Atlas-based automatic measurements of the morphology of the tibiofemoral joint

M. Brehler, Gaurav Thawait, W. Shyr, J. Ramsay, J. H. Siewerdsen, W. Zbijewski

Research output: Chapter in Book/Report/Conference proceedingConference contribution

6 Scopus citations


Purpose: Anatomical metrics of the tibiofemoral joint support assessment of joint stability and surgical planning. We propose an automated, atlas-based algorithm to streamline the measurements in 3D images of the joint and reduce userdependence of the metrics arising from manual identification of the anatomical landmarks. Methods: The method is initialized with coarse registrations of a set of atlas images to the fixed input image. The initial registrations are then refined separately for the tibia and femur and the best matching atlas is selected. Finally, the anatomical landmarks of the best matching atlas are transformed onto the input image by deforming a surface model of the atlas to fit the shape of the tibial plateau in the input image (a mesh-to-volume registration). We apply the method to weight-bearing volumetric images of the knee obtained from 23 subjects using an extremity cone-beam CT system. Results of the automated algorithm were compared to an expert radiologist for measurements of Static Alignment (SA), Medial Tibial Slope (MTS) and Lateral Tibial Slope (LTS). Results: Intra-reader variability as high as ∼10% for LTS and 7% for MTS (ratio of standard deviation to the mean in repeated measurements) was found for expert radiologist, illustrating the potential benefits of an automated approach in improving the precision of the metrics. The proposed method achieved excellent registration of the atlas mesh to the input volumes. The resulting automated measurements yielded high correlations with expert radiologist, as indicated by correlation coefficients of 0.72 for MTS, 0.8 for LTS, and 0.89 for SA. Conclusions: The automated method for measurement of anatomical metrics of the tibiofemoral joint achieves high correlation with expert radiologist without the need for time consuming and error prone manual selection of landmarks.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2017
Subtitle of host publicationBiomedical Applications in Molecular, Structural, and Functional Imaging
EditorsBarjor Gimi, Andrzej Krol
ISBN (Electronic)9781510607194
StatePublished - 2017
EventMedical Imaging 2017: Biomedical Applications in Molecular, Structural, and Functional Imaging - Orlando, United States
Duration: Feb 12 2017Feb 14 2017

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


OtherMedical Imaging 2017: Biomedical Applications in Molecular, Structural, and Functional Imaging
Country/TerritoryUnited States


  • Atlas registration
  • Cone-beam CT
  • Extremities imaging
  • Tibiofemoral joint

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Atomic and Molecular Physics, and Optics
  • Biomaterials
  • Radiology Nuclear Medicine and imaging


Dive into the research topics of 'Atlas-based automatic measurements of the morphology of the tibiofemoral joint'. Together they form a unique fingerprint.

Cite this