Correlation of Subchondral Bone Density and Structure from Plain Radiographs with Micro Computed Tomography Ex Vivo. Hirvasniemi, J., Thevenot, J., Kokkonen, H. T., Finnilä, M. A., Venäläinen, M. S., Jämsä, T., Korhonen, R. K., Töyräs, J., & Saarakkala, S. Annals of Biomedical Engineering, 44(5):1698–1709, May, 2016.
doi  abstract   bibtex   
Osteoarthritis causes changes in the subchondral bone structure and composition. Plain radiography is a cheap, fast, and widely available imaging method. Bone tissue can be well seen from plain radiograph, which however is only a 2D projection of the actual 3D structure. Therefore, the aim was to investigate the relationship between bone density- and structure-related parameters from 2D plain radiograph and 3D bone parameters assessed from micro computed tomography (µCT) ex vivo. Right tibiae from eleven cadavers without any diagnosed joint disease were imaged using radiography and with µCT. Bone density- and structure-related parameters were calculated from four different locations from the radiographs of proximal tibia and compared with the volumetric bone microarchitecture from the corresponding regions. Bone density from the plain radiograph was significantly related with the bone volume fraction (r = 0.86; n = 44; p \textless 0.01). Mean homogeneity index for orientation of local binary patterns (HI(angle,mean)) and fractal dimension of vertical structures (FD(Ver)) were related (p \textless 0.01) with connectivity density (HI(angle,mean): r = -0.73, FD(Ver): r = 0.69) and trabecular separation (HI(angle,mean): r = 0.73, FD(Ver): r = -0.70) when all ROIs were pooled together (n = 44). Bone density and structure in tibia from standard clinically available 2D radiographs are significantly correlated with true 3D microstructure of bone.
@article{hirvasniemi_correlation_2016,
	title = {Correlation of {Subchondral} {Bone} {Density} and {Structure} from {Plain} {Radiographs} with {Micro} {Computed} {Tomography} {Ex} {Vivo}},
	volume = {44},
	issn = {1573-9686},
	doi = {10.1007/s10439-015-1452-y},
	abstract = {Osteoarthritis causes changes in the subchondral bone structure and composition. Plain radiography is a cheap, fast, and widely available imaging method. Bone tissue can be well seen from plain radiograph, which however is only a 2D projection of the actual 3D structure. Therefore, the aim was to investigate the relationship between bone density- and structure-related parameters from 2D plain radiograph and 3D bone parameters assessed from micro computed tomography (µCT) ex vivo. Right tibiae from eleven cadavers without any diagnosed joint disease were imaged using radiography and with µCT. Bone density- and structure-related parameters were calculated from four different locations from the radiographs of proximal tibia and compared with the volumetric bone microarchitecture from the corresponding regions. Bone density from the plain radiograph was significantly related with the bone volume fraction (r = 0.86; n = 44; p {\textless} 0.01). Mean homogeneity index for orientation of local binary patterns (HI(angle,mean)) and fractal dimension of vertical structures (FD(Ver)) were related (p {\textless} 0.01) with connectivity density (HI(angle,mean): r = -0.73, FD(Ver): r = 0.69) and trabecular separation (HI(angle,mean): r = 0.73, FD(Ver): r = -0.70) when all ROIs were pooled together (n = 44). Bone density and structure in tibia from standard clinically available 2D radiographs are significantly correlated with true 3D microstructure of bone.},
	language = {eng},
	number = {5},
	journal = {Annals of Biomedical Engineering},
	author = {Hirvasniemi, Jukka and Thevenot, Jérôme and Kokkonen, Harri T. and Finnilä, Mikko A. and Venäläinen, Mikko S. and Jämsä, Timo and Korhonen, Rami K. and Töyräs, Juha and Saarakkala, Simo},
	month = may,
	year = {2016},
	pmid = {26369637},
	pmcid = {PMC4696139},
	keywords = {Adult, Aged, Bone, Bone Density, Female, Humans, Imaging, Three-Dimensional, Male, Micro computed tomography, Middle Aged, Osteoarthritis, Radiography, Structural analysis, Texture analysis, Tibia, X-Ray Microtomography},
	pages = {1698--1709},
}

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