, G.: Assessing Hip Osteoarthritis Severity Utilizing a Probabilistic Neural Network Based Classification Scheme. Med. Eng. Phys. (in Press)
Boniatis, I., Costaridou, L., Cavouras, D., Kalatzis, I., Panagiotopoulos, E., Panayiotakis, G.: Osteoarthritis Severity of the Hip by Computer-Aided Grading of Radiographic Images. Med. Bio. Eng. Comput. (in Press)
Boniatis, I., Costaridou, L., Cavouras, D., Panagiotopoulos, E., Panayiotakis, G.: A Computer-Based Image Analysis Method for Assessing the Severity of Hip Joint Osteoarthritis. Nucl. Instrum. Meth. A. (in Press)
Altman, R., Alarcón, G., Appelrouth, D., et al.: The American College of Rheumatology Criteria for the Classification and Reporting of Osteoarthritis of the Hip. Arthritis Rheum 34, 505–514 (1991)
Lumiscan 75, system specifications. Lumisys Inc. (1998), http://www.lumisys.com/support/manuals.html
Sakellaropoulos, P., Costaridou, L., Panayiotakis, G.: A Wavelet Based Spatially Adaptive Method for Mammographic Contrast Enhancement. Phys. Med. Biol. 48, 787–803 (2003)
Sakellaropoulos, P., Costaridou, L., Panayiotakis, G.: An Image Visualisation Tool in Mammography. Med. Inform. Internet. Med. 24, 53–73 (1999)
Sakellaropoulos, P., Costaridou, L., Panayiotakis, G.: Using Component Technologies for Web – Based Wavelet Enhanced Mammographic Image Visualization. Med. Inform. Internet Med. 25, 171–181 (2000)
Conrozier, T., Tron, A.M., Balblanc, J.C., et al.: Measurement of the Hip Joint Space Using Computerized Image Analysis. Rev. Rhum. Engl. Ed. 60, 105–111 (1993)
Rangayyan, R.M.: Biomedical image analysis. CRC Press LLC, Boca Raton (2005)
Gonzalez, R.C., Woods, R.E.: Digital Image Processing, 2nd edn. Prentice Hall, Inc., New Jersey (2002)
Gupta, L., Srinath, M.D.: Contour Sequence Moments for the Classification of Closed Planar Shapes. Pattern Recognition 20, 267–272 (1987)
Ahmed, N., Rao, K.R.: Orthogonal Transforms for Digital Signal Processing. Springer, Heidelberg (1975)
Theodoridis, S., Koutroumbas, K.: Pattern Recognition, 2nd edn. Elsevier Academic Press, Amsterdam (2003)
van Belle, G., Fisher, L.D., Heagerty, P.J., Lumley, T.: Biostatistics. A methodology for the health sciences, 2nd edn. Wiley-Interscience, New Jersey (2004)
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Boniatis, I., Cavouras, D., Costaridou, L., Kalatzis, I., Panagiotopoulos, E., Panayiotakis, G. (2006). A Decision Support System for the Automatic Assessment of Hip Osteoarthritis Severity by Hip Joint Space Contour Spectral Analysis. In: Maglaveras, N., Chouvarda, I., Koutkias, V., Brause, R. (eds) Biological and Medical Data Analysis. ISBMDA 2006. Lecture Notes in Computer Science(), vol 4345. Springer, Berlin, Heidelberg. https://doi.org/10.1007/11946465_41
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DOI: https://doi.org/10.1007/11946465_41
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-68063-5
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