An appropriate method for predicting the femoral angle on whole-body X-ray images from full-spine X-ray images
The importance of lower-limb compensation in patients with spinal malalignment due to spinal pathologies has been emphasized. The latest whole-body X-ray images (WBX) have enabled evaluations of whole-body alignment from head to toe. However, WBX is still not commonly available. Thus, the present st...
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Veröffentlicht in: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2024-03, Vol.29 (2), p.489-493 |
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creator | Ito, Kenyu Nakashima, Hiroaki Kagami, Yujiro Ouchida, Jun Satake, Kotaro Tsushima, Mikito Tomita, Hiroyuki Ode, Yukihito Nagatani, Yasuhiro Imagama, Shiro Kanemura, Tokumi |
description | The importance of lower-limb compensation in patients with spinal malalignment due to spinal pathologies has been emphasized. The latest whole-body X-ray images (WBX) have enabled evaluations of whole-body alignment from head to toe. However, WBX is still not commonly available. Thus, the present study aimed to examine an alternative measurement method of the femoral angle on usual full-spine X-ray images (FSX) that approximates the femoral angle on WBX.
A total of 50 patients (age, 52.8 ± 25.3 years; female, n = 26; male, n = 24) underwent WBX and FSX. The following parameters were measured on lateral view X-rays: WBX and FSX femoral angle (angle between the femoral axis and a perpendicular line); FSX femoral distance (distance from the center of femoral head to the distal femur on FSX); WBX intersection length (length between the center of the femoral head and the intersection point [the point at which the line connecting the center of the femoral head and the midpoint of the femoral condyle intersects the center line of the femur] on WBX).
The WBX femoral angle, and FSX femoral angle were 0.16 ± 4.2°, and −0.53 ± 4.1°, respectively. The FSX femoral distance was 102.7 ± 41.1 mm. An ROC curve analysis revealed that the cut-off value of the FSX femoral distance associated with minimal difference in the WBX and FSX femoral angles ( |
doi_str_mv | 10.1016/j.jos.2023.02.007 |
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A total of 50 patients (age, 52.8 ± 25.3 years; female, n = 26; male, n = 24) underwent WBX and FSX. The following parameters were measured on lateral view X-rays: WBX and FSX femoral angle (angle between the femoral axis and a perpendicular line); FSX femoral distance (distance from the center of femoral head to the distal femur on FSX); WBX intersection length (length between the center of the femoral head and the intersection point [the point at which the line connecting the center of the femoral head and the midpoint of the femoral condyle intersects the center line of the femur] on WBX).
The WBX femoral angle, and FSX femoral angle were 0.16 ± 4.2°, and −0.53 ± 4.1°, respectively. The FSX femoral distance was 102.7 ± 41.1 mm. An ROC curve analysis revealed that the cut-off value of the FSX femoral distance associated with minimal difference in the WBX and FSX femoral angles (<3°) was 73 mm (sensitivity 83.3%, specificity 87.5%, AUC 0.80). The WBX intersection length was 105.3 ± 27.3 mm.
To calculate the femoral angle on FSX that approximates the WBX femoral angle, the femoral distance on FSX ≥73 mm is preferable. We suggest using the FSX femoral distance within the range of 80 mm–130 mm as a simple numerical value that meets all criteria.</description><identifier>ISSN: 0949-2658</identifier><identifier>EISSN: 1436-2023</identifier><identifier>DOI: 10.1016/j.jos.2023.02.007</identifier><identifier>PMID: 36863905</identifier><language>eng</language><publisher>Japan: Elsevier B.V</publisher><subject>Femoral angle ; Full-spine X-ray image ; Lower extremity alignment ; Whole-body alignment ; Whole-body X-ray image</subject><ispartof>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2024-03, Vol.29 (2), p.489-493</ispartof><rights>2023 The Japanese Orthopaedic Association</rights><rights>Copyright © 2023 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-ad743bb2d199a7d2a4835eb2e7118a22b3ff18721def23f080935d3f05bd02743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36863905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ito, Kenyu</creatorcontrib><creatorcontrib>Nakashima, Hiroaki</creatorcontrib><creatorcontrib>Kagami, Yujiro</creatorcontrib><creatorcontrib>Ouchida, Jun</creatorcontrib><creatorcontrib>Satake, Kotaro</creatorcontrib><creatorcontrib>Tsushima, Mikito</creatorcontrib><creatorcontrib>Tomita, Hiroyuki</creatorcontrib><creatorcontrib>Ode, Yukihito</creatorcontrib><creatorcontrib>Nagatani, Yasuhiro</creatorcontrib><creatorcontrib>Imagama, Shiro</creatorcontrib><creatorcontrib>Kanemura, Tokumi</creatorcontrib><title>An appropriate method for predicting the femoral angle on whole-body X-ray images from full-spine X-ray images</title><title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title><addtitle>J Orthop Sci</addtitle><description>The importance of lower-limb compensation in patients with spinal malalignment due to spinal pathologies has been emphasized. The latest whole-body X-ray images (WBX) have enabled evaluations of whole-body alignment from head to toe. However, WBX is still not commonly available. Thus, the present study aimed to examine an alternative measurement method of the femoral angle on usual full-spine X-ray images (FSX) that approximates the femoral angle on WBX.
A total of 50 patients (age, 52.8 ± 25.3 years; female, n = 26; male, n = 24) underwent WBX and FSX. The following parameters were measured on lateral view X-rays: WBX and FSX femoral angle (angle between the femoral axis and a perpendicular line); FSX femoral distance (distance from the center of femoral head to the distal femur on FSX); WBX intersection length (length between the center of the femoral head and the intersection point [the point at which the line connecting the center of the femoral head and the midpoint of the femoral condyle intersects the center line of the femur] on WBX).
The WBX femoral angle, and FSX femoral angle were 0.16 ± 4.2°, and −0.53 ± 4.1°, respectively. The FSX femoral distance was 102.7 ± 41.1 mm. An ROC curve analysis revealed that the cut-off value of the FSX femoral distance associated with minimal difference in the WBX and FSX femoral angles (<3°) was 73 mm (sensitivity 83.3%, specificity 87.5%, AUC 0.80). The WBX intersection length was 105.3 ± 27.3 mm.
To calculate the femoral angle on FSX that approximates the WBX femoral angle, the femoral distance on FSX ≥73 mm is preferable. We suggest using the FSX femoral distance within the range of 80 mm–130 mm as a simple numerical value that meets all criteria.</description><subject>Femoral angle</subject><subject>Full-spine X-ray image</subject><subject>Lower extremity alignment</subject><subject>Whole-body alignment</subject><subject>Whole-body X-ray image</subject><issn>0949-2658</issn><issn>1436-2023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPwzAQhC0EoqXwA7ggH7kk-JHEiThViJdUiQtI3CwnXreukjjYKaj_HlctSFw47Wp3ZqT5ELqkJKWEFjfrdO1CygjjKWEpIeIITWnGi2R3OkZTUmVVwoq8nKCzENaEUJFX-Sma8KIseEXyKernPVbD4N3grRoBdzCunMbGeTx40LYZbb_E4wqwgc551WLVL1vArsdfK9dCUju9xe-JV1tsO7WEgI13HTabtk3CYHv48zxHJ0a1AS4Oc4beHu5f756Sxcvj8918kTSc5GOitMh4XTNNq0oJzVRW8hxqBoLSUjFWc2NoKRjVYBg3pCQVz3Vc8loTFr0zdL3Pjc0-NhBG2dnQQNuqHtwmSCZKnlWCMRGldC9tvAvBg5ERRaf8VlIid5jlWkbMcsdUEiYj5ui5OsRv6g70r-OHaxTc7gUQS35a8DI0FvomEvXQjFI7-0_8N6wUje8</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Ito, Kenyu</creator><creator>Nakashima, Hiroaki</creator><creator>Kagami, Yujiro</creator><creator>Ouchida, Jun</creator><creator>Satake, Kotaro</creator><creator>Tsushima, Mikito</creator><creator>Tomita, Hiroyuki</creator><creator>Ode, Yukihito</creator><creator>Nagatani, Yasuhiro</creator><creator>Imagama, Shiro</creator><creator>Kanemura, Tokumi</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240301</creationdate><title>An appropriate method for predicting the femoral angle on whole-body X-ray images from full-spine X-ray images</title><author>Ito, Kenyu ; Nakashima, Hiroaki ; Kagami, Yujiro ; Ouchida, Jun ; Satake, Kotaro ; Tsushima, Mikito ; Tomita, Hiroyuki ; Ode, Yukihito ; Nagatani, Yasuhiro ; Imagama, Shiro ; Kanemura, Tokumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-ad743bb2d199a7d2a4835eb2e7118a22b3ff18721def23f080935d3f05bd02743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Femoral angle</topic><topic>Full-spine X-ray image</topic><topic>Lower extremity alignment</topic><topic>Whole-body alignment</topic><topic>Whole-body X-ray image</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ito, Kenyu</creatorcontrib><creatorcontrib>Nakashima, Hiroaki</creatorcontrib><creatorcontrib>Kagami, Yujiro</creatorcontrib><creatorcontrib>Ouchida, Jun</creatorcontrib><creatorcontrib>Satake, Kotaro</creatorcontrib><creatorcontrib>Tsushima, Mikito</creatorcontrib><creatorcontrib>Tomita, Hiroyuki</creatorcontrib><creatorcontrib>Ode, Yukihito</creatorcontrib><creatorcontrib>Nagatani, Yasuhiro</creatorcontrib><creatorcontrib>Imagama, Shiro</creatorcontrib><creatorcontrib>Kanemura, Tokumi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ito, Kenyu</au><au>Nakashima, Hiroaki</au><au>Kagami, Yujiro</au><au>Ouchida, Jun</au><au>Satake, Kotaro</au><au>Tsushima, Mikito</au><au>Tomita, Hiroyuki</au><au>Ode, Yukihito</au><au>Nagatani, Yasuhiro</au><au>Imagama, Shiro</au><au>Kanemura, Tokumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An appropriate method for predicting the femoral angle on whole-body X-ray images from full-spine X-ray images</atitle><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle><addtitle>J Orthop Sci</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>29</volume><issue>2</issue><spage>489</spage><epage>493</epage><pages>489-493</pages><issn>0949-2658</issn><eissn>1436-2023</eissn><abstract>The importance of lower-limb compensation in patients with spinal malalignment due to spinal pathologies has been emphasized. The latest whole-body X-ray images (WBX) have enabled evaluations of whole-body alignment from head to toe. However, WBX is still not commonly available. Thus, the present study aimed to examine an alternative measurement method of the femoral angle on usual full-spine X-ray images (FSX) that approximates the femoral angle on WBX.
A total of 50 patients (age, 52.8 ± 25.3 years; female, n = 26; male, n = 24) underwent WBX and FSX. The following parameters were measured on lateral view X-rays: WBX and FSX femoral angle (angle between the femoral axis and a perpendicular line); FSX femoral distance (distance from the center of femoral head to the distal femur on FSX); WBX intersection length (length between the center of the femoral head and the intersection point [the point at which the line connecting the center of the femoral head and the midpoint of the femoral condyle intersects the center line of the femur] on WBX).
The WBX femoral angle, and FSX femoral angle were 0.16 ± 4.2°, and −0.53 ± 4.1°, respectively. The FSX femoral distance was 102.7 ± 41.1 mm. An ROC curve analysis revealed that the cut-off value of the FSX femoral distance associated with minimal difference in the WBX and FSX femoral angles (<3°) was 73 mm (sensitivity 83.3%, specificity 87.5%, AUC 0.80). The WBX intersection length was 105.3 ± 27.3 mm.
To calculate the femoral angle on FSX that approximates the WBX femoral angle, the femoral distance on FSX ≥73 mm is preferable. We suggest using the FSX femoral distance within the range of 80 mm–130 mm as a simple numerical value that meets all criteria.</abstract><cop>Japan</cop><pub>Elsevier B.V</pub><pmid>36863905</pmid><doi>10.1016/j.jos.2023.02.007</doi><tpages>5</tpages></addata></record> |
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subjects | Femoral angle Full-spine X-ray image Lower extremity alignment Whole-body alignment Whole-body X-ray image |
title | An appropriate method for predicting the femoral angle on whole-body X-ray images from full-spine X-ray images |
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