Distribution and variability study of the femur cortical thickness from computer tomography

Comput Methods Biomech Biomed Engin. 2014 May;17(7):768-86. doi: 10.1080/10255842.2012.715640. Epub 2012 Sep 12.

Abstract

In the context of patient-specific 3D bone reconstruction, enhancing the surface with cortical thickness (COT) opens a large field of applications for research and medicine. This functionality calls for database analysis for better knowledge of COT. Our study provides a new approach to reconstruct 3D internal and external cortical surfaces from computer tomography (CT) scans and analyses COT distribution and variability on a set of asymptomatic femurs. The reconstruction method relies on a short (∼5 min) initialisation phase based on 3D reconstruction from biplanar CT-based virtual X-rays and an automatic optimisation phase based on intensity-based cortical structure detection in the CT volume, the COT being the distance between internal and external cortical surfaces. Surfaces and COT show root mean square reconstruction errors below 1 and 1.3 mm. Descriptions of the COT distributions by anatomical regions are provided and principal component analysis has been applied. The first mode, 16-50% of the variance, corresponds to the variation of the mean COT around its averaged shape; the second mode, 9-28%, corresponds to a fine variation of its shape. A femur COT model can, therefore, be described as the averaged COT distribution in which the first parameter adjusts its mean value and a second parameter adjusts its shape.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Femur / diagnostic imaging*
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Male
  • Middle Aged
  • Principal Component Analysis
  • Tomography, X-Ray Computed / methods*