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Article: A Novel Method to Measure the Sagittal Curvature in Spinal Deformities: The Reliability and Feasibility of 3-D Ultrasound Imaging

TitleA Novel Method to Measure the Sagittal Curvature in Spinal Deformities: The Reliability and Feasibility of 3-D Ultrasound Imaging
Authors
Keywords3-D ultrasound
Scoliosis
Sagittal
Spinous processes
Issue Date2019
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ultrasmedbio
Citation
Ultrasound in Medicine and Biology, 2019, v. 45 n. 10, p. 2725-2735 How to Cite?
AbstractThe objective of this study was to test the reliability of sagittal spinal curvature measurements using 3-D ultrasound in patients with adolescent idiopathic scoliosis (AIS). Ultrasound spinous process angle (USSPA) and ultrasound laminae angle (USLA) were measured on sagittal ultrasound images, while the Cobb angle (XCA) was measured on sagittal X-ray images. Intra-class correlation coefficients (ICC) for the intra- and inter-observer variability, linear regression analysis and Bland-Altman method, including mean absolute difference (MAD), were investigated to evaluate the reliability and validity of the two ultrasound angles compared with XCA. Excellent measurement reliabilities were demonstrated for both ultrasound angles (ICC ≥ 0.91). Moderate to good and significant linear correlations and good agreement were demonstrated between the ultrasound methods and XCA (Thoracic [R2 ≥ 0.574] / Lumbar [R2 ≥ 0.635]). No significant differences were found for the MADs between both corrected ultrasound angles and XCA. Sagittal ultrasound angles were demonstrated to be reliable for assessing sagittal curvature using spinous processes and laminae and to have good and significant correlations with XCAs. Since it is non-ionizing and relatively low cost, this method opens the possibility of providing frequent curve monitoring and evaluation, and screening for AIS patients, particularly based on sagittal profiles.
Persistent Identifierhttp://hdl.handle.net/10722/274423
ISSN
2023 Impact Factor: 2.4
2023 SCImago Journal Rankings: 0.716
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, TTY-
dc.contributor.authorJiang, WW-
dc.contributor.authorCheng, CLK-
dc.contributor.authorLai, KKL-
dc.contributor.authorTo, MKT-
dc.contributor.authorCastelein, RM-
dc.contributor.authorCheung, JPY-
dc.contributor.authorZheng, YP-
dc.date.accessioned2019-08-18T15:01:26Z-
dc.date.available2019-08-18T15:01:26Z-
dc.date.issued2019-
dc.identifier.citationUltrasound in Medicine and Biology, 2019, v. 45 n. 10, p. 2725-2735-
dc.identifier.issn0301-5629-
dc.identifier.urihttp://hdl.handle.net/10722/274423-
dc.description.abstractThe objective of this study was to test the reliability of sagittal spinal curvature measurements using 3-D ultrasound in patients with adolescent idiopathic scoliosis (AIS). Ultrasound spinous process angle (USSPA) and ultrasound laminae angle (USLA) were measured on sagittal ultrasound images, while the Cobb angle (XCA) was measured on sagittal X-ray images. Intra-class correlation coefficients (ICC) for the intra- and inter-observer variability, linear regression analysis and Bland-Altman method, including mean absolute difference (MAD), were investigated to evaluate the reliability and validity of the two ultrasound angles compared with XCA. Excellent measurement reliabilities were demonstrated for both ultrasound angles (ICC ≥ 0.91). Moderate to good and significant linear correlations and good agreement were demonstrated between the ultrasound methods and XCA (Thoracic [R2 ≥ 0.574] / Lumbar [R2 ≥ 0.635]). No significant differences were found for the MADs between both corrected ultrasound angles and XCA. Sagittal ultrasound angles were demonstrated to be reliable for assessing sagittal curvature using spinous processes and laminae and to have good and significant correlations with XCAs. Since it is non-ionizing and relatively low cost, this method opens the possibility of providing frequent curve monitoring and evaluation, and screening for AIS patients, particularly based on sagittal profiles.-
dc.languageeng-
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ultrasmedbio-
dc.relation.ispartofUltrasound in Medicine and Biology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subject3-D ultrasound-
dc.subjectScoliosis-
dc.subjectSagittal-
dc.subjectSpinous processes-
dc.titleA Novel Method to Measure the Sagittal Curvature in Spinal Deformities: The Reliability and Feasibility of 3-D Ultrasound Imaging-
dc.typeArticle-
dc.identifier.emailTo, MKT: mikektto@hku.hk-
dc.identifier.emailCheung, JPY: cheungjp@hku.hk-
dc.identifier.authorityTo, MKT=rp00302-
dc.identifier.authorityCheung, JPY=rp01685-
dc.description.naturepostprint-
dc.identifier.doi10.1016/j.ultrasmedbio.2019.05.031-
dc.identifier.pmid31303403-
dc.identifier.scopuseid_2-s2.0-85068741250-
dc.identifier.hkuros301540-
dc.identifier.volume45-
dc.identifier.issue10-
dc.identifier.spage2725-
dc.identifier.epage2735-
dc.identifier.isiWOS:000483916700015-
dc.publisher.placeUnited States-
dc.identifier.issnl0301-5629-

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