PMID- 32479346 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1879-0534 (Electronic) IS - 0010-4825 (Linking) VI - 122 DP - 2020 Jul TI - Automatic extraction of vertebral landmarks from ultrasound images: A pilot study. PG - 103838 LID - S0010-4825(20)30199-2 [pii] LID - 10.1016/j.compbiomed.2020.103838 [doi] AB - Interpreting ultrasound (US) images of the spine is challenging due to the high variability of the contrast during freehand US acquisitions. In this paper, an automatic method to extract vertebral landmarks (spinous process and laminae) from US images acquired in the transverse plane is presented. Prior knowledge about the vertebral shape and the associated hyper-echoic property is incorporated using the horizontal and vertical projections of the image intensities. After detrending, the mean-value crossing of the projections is used to define the concept of mean boundary and locate landmarks without the need for thresholding or parameter adjustment. The method was evaluated using two datasets: a porcine cadaver dataset (PC) with CT data registered to the US data used as a gold standard, and a healthy human subjects dataset (HH) with a silver standard generated from manual landmarks located on the US data acquired with a curvilinear (6C2) and linear (14L5) probe. The mean sum of distances (MSD) of the landmark extraction to the gold and silver standards is respectively MSD=0.90+/-1.05 mm for PC, MSD=1.14+/-1.08 mm (6C2) and MSD=3.54+/-2.69 mm (14L5) for HH. Results are satisfying on PC and HH with 6C2. Variable contrast quality for 14L5 gives satisfying results for the spinous process but not for the laminae. The proposed approach has the potential to be used for different applications in the context of US spine imaging such as scoliosis follow-up and intra-operative surgical guidance. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Brignol, A AU - Brignol A AD - Ecole de technologie superieure, 1100 Rue Notre-Dame O., Montreal, Canada QC H3C 1K3; Sainte-Justine University Hospital Research Centre, 3175 Chemin de la Cote-Sainte-Catherine, Montreal, Canada QC H3T 1C4. Electronic address: arnaud.brignol.1@etsmtl.net. FAU - Gueziri, H E AU - Gueziri HE AD - Montreal Neurological Institute, McGill University, 3801 Rue Universite, Montreal, Canada QC H3A 2B4. Electronic address: houssem-eddine.gueziri.1@etsmtl.net. FAU - Cheriet, F AU - Cheriet F AD - Polytechnique Montreal, 2900 boul. Edouard-Montpetit, Montreal, Canada QC H3T 1J4; Sainte-Justine University Hospital Research Centre, 3175 Chemin de la Cote-Sainte-Catherine, Montreal, Canada QC H3T 1C4. Electronic address: farida.cheriet@polymtl.ca. FAU - Collins, D L AU - Collins DL AD - Montreal Neurological Institute, McGill University, 3801 Rue Universite, Montreal, Canada QC H3A 2B4. Electronic address: louis.collins@mcgill.ca. FAU - Laporte, C AU - Laporte C AD - Ecole de technologie superieure, 1100 Rue Notre-Dame O., Montreal, Canada QC H3C 1K3; Sainte-Justine University Hospital Research Centre, 3175 Chemin de la Cote-Sainte-Catherine, Montreal, Canada QC H3T 1C4. Electronic address: catherine.laporte@etsmtl.ca. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200528 PL - United States TA - Comput Biol Med JT - Computers in biology and medicine JID - 1250250 SB - IM MH - Animals MH - Humans MH - Pilot Projects MH - *Scoliosis MH - *Spine/diagnostic imaging MH - Swine MH - Ultrasonography OTO - NOTNLM OT - Automatic detection OT - Landmarks OT - Spine OT - Ultrasound imaging OT - Vertebra COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/06/02 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/06/02 06:00 PHST- 2020/02/19 00:00 [received] PHST- 2020/05/12 00:00 [revised] PHST- 2020/05/26 00:00 [accepted] PHST- 2020/06/02 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/06/02 06:00 [entrez] AID - S0010-4825(20)30199-2 [pii] AID - 10.1016/j.compbiomed.2020.103838 [doi] PST - ppublish SO - Comput Biol Med. 2020 Jul;122:103838. doi: 10.1016/j.compbiomed.2020.103838. Epub 2020 May 28.