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Research ArticleFull Length Article
Open Access

Variability of manual lumbar spine segmentation

Daniel J. Cook, David A. Gladowski, Heather N. Acuff, Matthew S. Yeager and Boyle C. Cheng
International Journal of Spine Surgery January 2012, 6 167-173; DOI: https://doi.org/10.1016/j.ijsp.2012.04.002
Daniel J. Cook
aDepartment of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA
MS
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David A. Gladowski
aDepartment of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA
BS
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Heather N. Acuff
aDepartment of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA
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Matthew S. Yeager
aDepartment of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA
BS
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Boyle C. Cheng
aDepartment of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA
bDepartment of Neurosurgery, Drexel University College of Medicine, Pittsburgh, PA
PhD
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  • For correspondence: boylecheng@yahoo.com
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  • Fig. 1
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    Fig. 1

    Three-dimensional lumbar vertebrae models.

  • Fig. 2
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    Fig. 2

    (A) Unregistered segmentation point cloud models in red and blue. (B) Two models after registration. (C) Vertebra disarticulated from adjacent vertebrae and devoid of all soft tissue. (D) Three-dimensional surface-rendered model produced from the CT scan of the vertebra depicted in C. (E) Point cloud model of D registered with the corresponding operator A1 model.

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    Fig. 3

    The diagonal-lined bars show the maximum RMS values for the precision comparisons of the vertebral models, and the solid bars show the maximum RMS values for the accuracy comparisons of the vertebral models.

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    Fig. 4

    (A) Distance map from blue model to red model. (B) Registered point cloud models of 2 coupled sessions. (C) Distance map from red model to blue model. For the distance maps, the bar on the right shows how the colors correspond to distances.

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    Table 1

    Accuracy analysis

    Accuracy
    Operator AOperator B
    RMS (mm)0.390.36
    Mean (mm)0.370.35
    SD (mm)0.220.20
    95th percentile (mm)0.750.64
    99th percentile (mm)1.221.10
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    Table 2

    Precision analysis

    Intrauser precisionInteruser precision: operators A1 and B1
    Operator AOperator B
    RMS (mm)0.320.330.35
    Mean (mm)0.310.320.34
    SD (mm)0.160.180.21
    95th percentile (mm)0.560.580.65
    99th percentile (mm)0.780.880.96
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International Journal of Spine Surgery
Vol. 6
1 Jan 2012
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Variability of manual lumbar spine segmentation
Daniel J. Cook, David A. Gladowski, Heather N. Acuff, Matthew S. Yeager, Boyle C. Cheng
International Journal of Spine Surgery Jan 2012, 6 167-173; DOI: 10.1016/j.ijsp.2012.04.002

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Variability of manual lumbar spine segmentation
Daniel J. Cook, David A. Gladowski, Heather N. Acuff, Matthew S. Yeager, Boyle C. Cheng
International Journal of Spine Surgery Jan 2012, 6 167-173; DOI: 10.1016/j.ijsp.2012.04.002
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Keywords

  • lumbar spine
  • Manual segmentation
  • Precision
  • accuracy
  • Solid models

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