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The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus.

Publication ,  Journal Article
de Carvalho, KAM; Mallavarapu, V; Ehret, A; Dibbern, K; Lee, HY; Barbachan Mansur, NS; Laleveé, M; de Cesar Netto, C
Published in: Foot Ankle Orthop
October 2022

BACKGROUND: Weightbearing computed tomography (WBCT) measurements allow evaluation of several anatomical points for a correct clinical-radiographic diagnosis of pathologies, such as hallux rigidus (HR). In addition, a new semiautomatic segmentation software obtains automated 3D measurements from WBCT scan data sets, minimizing errors in reading angular measurements. The study's objective was (1) to evaluate the reliability of WBCT semiautomatic imaging measures in HR, (2) to evaluate correlation and agreement between manual and semiautomatic measures in the setting of HR, and (3) to compare semiautomatic measurements between pathologic (HR) and standard control groups. METHODS: A retrospective study of HR patients was performed including 20 feet with HR. WBCT manual and semiautomatic 3D measurements were performed using the following parameters: (1) first metatarsal-proximal phalanx angle (1stMPP), (2) hallux valgus angle (HVA), (3) first to second intermetatarsal angle (IMA), (4) hallux interphalangeal angle (IPA), (5) first metatarsal length (1stML), (6) second metatarsal length (2ndML), (7) first metatarsal declination angle (1stMD), (8) second metatarsal declination angles (2ndMD), and (9) metatarsus primus elevatus (MPE). The differences between pathologic and control cases were assessed with a Wilcoxon test. RESULTS: Interobserver and intraobserver agreement for manual vs semiautomatic WBCT measurements demonstrated excellent reliability. According to the Pearson coefficient, there was a strong positive linear correlation between both methods for the following parameters evaluated: HVA (ρ = 0.96), IMA (ρ = 0.86), IPA (ρ = 0.89), 1stML (ρ = 0.96), 2ndML (ρ = 0.91), 1stMD (ρ = 0.86), 2ndMD (ρ = 0.95), and MPE (ρ = 0.87). Comparison between the pathologic group with HR and the control (standard) group allowed for the differentiating of the pathologic (HR) from the non-pathologic conditions for MPE (p < 0.05). CONCLUSION: Semiautomatic measurements are reproducible and comparable to measurements performed manually, showing excellent interobserver and intraobserver agreement. The software used differentiated pathologic from nonpathologic conditions when submitted to semiautomatic MPE measurements. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Duke Scholars

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

October 2022

Volume

7

Issue

4

Start / End Page

24730114221137597

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
de Carvalho, K. A. M., Mallavarapu, V., Ehret, A., Dibbern, K., Lee, H. Y., Barbachan Mansur, N. S., … de Cesar Netto, C. (2022). The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus. Foot Ankle Orthop, 7(4), 24730114221137596. https://doi.org/10.1177/24730114221137597
Carvalho, Kepler Alencar Mendes de, Vineel Mallavarapu, Amanda Ehret, Kevin Dibbern, Hee Young Lee, Nacime Salomao Barbachan Mansur, Matthieu Laleveé, and Cesar de Cesar Netto. “The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus.Foot Ankle Orthop 7, no. 4 (October 2022): 24730114221137596. https://doi.org/10.1177/24730114221137597.
de Carvalho KAM, Mallavarapu V, Ehret A, Dibbern K, Lee HY, Barbachan Mansur NS, et al. The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus. Foot Ankle Orthop. 2022 Oct;7(4):24730114221137596.
de Carvalho, Kepler Alencar Mendes, et al. “The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus.Foot Ankle Orthop, vol. 7, no. 4, Oct. 2022, p. 24730114221137596. Pubmed, doi:10.1177/24730114221137597.
de Carvalho KAM, Mallavarapu V, Ehret A, Dibbern K, Lee HY, Barbachan Mansur NS, Laleveé M, de Cesar Netto C. The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus. Foot Ankle Orthop. 2022 Oct;7(4):24730114221137596.

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

October 2022

Volume

7

Issue

4

Start / End Page

24730114221137597

Location

United States