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Geometric semi-automatic analysis of radiographs of Colles' fractures

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dc.creator Appelboam, Andrew
dc.creator Knapp, Karen
dc.date 2021-04-12T12:30:36Z
dc.date 2021-04-12T12:30:36Z
dc.date 2020-09-14
dc.date.accessioned 2023-02-17T19:47:56Z
dc.date.available 2023-02-17T19:47:56Z
dc.identifier Reyes-Aldasoro CC et al. Geometric semi-automatic analysis of radiographs of Colles' fractures. PLoS One. 2020 Sep 14;15(9):e0238926.
dc.identifier 32925940
dc.identifier 10.1371/journal.pone.0238926
dc.identifier https://rde.dspace-express.com/handle/11287/621689
dc.identifier PLoS One
dc.identifier PMC7489566
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/241994
dc.description Fractures of the wrist are common in Emergency Departments, where some patients are treated with a procedure called Manipulation under Anaesthesia. In some cases, this procedure is unsuccessful and patients need to revisit the hospital where they undergo surgery to treat the fracture. This work describes a geometric semi-automatic image analysis algorithm to analyse and compare the x-rays of healthy controls and patients with dorsally displaced wrist fractures (Colles' fractures) who were treated with Manipulation under Anaesthesia. A series of 161 posterior-anterior radiographs from healthy controls and patients with Colles' fractures were acquired and analysed. The patients' group was further subdivided according to the outcome of the procedure (successful/unsuccessful) and pre- or post-intervention creating five groups in total (healthy, pre-successful, pre-unsuccessful, post-successful, post-unsuccessful). The semi-automatic analysis consisted of manual location of three landmarks (finger, lunate and radial styloid) and automatic processing to generate 32 geometric and texture measurements, which may be related to conditions such as osteoporosis and swelling of the wrist. Statistical differences were found between patients and controls, as well as between pre- and post-intervention, but not between the procedures. The most distinct measurements were those of texture. Although the study includes a relatively low number of cases and measurements, the statistical differences are encouraging.
dc.description This article is available to RD&E staff via NHS OpenAthens. Click on the Publisher URL, and log in with NHS OpenAthens if prompted.
dc.description Ananda Ananda PhD studies are partially funded by the School of Mathematics, Computer Science and Engineering, City, University of London. KHN is partially funded by the Data Science Institute, City, University of London. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.language en
dc.publisher Public Library of Science
dc.relation https://dx.plos.org/10.1371/journal.pone.0238926
dc.rights © 2020 Reyes-Aldasoro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.rights CC0 1.0 Universal
dc.rights http://creativecommons.org/publicdomain/zero/1.0/
dc.subject Case-Control Studies
dc.subject Colles' Fracture
dc.subject Radiography
dc.subject Treatment Outcome
dc.subject Manipulation
dc.title Geometric semi-automatic analysis of radiographs of Colles' fractures
dc.type Journal Article
dc.type Published


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