Reliability of an efficient MRI-based method for estimation of knee cartilage volume using surface registration J.L. Jaremko, M.D., Ph.D., R.W.T. Cheng,

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Reliability of an efficient MRI-based method for estimation of knee cartilage volume using surface registration J.L. Jaremko, M.D., Ph.D., R.W.T. Cheng, B.Sc., R.G.W. Lambert, M.B., F.R.C.P.C., A.F. Habib, Ph.D., J.L. Ronsky, Ph.D. Osteoarthritis and Cartilage Volume 14, Issue 9, Pages 914-922 (September 2006) DOI: 10.1016/j.joca.2006.03.004 Copyright © 2006 OsteoArthritis Research Society International Terms and Conditions

Fig. 1 Flowchart showing overall algorithm. Only those parts of the analysis protocol in gray-shaded boxes require manual supervision. The ROI containing cartilage is defined on the first (baseline) scan, and once subsequent scans are translated and rotated into the same coordinate system as this scan, cartilage volume is automatically recalculated using the original ROI. RMS=root mean square. Osteoarthritis and Cartilage 2006 14, 914-922DOI: (10.1016/j.joca.2006.03.004) Copyright © 2006 OsteoArthritis Research Society International Terms and Conditions

Fig. 2 Image registration. (a) Selection of points defining the tibial surface in the intercondylar eminence at the centre of the tibial plateau (either manual or by automatic edge detection). (b) 3D registration of tibial surfaces from two scans (triangles=scan 1, points=scan 2). (c) Mosaic showing successful superposition of scan 1 (background) and scan 2 (foreground; small window) voxels. Osteoarthritis and Cartilage 2006 14, 914-922DOI: (10.1016/j.joca.2006.03.004) Copyright © 2006 OsteoArthritis Research Society International Terms and Conditions

Fig. 3 Cartilage volume calculation. (a) Raw data. (b) Automatic pre-processing by median filter and windowing. (c) Manual selection of ROI loosely enclosing cartilage. (d) Final selection of cartilage voxels by automated thresholding. Osteoarthritis and Cartilage 2006 14, 914-922DOI: (10.1016/j.joca.2006.03.004) Copyright © 2006 OsteoArthritis Research Society International Terms and Conditions

Fig. 4 Change in cartilage volume between two scans of a normal subject (N5). (a) Summed cartilage regions, white=present in both scans, gray=present in only one scan. (b) Difference in cartilage regions, white=cartilage present in first scan but absent in second. The two cartilage regions are almost identical. Osteoarthritis and Cartilage 2006 14, 914-922DOI: (10.1016/j.joca.2006.03.004) Copyright © 2006 OsteoArthritis Research Society International Terms and Conditions

Fig. 5 Change in cartilage volume in 1 year in a patient with severe OA (OA3). (a) Summed cartilage regions, white=present in both scans, gray=present in only one scan. (b) Difference in cartilage regions, white=cartilage present in first scan but absent in second. Note tibial and femoral cartilage thinning, anterior tibial osteophyte, and substantial change between scans. Osteoarthritis and Cartilage 2006 14, 914-922DOI: (10.1016/j.joca.2006.03.004) Copyright © 2006 OsteoArthritis Research Society International Terms and Conditions