Skip to main content
Erschienen in: Rheumatology International 10/2011

01.10.2011 | Original Article

Feasibility study of semi-automated measurements of finger joint space widths

verfasst von: Alexander Pfeil, Julia Sommerfeld, Rosemarie Fröber, Gabriele Lehmann, Ansgar Malich, Andreas Hansch, Gunter Wolf, Joachim Böttcher

Erschienen in: Rheumatology International | Ausgabe 10/2011

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this study is to evaluate technical feasibility based on image capturing conditions (film-focus distance (FFD), film sensitivity, film brand, exposure level and tube voltage) that potentially alter radiographs and consequently may influence the semi-automated measurement of joint space distance (JSD) by computer-aided joint space analysis (CAJSA) in rheumatoid arthritis and osteoarthritis. The radiographs of a left hand (deceased man) were acquired under systematically changing image capturing conditions (exposure level: 4–8 mAs; FFD: 90–130 cm; film sensitivity: 200/400 and tube voltage: 40–52 kV with different image modalities: conventional radiographs, original digital radiographs, digital print-outs). All JSD-measurements were performed with the CAJSA-technology (Radiogrammetry Kit, Version 1.3.6; Sectra; Sweden) at the metacarpal-phalangeal articulation. JSD-analysis was not influenced by changes of FFD, exposure level, film sensitivity or film brand. JSD showed significant variation caused by tube voltage (conventional: CV = 1.913% for Agfa and CV = 2.448% for Kodak; digital: CV = 0.741% for Philips print-outs and CV = 0.620% with original digital images versus CV = 2.185% for Siemens print-outs and 0.951% with original digital images). Computer-aided joint space analysis for JSD-measurements is unaffected by the following image capturing parameters: film-focus distance, film sensitivity, film brand and exposure level. An influence of tube voltage was detected in a lesser extent for original digital images compared to the printed digital as well as conventional versions. Consequently, a standardized tube voltage is essential for accurate reproductions of CAJSA-measurements in rheumatoid arthritis and osteoarthritis.
Literatur
1.
Zurück zum Zitat Yamanaka H, Goto K, Miyamoto K (2010) Scoring evaluation for histopathological features of synovium in patients with rheumatoid arthritis during anti-tumor necrosis factor therapy. Rheumatol Int 30:409–413PubMedCrossRef Yamanaka H, Goto K, Miyamoto K (2010) Scoring evaluation for histopathological features of synovium in patients with rheumatoid arthritis during anti-tumor necrosis factor therapy. Rheumatol Int 30:409–413PubMedCrossRef
2.
Zurück zum Zitat Aflaky E, Shenavandeh S, Ashraf MJ (2010) A comparison of performance of anti-cyclic citrullinated peptide 2 and citrullinated protein antibodies in the diagnosis of rheumatoid arthritis in Iranian patients. Rheumatol Int 30:461–466PubMedCrossRef Aflaky E, Shenavandeh S, Ashraf MJ (2010) A comparison of performance of anti-cyclic citrullinated peptide 2 and citrullinated protein antibodies in the diagnosis of rheumatoid arthritis in Iranian patients. Rheumatol Int 30:461–466PubMedCrossRef
3.
Zurück zum Zitat Tuominen R, Möttönen T, Suominen C, Vahlberg T, Tuominen S (2009) Relative importance of the functional abilities comprising Health Assessment Questionnaire Disability Index among rheumatoid arthritis patients. Rheumatol Int. doi:10.1007/s00296-009-11760-0 Tuominen R, Möttönen T, Suominen C, Vahlberg T, Tuominen S (2009) Relative importance of the functional abilities comprising Health Assessment Questionnaire Disability Index among rheumatoid arthritis patients. Rheumatol Int. doi:10.​1007/​s00296-009-11760-0
4.
Zurück zum Zitat Bang SY, Son CN, Sung YK, Choi BK, Joo KB, Jun JB (2009) Joint-specific prevalence and radiographic pattern of hand osteoarthritis in Korean. Rheumatol Int. doi:10.1007/s00296-009-1268-x Bang SY, Son CN, Sung YK, Choi BK, Joo KB, Jun JB (2009) Joint-specific prevalence and radiographic pattern of hand osteoarthritis in Korean. Rheumatol Int. doi:10.​1007/​s00296-009-1268-x
5.
Zurück zum Zitat Sled EA, Sheehy LM, Felson DT, Costigan PA, Lam M, Cooke TD (2009) Reliability of lower limb alignment measures using an established landmark-based method with a customized computer software program. Rheumatol Int. doi:10.1007/s00296-009-1236-5 Sled EA, Sheehy LM, Felson DT, Costigan PA, Lam M, Cooke TD (2009) Reliability of lower limb alignment measures using an established landmark-based method with a customized computer software program. Rheumatol Int. doi:10.​1007/​s00296-009-1236-5
6.
Zurück zum Zitat Kim SK, Park SH, Choe JY (2009) Lower bone mineral density of forearm in postmenopausal patients with radiographic hand osteoarthritis. Rheumatol Int 30(5):605–612 Kim SK, Park SH, Choe JY (2009) Lower bone mineral density of forearm in postmenopausal patients with radiographic hand osteoarthritis. Rheumatol Int 30(5):605–612
7.
Zurück zum Zitat Buckland-Wright JC (1999) Radiographic assessment of osteoarthritis: comparison between existing methodologies. Osteoarthr Cartil 7:430–433PubMedCrossRef Buckland-Wright JC (1999) Radiographic assessment of osteoarthritis: comparison between existing methodologies. Osteoarthr Cartil 7:430–433PubMedCrossRef
8.
Zurück zum Zitat James MF, Heald G, Shorter JH, Turner RA (1995) Joint space measurement in hand radiographs using computerized image analysis. Arthr Rheum 38:891–901CrossRef James MF, Heald G, Shorter JH, Turner RA (1995) Joint space measurement in hand radiographs using computerized image analysis. Arthr Rheum 38:891–901CrossRef
9.
Zurück zum Zitat Buckland-Wright JC, MacParlane DG, Lynch JA, Jasani MK (1995) Quantitative microfocal radiography detects changes in OA knee joint space width in patients in placebo controlled trial of NSAID therapy. J Rheumatol 22:937–943PubMed Buckland-Wright JC, MacParlane DG, Lynch JA, Jasani MK (1995) Quantitative microfocal radiography detects changes in OA knee joint space width in patients in placebo controlled trial of NSAID therapy. J Rheumatol 22:937–943PubMed
10.
Zurück zum Zitat Higss JB, Smith D, Des Rosier KF, Charlesworth RW Jr (1996) Quantitative measurement of erosion growth and joint space loss in rheumatoid arthritis hand radiographs. J Rheumatol 23:265–272 Higss JB, Smith D, Des Rosier KF, Charlesworth RW Jr (1996) Quantitative measurement of erosion growth and joint space loss in rheumatoid arthritis hand radiographs. J Rheumatol 23:265–272
11.
Zurück zum Zitat Allander E, Forsgren PO, Pettersson H, Seideman P (1989) Computerized assessment of radiological changes of the hand in rheumatic diseases. Scand J Rheumatol 18:291–296PubMedCrossRef Allander E, Forsgren PO, Pettersson H, Seideman P (1989) Computerized assessment of radiological changes of the hand in rheumatic diseases. Scand J Rheumatol 18:291–296PubMedCrossRef
12.
Zurück zum Zitat Duryea J, Jiang Y, Zakharevich M, Genant HK (2000) Neural network based algorithm to quantify joint space width in joints of the hand for arthritis assessment. Med Phys 27:1185–1194PubMedCrossRef Duryea J, Jiang Y, Zakharevich M, Genant HK (2000) Neural network based algorithm to quantify joint space width in joints of the hand for arthritis assessment. Med Phys 27:1185–1194PubMedCrossRef
13.
Zurück zum Zitat Sharp JT, Gardner JC, Bennett EM (2000) Computed-based methods for measuring joint space and estimating erosion volume in the finger and wrist joints of patients with rheumatoid arthritis. Arthr Rheum 43:1378–1386CrossRef Sharp JT, Gardner JC, Bennett EM (2000) Computed-based methods for measuring joint space and estimating erosion volume in the finger and wrist joints of patients with rheumatoid arthritis. Arthr Rheum 43:1378–1386CrossRef
14.
Zurück zum Zitat Kauffman JA, Slump CH, Moens HJB (2006) Detection of joint space narrowing in hand radiographs. Med Imaging: Image Process 6:144–149 Kauffman JA, Slump CH, Moens HJB (2006) Detection of joint space narrowing in hand radiographs. Med Imaging: Image Process 6:144–149
15.
Zurück zum Zitat Peloschek P, Langs G, Weber M, Sailer J, Reisegger M, Imhof H et al (2007) An automatic model-based system for joint space measurements on hand radiographs: initial experience. Radiology 245:855–862PubMedCrossRef Peloschek P, Langs G, Weber M, Sailer J, Reisegger M, Imhof H et al (2007) An automatic model-based system for joint space measurements on hand radiographs: initial experience. Radiology 245:855–862PubMedCrossRef
16.
Zurück zum Zitat Pfeil A, Böttcher J, Schäfer ML, Seidl BE, Schmidt M, Petrovitch A et al (2008) Normative reference values of joint space width estimated by computer-aided joint space analysis (CAJSA): the distal-interphalangeal joint. J Digit Imaging 21(Suppl 1):104–112PubMedCrossRef Pfeil A, Böttcher J, Schäfer ML, Seidl BE, Schmidt M, Petrovitch A et al (2008) Normative reference values of joint space width estimated by computer-aided joint space analysis (CAJSA): the distal-interphalangeal joint. J Digit Imaging 21(Suppl 1):104–112PubMedCrossRef
17.
Zurück zum Zitat Lukas C, Sharp JT, Angwin J, Boers M, Duryea J, Hall JR et al (2008) Automated measurement of joint space width in small joints of patients with rheumatoid arthritis. J Rheumatol 35:1288–1293PubMed Lukas C, Sharp JT, Angwin J, Boers M, Duryea J, Hall JR et al (2008) Automated measurement of joint space width in small joints of patients with rheumatoid arthritis. J Rheumatol 35:1288–1293PubMed
18.
Zurück zum Zitat Pfeil A, Böttcher J, Seidl BE, Heyne JP, Petrovitch A, Eidner T et al (2007) Computer-aided joint space analysis of the metacarpal-phalangeal and proximal-interphalangeal finger joint—normative age-related and gender-specific data -. Skeletal Radiol 36:853–864PubMedCrossRef Pfeil A, Böttcher J, Seidl BE, Heyne JP, Petrovitch A, Eidner T et al (2007) Computer-aided joint space analysis of the metacarpal-phalangeal and proximal-interphalangeal finger joint—normative age-related and gender-specific data -. Skeletal Radiol 36:853–864PubMedCrossRef
19.
Zurück zum Zitat Böttcher J, Pfeil A, Rosholm A, Petrovitch A, Seidl BE, Malich A et al (2005) Digital X-ray radiogrammetry combined with semi-automated analysis of joint space distances as a new diagnostic approach in rheumatoid arthritis—a cross-sectional and longitudinal study. Arthr Rheum 52:3850–3859CrossRef Böttcher J, Pfeil A, Rosholm A, Petrovitch A, Seidl BE, Malich A et al (2005) Digital X-ray radiogrammetry combined with semi-automated analysis of joint space distances as a new diagnostic approach in rheumatoid arthritis—a cross-sectional and longitudinal study. Arthr Rheum 52:3850–3859CrossRef
20.
Zurück zum Zitat Pfeil A, Böttcher J, Lehmann G, Eidner T, Schäfer ML, Oelzner P et al (2009) Impact of sex, age, body mass index and handedness on finger joint space width in patients with prolonged rheumatoid arthritis using computer-aided joint space analysis. Rheumatol Int 29:517–524PubMedCrossRef Pfeil A, Böttcher J, Lehmann G, Eidner T, Schäfer ML, Oelzner P et al (2009) Impact of sex, age, body mass index and handedness on finger joint space width in patients with prolonged rheumatoid arthritis using computer-aided joint space analysis. Rheumatol Int 29:517–524PubMedCrossRef
21.
Zurück zum Zitat Angwin J, Heald G, Lloyd A, Howland K, Davy M, James MF (2001) Reliability and sensitivity of joint space measurements in hand radiographs using computerized image analysis. J Rheumatol 28:1825–1836PubMed Angwin J, Heald G, Lloyd A, Howland K, Davy M, James MF (2001) Reliability and sensitivity of joint space measurements in hand radiographs using computerized image analysis. J Rheumatol 28:1825–1836PubMed
22.
Zurück zum Zitat Wick W, Peloschek P, Bögl K, Graninger W, Smolen JS, Kainberger F (2003) The “X-ray RheumaCoach” software: a novel for enhancing the efficacy and accelerating tool radiological quantification in rheumatoid arthritis. Ann Rheum Dis 62:579–582PubMedCrossRef Wick W, Peloschek P, Bögl K, Graninger W, Smolen JS, Kainberger F (2003) The “X-ray RheumaCoach” software: a novel for enhancing the efficacy and accelerating tool radiological quantification in rheumatoid arthritis. Ann Rheum Dis 62:579–582PubMedCrossRef
23.
Zurück zum Zitat Pfeil A, Schäfer ML, Lehmann G, Seidl BE, Eidner T, Malich A et al (2009) Implementation of Z-scores as an age- and gender-independent parameter for estimating joint space widths in rheumatoid arthritis. J Rheumatol 36:717–723PubMedCrossRef Pfeil A, Schäfer ML, Lehmann G, Seidl BE, Eidner T, Malich A et al (2009) Implementation of Z-scores as an age- and gender-independent parameter for estimating joint space widths in rheumatoid arthritis. J Rheumatol 36:717–723PubMedCrossRef
24.
Zurück zum Zitat Malich A, Böttcher J, Pfeil A, Sauner D, Heyne JP, Petrovitch A et al (2004) The influence of technical parameters of X-ray imaging on reproducibility and precision of digital computer-assisted radiogrammetry (DXR). Skeletal Radiol 33:473–482CrossRef Malich A, Böttcher J, Pfeil A, Sauner D, Heyne JP, Petrovitch A et al (2004) The influence of technical parameters of X-ray imaging on reproducibility and precision of digital computer-assisted radiogrammetry (DXR). Skeletal Radiol 33:473–482CrossRef
25.
Zurück zum Zitat Böttcher J, Pfeil A, Rosholm A, Malich A, Petrovitch A, Heinrich B et al (2005) Influence of image capturing parameters on digital X-ray Radiogrammetry. J Clin Densitom 8:87–94PubMedCrossRef Böttcher J, Pfeil A, Rosholm A, Malich A, Petrovitch A, Heinrich B et al (2005) Influence of image capturing parameters on digital X-ray Radiogrammetry. J Clin Densitom 8:87–94PubMedCrossRef
26.
Zurück zum Zitat Finckh A, de Pablo P, Katz JN, Neumann G, Lu Y, Wolfe F et al (2006) Performance of an automated computer-based scoring method to assess joint space narrowing in rheumatoid arthritis. A longitudinal study. Arthr Rheum 54:1444–1450CrossRef Finckh A, de Pablo P, Katz JN, Neumann G, Lu Y, Wolfe F et al (2006) Performance of an automated computer-based scoring method to assess joint space narrowing in rheumatoid arthritis. A longitudinal study. Arthr Rheum 54:1444–1450CrossRef
27.
Zurück zum Zitat Sharp JT, Angwin J, Boers M, Duryea J, Finckh A, Hall JR et al (2009) Multiple computer-based methods of measuring joint space width can discriminate between treatment arms in the COBRA trial—update of an ongoing OMERACT project. J Rheumatol 36:1825–1828PubMedCrossRef Sharp JT, Angwin J, Boers M, Duryea J, Finckh A, Hall JR et al (2009) Multiple computer-based methods of measuring joint space width can discriminate between treatment arms in the COBRA trial—update of an ongoing OMERACT project. J Rheumatol 36:1825–1828PubMedCrossRef
28.
Zurück zum Zitat Sharp JT, Angwin J, Boers M, Duryea J, von Ingersleben G, Hall JR et al (2007) Computer based methods for measurement of joint space width: update of an ongoing OMERACT project. J Rheumatol 34:874–883PubMed Sharp JT, Angwin J, Boers M, Duryea J, von Ingersleben G, Hall JR et al (2007) Computer based methods for measurement of joint space width: update of an ongoing OMERACT project. J Rheumatol 34:874–883PubMed
29.
Zurück zum Zitat Pfeil A, Lippold J, Eidner T, Lehmann G, Oelzner P, Renz DM et al (2009) Effects of leflunomide and methotrexate in rheumatoid arthritis detected by digital X-ray radiogrammetry and computer-aided joint space analysis. Rheumatol Int 29:287–295PubMedCrossRef Pfeil A, Lippold J, Eidner T, Lehmann G, Oelzner P, Renz DM et al (2009) Effects of leflunomide and methotrexate in rheumatoid arthritis detected by digital X-ray radiogrammetry and computer-aided joint space analysis. Rheumatol Int 29:287–295PubMedCrossRef
30.
Zurück zum Zitat Böttcher J, Pfeil A, Rosholm A, Schäfer ML, Malich A, Petrovitch A et al (2006) Computerized digital imaging techniques provided by digital radiogrammetry as new diagnostic tool in rheumatoid arthritis. J Digit Imaging 19:279–288PubMedCrossRef Böttcher J, Pfeil A, Rosholm A, Schäfer ML, Malich A, Petrovitch A et al (2006) Computerized digital imaging techniques provided by digital radiogrammetry as new diagnostic tool in rheumatoid arthritis. J Digit Imaging 19:279–288PubMedCrossRef
31.
Zurück zum Zitat van‘t Klooster R, Hendriks EA, Watt I, Kloppenburg M, Reiber JH, Stoel BC (2008) Automatic quantification of osteoarthritis in hand radiographs: validation of a new method to measure joint space width. Osteoarthr Cartil 16:18–25CrossRef van‘t Klooster R, Hendriks EA, Watt I, Kloppenburg M, Reiber JH, Stoel BC (2008) Automatic quantification of osteoarthritis in hand radiographs: validation of a new method to measure joint space width. Osteoarthr Cartil 16:18–25CrossRef
Metadaten
Titel
Feasibility study of semi-automated measurements of finger joint space widths
verfasst von
Alexander Pfeil
Julia Sommerfeld
Rosemarie Fröber
Gabriele Lehmann
Ansgar Malich
Andreas Hansch
Gunter Wolf
Joachim Böttcher
Publikationsdatum
01.10.2011
Verlag
Springer-Verlag
Erschienen in
Rheumatology International / Ausgabe 10/2011
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-010-1468-4

Weitere Artikel der Ausgabe 10/2011

Rheumatology International 10/2011 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.