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Research ArticleArticles

Computer Assisted Cobb Angle Measurements: A novel algorithm

Dean N. Papaliodis, Pierino G. Bonanni, Timothy T. Roberts, Khalid Hesham, Nicholas Richardson, Robert A. Cheney, James P. Lawrence, Allen L. Carl and William F. Lavelle
International Journal of Spine Surgery January 2017, 11 (3) 21; DOI: https://doi.org/10.14444/4021
Dean N. Papaliodis
1Department of Orthopaedics, Albany Medical Center, Albany, NY
MD
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Pierino G. Bonanni
2GE Global Research, Niskayuna, NY
PhD
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Timothy T. Roberts
3Cleveland Clinic Center for Spine Health, Cleveland, OH
MD
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Khalid Hesham
1Department of Orthopaedics, Albany Medical Center, Albany, NY
MD
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Nicholas Richardson
1Department of Orthopaedics, Albany Medical Center, Albany, NY
MD
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Robert A. Cheney
4Bone & Joint/ Capital Region Orthopaedics, Albany, NY
MD
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James P. Lawrence
5Bone & Joint/ Capital Region Orthopaedics, Albany, NY
MD, MBA
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Allen L. Carl
6Department of Neurology, Albany Medical Center, Albany, NY
MD
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William F. Lavelle
7Department of Orthopedics, SUNY Upstate Medical University, Syracuse, NY
MD
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  • Fig. 1
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    Fig. 1

    Original, localized brightness, and enhanced images prior to curvature measurements.

  • Fig. 2
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    Fig. 2

    (A) Computer based calculation of Cobb angle based on pre-designated spinal levels. (B) Surgeons’ average calculation on this patient was 23.6 degrees with a standard deviation of 2.8 degrees.

  • Fig. 3
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    Fig. 3

    Computer algorithm program-based (PB) determined angle plotted against the determined surgeons’ average angle. Individual determinations are indicated by the symbol o; solid line is the linear regression (r2 =0.90) and dotted lines are the 95% prediction intervals.

  • Fig. 4
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    Fig. 4

    Bland-Altman Analysis. Difference in angles measured by the two techniques versus the mean angle.

Tables

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    Table 1

    Inter-rater reliability of spine surgeons for Curve 1 and Curve 2.

    SurgeonsCurve 1Curve 2
    ICC95% CIICC95% CI
    10.8720.813-0.9170.8050.648-0.914
    2
    3
    4
    • ICC: Interclass Correlation Coefficient; CI: Confidence Interval.

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International Journal of Spine Surgery
Vol. 11, Issue 3
1 Jan 2017
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Computer Assisted Cobb Angle Measurements: A novel algorithm
Dean N. Papaliodis, Pierino G. Bonanni, Timothy T. Roberts, Khalid Hesham, Nicholas Richardson, Robert A. Cheney, James P. Lawrence, Allen L. Carl, William F. Lavelle
International Journal of Spine Surgery Jan 2017, 11 (3) 21; DOI: 10.14444/4021

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Computer Assisted Cobb Angle Measurements: A novel algorithm
Dean N. Papaliodis, Pierino G. Bonanni, Timothy T. Roberts, Khalid Hesham, Nicholas Richardson, Robert A. Cheney, James P. Lawrence, Allen L. Carl, William F. Lavelle
International Journal of Spine Surgery Jan 2017, 11 (3) 21; DOI: 10.14444/4021
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Keywords

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  • scoliotic curvature

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