Reliability and agreement of manual and automated morphological radiographic hip measurements.

Autor:	Boel F; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Riedstra NS; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Tang J; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Hanff DF; Department of Radiology & Nuclear Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Ahedi H; Institute for Medical Research, University of Tasmania Menzies, Hobart, Tasmania, Australia., Arbabi V; Department of Orthopedics, UMC Utrecht, Utrecht, the Netherlands.; Orthopaedic-Biomechanics Research Group, Department of Mechanical Engineering, Faculty of Engineering, University of Birjand, Birjand, Iran., Arden NK; Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford Nuffield, Oxford, Oxfordshire, UK., Bierma-Zeinstra SMA; Department of General Practice, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., van Buuren MMA; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Cicuttini FM; Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia., Cootes TF; Centre for Imaging Sciences, The University of Manchester, Manchester, UK., Crossley K; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia., Eygendaal D; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Felson DT; Boston University School of Medicine, Boston, MA, USA., Gielis WP; Department of Orthopedics, UMC Utrecht, Utrecht, the Netherlands., Heerey J; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia., Jones G; Institute for Medical Research, University of Tasmania Menzies, Hobart, Tasmania, Australia., Kluzek S; Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford Nuffield, Oxford, Oxfordshire, UK., Lane NE; Department of Medicine, University of California Davis School of Medicine, Sacramento, CA, USA., Lindner C; Centre for Imaging Sciences, The University of Manchester, Manchester, UK., Lynch J; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA., van Meurs J; Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia., Nelson AE; Thurston Arthritis Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Mosler AB; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia., Nevitt MC; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA., Oei EH; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands., Runhaar J; Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia., Weinans H; Department of Orthopedics, UMC Utrecht, Utrecht, the Netherlands., Agricola R; Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, Zuid-Holland, the Netherlands.
Jazyk:	angličtina
Zdroj:	Osteoarthritis and cartilage open [Osteoarthr Cartil Open] 2024 Aug 14; Vol. 6 (3), pp. 100510. Date of Electronic Publication: 2024 Aug 14 (Print Publication: 2024).
DOI:	10.1016/j.ocarto.2024.100510
Abstrakt:	Objective: To determine the reliability and agreement of manual and automated morphological measurements, and agreement in morphological diagnoses. Methods: Thirty pelvic radiographs were randomly selected from the World COACH consortium. Manual and automated measurements of acetabular depth-width ratio (ADR), modified acetabular index (mAI), alpha angle (AA), Wiberg center edge angle (WCEA), lateral center edge angle (LCEA), extrusion index (EI), neck-shaft angle (NSA), and triangular index ratio (TIR) were performed. Bland-Altman plots and intraclass correlation coefficients (ICCs) were used to test reliability. Agreement in diagnosing acetabular dysplasia, pincer and cam morphology by manual and automated measurements was assessed using percentage agreement. Visualizations of all measurements were scored by a radiologist. Results: The Bland-Altman plots showed no to small mean differences between automated and manual measurements for all measurements except for ADR. Intraobserver ICCs of manual measurements ranged from 0.26 (95%-CI 0-0.57) for TIR to 0.95 (95%-CI 0.87-0.98) for LCEA. Interobserver ICCs of manual measurements ranged from 0.43 (95%-CI 0.10-0.68) for AA to 0.95 (95%-CI 0.86-0.98) for LCEA. Intermethod ICCs ranged from 0.46 (95%-CI 0.12-0.70) for AA to 0.89 (95%-CI 0.78-0.94) for LCEA. Radiographic diagnostic agreement ranged from 47% to 100% for the manual observers and 63%-96% for the automated method as assessed by the radiologist. Conclusion: The automated algorithm performed equally well compared to manual measurement by trained observers, attesting to its reliability and efficiency in rapidly computing morphological measurements. This validated method can aid clinical practice and accelerate hip osteoarthritis research. Competing Interests: GJ reports personal fees from Novartis outside the submitted work. SBZ reports consulting fees from Pfizer Infirst Healthcare and personal fees for being a Deputy Editor for Osteoarthritis and Cartilage outside the submitted work. CL and TC report a patent for an image processing apparatus and method for fitting a deformable shape model to an image using random forest regression voting. CL reports licensing royalties for this patent from Optasia Medical outside the submitted work. AN is an associate editor for Osteoarthritis and Cartilage and is on the OARSI Board of Directors outside the submitted work. AM is on the Editorial Board for the British Journal of Sports Medicine and the Journal of Science and Medicine in Sport outside the submitted work. HW reports being a minority shareholder of Uplanner BV and Replasia BV outside the submitted work. (© 2024 The Author(s).)
Databáze:	MEDLINE
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