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Application of image registration to measurement of intervertebral rotation in the lumbar spine

✍ Scribed by Baxter P. Rogers; Victor M. Haughton; Konstantinos Arfanakis; M. Elizabeth Meyerand


Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
224 KB
Volume
48
Category
Article
ISSN
0740-3194

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✦ Synopsis


In this study, the precision and accuracy of a new method for measuring axial rotations of the lumbar vertebrae, which are thought to be increased in patients with degenerative spinal instability, were estimated. A standard image registration algorithm involving a user-selected center of rotation was adapted for this purpose. Accuracy was tested on a phantom containing a rotating lumbar vertebra. Calculated rotations were compared to the known values. Images were also obtained in subjects, using a tilting table that provided rotation between thorax and hips. For these measurements precision was estimated by varying the center of rotation. In the phantom the method had an accuracy of 0.2 degrees. In the human subject measurements the precision was 0.60-1.5 degrees. The method measured rotations of lumbar vertebrae with sufficient accuracy and precision to detect clinically significant differences in patients with back pain.


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