Development of automatized new indices for radiological assessment of chest-wall deformity and its quantitative evaluation

H. C. Kim, H. J. Park, S. Y. Ham, K. W. Nam, S. Y. Choi, J. S. Oh, H. Choi, G. S. Jeong, S. W. Park, M. G. Kim, Kyung Sun

    Research output: Contribution to journalArticlepeer-review

    20 Citations (Scopus)

    Abstract

    Pre-operative diagnosis of chest-wall deformity is important for successful surgical correction and post-operative evaluation of funnel chest patients. However, conventional indices that define the severity of deformity have several limitations; manually calculated and cannot supply information about asymmetry. We developed four indices that can represent both the depression and the asymmetry of the chest-wall, and can automatically be extracted by computerized image processing technique. Three indices, including eccentricity index (EI), flatness index (FI), and circularity index (CI), were suggested to represent the depression of the chest-wall, and one index, rotation index (RI), to represent the asymmetry of the chest-wall. To verify the feasibility of new indices, several synthetic images and real CT images were used to analyze the performance of new indices and the statistical relationship with conventional Haller index. The experimental results showed possible application of suggested indices to the diagnosis of funnel chest patient. Suggested indices showed clear trends of change with the severity of chest-wall deformation in regards to both the depression and the asymmetry. Results of statistical analysis showed high correlation between new indices and HI, showing possibility of replacing HI.

    Original languageEnglish
    Pages (from-to)815-823
    Number of pages9
    JournalMedical and Biological Engineering and Computing
    Volume46
    Issue number8
    DOIs
    Publication statusPublished - 2008 Aug

    Bibliographical note

    Funding Information:
    Acknowledgments This study was supported by a grant from the Korea Health 21 R&D Project of the Ministry of Health and Welfare (Grant No. A020609) and the Brain Korea 21 Project of the Ministry of Education and Human Resources Development, Republic of Korea. This research was carried out with support from the Image Analysis Technological Foundation Planning and Development Board of the Korean Institute of Science and Technology Evaluation and Planning, Republic of Korea (M10429040003-04L2904-00310). This work was supported by Grant No. R01-2006-000-11368-0 from the Basic Research Program of the Korea Science and Engineering Foundation.

    Keywords

    • Assessment index
    • Chest-wall deformity
    • Funnel chest
    • Pectus excavatum
    • Quantitative evaluation

    ASJC Scopus subject areas

    • Biomedical Engineering
    • Computer Science Applications

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