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脊柱曲度 Cobb 角测量方法的研究综述。

A Review of the Methods on Cobb Angle Measurements for Spinal Curvature.

机构信息

The State Key Laboratory for Management and Control of Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.

School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing 100049, China.

出版信息

Sensors (Basel). 2022 Apr 24;22(9):3258. doi: 10.3390/s22093258.


DOI:10.3390/s22093258
PMID:35590951
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9101880/
Abstract

Scoliosis is a common disease of the spine and requires regular monitoring due to its progressive properties. A preferred indicator to assess scoliosis is by the Cobb angle, which is currently measured either manually by the relevant medical staff or semi-automatically, aided by a computer. These methods are not only labor-intensive but also vary in precision by the inter-observer and intra-observer. Therefore, a reliable and convenient method is urgently needed. With the development of computer vision and deep learning, it is possible to automatically calculate the Cobb angles by processing X-ray or CT/MR/US images. In this paper, the research progress of Cobb angle measurement in recent years is reviewed from the perspectives of computer vision and deep learning. By comparing the measurement effects of typical methods, their advantages and disadvantages are analyzed. Finally, the key issues and their development trends are also discussed.

摘要

脊柱侧凸是一种常见的脊柱疾病,由于其进行性的特点,需要定期监测。评估脊柱侧凸的一个首选指标是 Cobb 角,目前可以由相关医务人员手动测量,也可以在计算机的辅助下半自动测量。这些方法不仅劳动强度大,而且由于观察者间和观察者内的差异,精度也各不相同。因此,迫切需要一种可靠、方便的方法。随着计算机视觉和深度学习的发展,通过处理 X 射线或 CT/MR/US 图像,可以自动计算 Cobb 角。本文从计算机视觉和深度学习的角度,综述了近年来 Cobb 角测量的研究进展,通过比较典型方法的测量效果,分析了它们的优缺点。最后,还讨论了关键问题及其发展趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/a6a64f8c3e99/sensors-22-03258-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/fdc92be10f08/sensors-22-03258-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/c95051b5bd26/sensors-22-03258-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/e17317079122/sensors-22-03258-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/835f6ba1a3db/sensors-22-03258-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/66f07e8ae26a/sensors-22-03258-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/688ccb5a92f3/sensors-22-03258-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/d6ba2167b3b6/sensors-22-03258-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/7b9ba29c6717/sensors-22-03258-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/a6a64f8c3e99/sensors-22-03258-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/fdc92be10f08/sensors-22-03258-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/c95051b5bd26/sensors-22-03258-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/e17317079122/sensors-22-03258-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/835f6ba1a3db/sensors-22-03258-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/66f07e8ae26a/sensors-22-03258-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/688ccb5a92f3/sensors-22-03258-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/d6ba2167b3b6/sensors-22-03258-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/7b9ba29c6717/sensors-22-03258-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecc/9101880/a6a64f8c3e99/sensors-22-03258-g009.jpg

相似文献

[1]
A Review of the Methods on Cobb Angle Measurements for Spinal Curvature.

Sensors (Basel). 2022-4-24

[2]
Computer-assisted Cobb angle measurement on posteroanterior radiographs.

Stud Health Technol Inform. 2008

[3]
Evaluation of a computer-aided method for measuring the Cobb angle on chest X-rays.

Eur Spine J. 2019-8-24

[4]
Comparison of spinal curvature parameters as determined by the ZEBRIS spine examination method and the Cobb method in children with scoliosis.

PLoS One. 2018-7-9

[5]
Clinical validation of coronal and sagittal spinal curve measurements based on three-dimensional vertebra vector parameters.

Spine J. 2012-9-24

[6]
Reliability analysis for manual measurement of coronal plane deformity in adolescent scoliosis. Are 30 x 90 cm plain films better than digitized small films?

Eur Spine J. 2007-10

[7]
The validity and reliability of "Spinal Mouse" assessment of spinal curvatures in the frontal plane in pediatric adolescent idiopathic thoraco-lumbar curves.

Eur Spine J. 2016-2

[8]
Reliability assessment of Cobb angle measurements using manual and digital methods.

Spine J. 2010-4-1

[9]
Cobb Angle Measurement of Spine from X-Ray Images Using Convolutional Neural Network.

Comput Math Methods Med. 2019-2-19

[10]
W-Transformer: Accurate Cobb angles estimation by using a transformer-based hybrid structure.

Med Phys. 2022-5

引用本文的文献

[1]
Characterizing spinal curves: addressing variability beyond identical cobb angles.

Musculoskelet Surg. 2025-8-5

[2]
Advances in examination methods for adolescent idiopathic scoliosis.

Pediatr Discov. 2025-1-9

[3]
Development and validation of a deep learning-powered system for multi-version global alignment and proportion score to predict mechanical complications after adult degenerative scoliosis surgery.

Eur Spine J. 2025-6-4

[4]
Prediction of post-Schroth Cobb angle changes in adolescent idiopathic scoliosis patients based on neural networks and surface electromyography.

Front Bioeng Biotechnol. 2025-5-14

[5]
Efficacy of sensorimotor training combined with core strength training for low back pain in adult idiopathic scoliosis: a study protocol for a randomized controlled trial.

BMJ Open. 2025-5-23

[6]
AI and machine learning in paediatric spine deformity surgery.

Bone Jt Open. 2025-5-23

[7]
Convolutional Neural Network-Based Approach for Cobb Angle Measurement Using Mask R-CNN.

Diagnostics (Basel). 2025-4-23

[8]
A fully automatic Cobb angle measurement framework of full-spine DR images based on deep learning.

Eur Spine J. 2025-5-6

[9]
Relationship between leg length discrepancy and functional scoliosis in children and adolescents.

BMC Musculoskelet Disord. 2025-4-30

[10]
Ultrasound x-ray: a new way for clinicians to track scoliosis progression?

Eur J Transl Myol. 2025-3-31

本文引用的文献

[1]
Intraoperative stitched fluoroscopic images: effect of parallax on angular measurements of the spine.

Spine J. 2022-6

[2]
A Survey of Methods and Technologies Used for Diagnosis of Scoliosis.

Sensors (Basel). 2021-12-16

[3]
Semi-automatic ultrasound curve angle measurement for adolescent idiopathic scoliosis.

Spine Deform. 2022-3

[4]
VerSe: A Vertebrae labelling and segmentation benchmark for multi-detector CT images.

Med Image Anal. 2021-10

[5]
Unsupervised CT Metal Artifact Learning Using Attention-Guided β-CycleGAN.

IEEE Trans Med Imaging. 2021-12

[6]
Improvement of 3-D Ultrasound Spine Imaging Technique Using Fast Reconstruction Algorithm.

IEEE Trans Ultrason Ferroelectr Freq Control. 2021-10

[7]
2-Dimensional Long Film O-Arm Imaging, an Alternative When Intraoperative Fluoroscopy Is Inadequate.

World Neurosurg. 2021-6

[8]
Ultrasound volume projection image quality selection by ranking from convolutional RankNet.

Comput Med Imaging Graph. 2021-4

[9]
Automatic Detection and Measurement of Spinous Process Curve on Clinical Ultrasound Spine Images.

IEEE Trans Ultrason Ferroelectr Freq Control. 2021-5

[10]
Automatic Measurement of Spinous Process Angles on Ultrasound Spine Images.

Annu Int Conf IEEE Eng Med Biol Soc. 2020-7

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