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Feasibility of image feature analysis and computer-aided diagnosis in digital radiography of avascular necrosis of the fe-moral head(A.N.F.H.)


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SUMMARY

We developed an automated method to determine physical measurements of the bone trabecular textures in digital radiographs with the aim of improving the accuracy of diagnosis of avascular necrosis of the femoral head (ANFH).

$B!!!!(J ANFH is well-recognized as a cause of acute and chronic hip pain. An early misdiagnosis might lead to the collapse of the femoral head in a few years.Therefore, early diagnosis is a critical point. the initial evaluation of ANFH should begin with plain radiographs. Plain films ,however, are of limited sensitivity for detecting early disease, which means evaluation of the early stage of ANFH is a difficult clinical problem.

$B!!!!(J The fundamental algorithm of this method was originally developed for digital chest radiographs.Two texture measurements, calculated from the root mean square(R.M.S.) variation and the first momentof the power spectrum, can detect and characterize lung disease.

$B!!!!(J However, several problems occure when we apply this to the quantity of the bone trabecular texture. That is why we have developed a new method to solve them.

$B!!!!(J Preliminary results indicated that the texture measurements (which are normalized by R.M.S.variations and the first moments of the power spectrum of femoral neck bone trabecular pattern) of abnormalfemoral heads with avascular necrosis diseases were strikingly different from these normal femoral heads.

$B!!!!(J Our results strongly suggest that quantitative texture measurements calculated from digital images may be useful to radiologists in the assessment of ANFH disease.

Key words:
avascular necrosis of the femoral head(A.N.F.H.),
power spectrum, digital radiography,
image feature analyis, computer-aided diagnosis



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  1. $B?y2,MN0l!'BgB\9|F,FCH/@-2u;`$NIBBV$H<#NE!%F|@02q;o!$(J50,1173-1192,(1976).
  2. Abeles M, et al: Aseptic necrosis of bone in systemic lupus erythematosus. Arch Intern Med,138,750-754,(1978)
  3. $B>.Ln7I$N?GCG4p=`!"IB7?J,N`!"IB4|!%(J $B8|@8>JFCDj<@45!&(J $BFCH/@-BgB\9|F,2u;`>ID4::8&5fHIJs9p=q!$(J330-336,(1987).
  4. $BNkLZ9n7{!$A}EDIp;V!$>>Ln>fIW!$B>!'FCH/@-BgB\9|F,2u;`>I$N2hA|?GCG!%NW@030!$(J 24(3),238$B!A(J244,(1989).
  5. $BFs%N5\@aIW!'$o$,9q$K$*$1$kBgB\9|F,2u;`>I$N1V3X!%(J $BNW@030!$(J23,1190-1193, (1988).
  6. Katsuragawa S, Doi K, MacMahon H : Image feature analysis and computer-aided diagnosis in degital radiography : Ddection and characterization of interstitial lung disease in degital chest radiographs. Med.Phys.15 (3),311-319,May/Jun(1988).
  7. $B7K@nLPI'!$EZ0fK.M:!$(JMacMahon H, $BB>!'4V Katsuragawa S, Doi K, MacMahon H : Image feature analysis and computer-aided diagnosis in degital radiography : Classigication of normal and abnormal lungs with interstitial disease in chest images. Med.Phys.16(1), 38-44, Jan/Feb(1989).
  8. $B5FCS!!L3!$DZED=(0l!!!'#X@~2hA|$N%Q%o!<%9%Z%/%H%k2r@O$H$=$N1~MQ!]N%;6E*%U!<%j%(JQ49$K1w$1$k<~GH?tCGB3@-$N1F6A$H$=$NJd@5!]!%KLJ|5;=Q;o!$(J48,1-10,(1988).
  9. $BDZED=(0l!$5FCS!!L3!$Cg!!CNJ]!$B>(J $B!'(J $B#X@~2hA|$N%Q%o!<%9%Z%/%H%k2r@O$H$=$N1~MQ!JBh#3Js!'#X@~$BF#0f=(OB!$5FCS!!L3!$DZED=(0l!$B>(J $B!'(J Computer-aided diagnosis$B!JBh#1Js!'L5Ie@-9|F,2u;`>I$N<~GH?tJ,@O$H$=$N2hA|=hM}!K!%(J $BKLJ|5;=Q;o!$(J49, 101-105, (1989).
  10. $BF|Ln44M:!'%9%Z%/%H%k2r@O!$D+AR=qE9!$(J183-236,$BEl5~!$(J(1977).
  11. $BBl@n!!8|!$@PEDN49T!$;32<0lLi!$B>!'9|NB9=B$$N%9%Z%/%H%k2r@O!]4pACE*Chan HP, Metz CE, Doi K, :SPIE 535, 2(1985).
  12. Giger ML, Doi K,MacMahon H : Image feature analysis and computer-aided diagnosis in degital radiography 2. Computerized determination of vesselsizes in digital subtraction angiography. Med.Phys.,14, 549-556,(1987).
  13. Chan HP, Doi K, Vyborny CJ, et al : Computer-aided detection of microca-lcifications in mammograms: Methodology and preliminary clinical study.Investigative Radiolory, 23,664-671,(1988)
  14. $B@PEDN49T!$;32<0lLi!$Bl@n!!8|!'9|NBA|$N%9%Z%/%H%k2r@O!%0eMQ2hA|>pJs3X2q;o!$(J9(1),32-40,(1992).
  15. Ishida T, Yamashita K, Takigawa A, et al: Pattern analysis by using fr-actal dimension. Jpn.J.Appl.Phys., 32(4),1867-1871,(1993).
  16. $BF#ED9-;V!$@PEDN49T!$;32<0lLi!$B>!!!'9|#X@~$B0l2,5A>O!'FCH/@-BgB\9|F,2u;`>I$K$*$1$k#C#TA|$N8!F$!%!!NW@030(J,23,257-262,(1988).
  17. $B>.5WJ]1'!$5H@n9(5/!$@DLZLP!!!'BgB\9|F,2u;`>I$N#M#R#I!%F|K\0eJ|2q;o!$(J47,695-707,(1987).
  18. Totty WG,et al : Magenetic resonane imaging of the normal and ischemic femoral head. AJR,143, 1273-1280, (1984).
  19. Mitchell MD : Avescular necrosis of the hip; comparison of MR ,CT and scintigraphy. AJR,147,67-71,(1986).


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