IP Library Granted Patent US 8,126,240
Granted Patent B2
US 8,126,240 · App. 11/884,166 · Granted Feb 28, 2012

Vertebral fracture quantification

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Quick Facts
Patent No.
US 8,126,240
App. No.
11/884,166
Granted
Feb 28, 2012
Kind
B2
Abstract

A method of deriving an estimate of the extent of fracture in a vertebra shown in an image of part of A spine is provided. The images of at least two vertebrae are segmented to obtain data representative of the shape and size of each of the vertebrae. An approximation of the shape of a first of the vertebrae is reconstructed by comparing the data obtained for a second of the two vertebrae with a mathematical model of at least the same two vertebrae of an unfractured spine. The unfractured shape of the first vertebra is predicted to enable a comparison of the shape and size of the first vertebra as imaged with the predicted unfractured shape and size. The difference between the respective images is subsequently computed to obtain a result representative of the extent of fracture in the first vertebra.

Claims (96)

1. A method of deriving an estimate of the extent of fracture in a vertebra by processing an image of part of a spine, comprising the steps of:

segmenting the image of at least two vertebrae in the spine to obtain data representative of the shape and size of each of the vertebrae;

reconstructing an approximation of the shape of a first of the vertebrae by:

comparing the shape and size data obtained for a second of the two vertebrae with a mathematical shape and size model of at least the same two vertebrae of an unfractured spine;

adapting the second vertebra in the model to fit the second imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the first vertebra using the first vertebra of the adapted model;

comparing the shape and size of the first vertebra as imaged with the predicted unfractured shape and size of the first vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the first vertebra.

2. A method as claimed in claim 1 , further comprising the steps of:

reconstructing an approximation of the shape and size of the second vertebra by:

comparing the data obtained for the first vertebra with the mathematical model;

adapting the first vertebra in the model to fit the first imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the second vertebra using the second vertebra of the adapted model;

comparing the shape and size of the second vertebra as imaged with the predicted unfractured shape and size of the second vertebra; and

computing the differences between the respective images of the first and second vertebrae to obtain a result representative of the extent of fracture in the set of vertebrae.

3. A method as claimed in claim 1 or claim 2 , further comprising the steps of:

segmenting the images of a third to nth vertebrae in the image of the spine to obtain data representative of the shape and size of the third to nth vertebrae;

reconstructing further approximations of the shape and size of the first vertebrae by:

comparing the data for the third vertebra with a mathematical model of at least the same n vertebrae of an unfractured spine;

adapting the third vertebra in the model to fit the third imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the first vertebra using the first vertebra of the adapted model;

repeating the steps of adapting and predicting for each of the fourth to the nth vertebra to obtain n−1 predictions of the unfractured shape and size of the first vertebra;

processing the n−1 predictions of the unfractured shape and size of the first vertebra to obtain a single prediction of the unfractured shape and size of the first vertebra representative of the n−1 predictions;

comparing the shape and size of the first vertebra as imaged with the single predicted unfractured shape and size of the first vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the set of vertebrae.

4. A method as claimed in claim 3 , further comprising the steps of:

reconstructing an approximation of the shape and size of each of the n vertebrae by:

comparing each of the n vertebrae in turn with the mathematical model;

adapting the mathematical model to each of the other n−1 vertebrae in turn to obtain n−1 predictions of each of the vertebrae;

processing the n−1 predictions of the unfractured shape and size of each vertebrae to obtain a single prediction of the unfractured shape and size of each of the n vertebrae;

comparing the shape and size of each vertebra as imaged with the single predicted unfractured shape and size of the vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the set of vertebrae.

5. A non-transitory computer-readable medium encoded with an instruction set for deriving an estimate of the extent of fracture in a vertebra of a processed image of part of a spine, the instruction set comprising instructions for:

segmenting the image of at least two vertebrae in the spine to obtain data representative of the shape and size of each of the vertebrae;

reconstructing an approximation of the shape of a first of the vertebrae including:

comparing the shape and size data obtained for a second of the two vertebrae with a mathematical shape and size model of at least the same two vertebrae of an unfractured spine;

adapting the second vertebra in the model to fit the second imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the first vertebra using the first vertebra of the adapted model;

comparing the shape and size of the first vertebra as imaged with the predicted unfractured shape and size of the first vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the first vertebra.

6. A non-transitory computer-readable medium encoded with an instruction set as claimed in claim 5 , further comprising instructions for:

reconstructing an approximation of the shape and size of the second vertebra by:

comparing the data obtained for the first vertebra with the mathematical model;

adapting the first vertebra in the model to fit the first imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the second vertebra using the second vertebra of the adapted model;

comparing the shape and size of the second vertebra as imaged with the unfractured predicted shape and size of the second vertebra; and

computing the differences between the respective images of the first and second vertebrae to obtain a result representative of the extent of fracture in the set of vertebrae.

7. A non-transitory computer-readable medium encoded with an instruction set as claimed in claim 5 or claim 6 , further comprising instructions for:

segmenting the images of a third to nth vertebrae in the image of the spine to obtain data representative of the shape and size of the third to nth vertebrae;

reconstructing further approximations of the shape and size of the first vertebrae including:

comparing the data for the third vertebra with a mathematical model of at least the same n vertebrae of an unfractured spine;

adapting the third vertebra in the model to fit the third imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the first vertebra using the first vertebra of the adapted model;

repeating the steps of adapting and predicting for each of the fourth to the nth vertebra to obtain n−1 predictions of the unfractured shape and size of the first vertebra;

processing the n−1 predictions of the shape and size of the first vertebra to obtain a single prediction of the unfractured shape and size of the first vertebra representative of the n−1 predictions;

comparing the shape and size of the first vertebra as imaged with the single predicted unfractured shape and size of the vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the set of vertebrae.

8. A non-transitory computer-readable medium encoded with an instruction set as claimed in claim 7 , further comprising instructions for:

reconstructing an approximation of the shape and size of each of the n vertebrae including:

comparing each of the n vertebrae in turn with the mathematical model;

adapting the mathematical model to each of the n−1 vertebrae in turn to obtain n−1 predictions of each of the vertebrae;

processing the n−1 predictions of the shape and size of each vertebrae to obtain a single prediction of the unfractured shape and size of each of the n vertebrae;

comparing the shape and size of each vertebra as imaged with the single predicted unfractured shape and size of the vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the set of vertebrae.

9. A data processor for deriving an estimate of the extent of fracture in a vertebra of a processed image of part of a spine, having stored therein an instruction set comprising instructions for:

segmenting the image of at least two vertebrae in the spine to obtain data representative of the shape and size of each of the vertebrae;

reconstructing an approximation of the shape of a first of the vertebrae including:

comparing the shape and size data obtained for a second of the two vertebrae with a mathematical shape and size model of at least the same two vertebrae of an unfractured spine;

adapting the second vertebra in the model to fit the second imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the first vertebra using the first vertebra of the adapted model;

comparing the shape and size of the first vertebra as imaged with the predicted unfractured shape and size of the first vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the first vertebra.

10. A data processor as claimed in claim 9 , having stored therein further instructions for:

reconstructing an approximation of the shape and size of the second vertebra by:

comparing the data obtained for the first vertebra with the mathematical model;

adapting the first vertebra in the model to fit the first imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the second vertebra using the second vertebra of the adapted model;

comparing the shape and size of the second vertebra as imaged with the predicted unfractured shape and size of the second vertebra; and

computing the differences between the respective images of the first and second vertebrae to obtain a result representative of the extent of fracture in the set of vertebrae.

11. A data processor as claimed in claim 9 or claim 10 , having stored therein further instructions for:

segmenting the images of a third to nth vertebrae in the image of the spine to obtain data representative of the shape and size of the third to nth vertebrae;

reconstructing further approximations of the shape and size of the first vertebrae including:

comparing the data for the third vertebra with a mathematical model of at least the same n vertebrae of an unfractured spine;

adapting the third vertebra in the model to fit the third imaged vertebra with consequent changes to the remainder of the model; and

predicting the unfractured shape and size of the first vertebra using the first vertebra of the adapted model;

repeating the steps of adapting and predicting for each of the fourth to the nth vertebra to obtain n−1 predictions of the unfractured shape and size of the first vertebra;

processing the n−1 predictions of the shape and size of the first vertebra to obtain a single prediction of the shape and size of the first vertebra representative of the n−1 predictions;

comparing the shape and size of the first vertebra as imaged with the single predicted unfractured shape and size of the vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the set, of vertebrae.

12. A data processor as claimed in claim 11 , having stored therein further instructions for:

reconstructing an approximation of the shape and size of each of the n vertebrae including:

comparing each of the n vertebrae in turn with the mathematical model;

adapting the mathematical model to each of the n−1 vertebrae in turn to obtain n−1 predictions of each of the vertebrae;

processing the n−1 predictions of the shape and size of each vertebrae to obtain a single prediction of the unfractured shape and size of each of the n vertebrae;

comparing the shape and size of each vertebra as imaged with the single predicted unfractured shape and size of the vertebra; and

computing the difference between the respective images to obtain a result representative of the extent of fracture in the set of vertebrae.

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