Sciortino Vincenza, Pasta Salvatore, Ingrassia Tommaso, Cerniglia Donatella
Department of Engineering, University of Palermo, Viale delle Scienze, 90128 Palermo, Italy.
Department of Research, IRCCS-ISMETT, 90100 Palermo, Italy.
Bioengineering (Basel). 2022 Aug 22;9(8):408. doi: 10.3390/bioengineering9080408.
The spine is the load-bearing structure of human beings and may present several disorders, with low back pain the most frequent problem during human life. Signs of a spine disorder or disease vary depending on the location and type of the spine condition. Therefore, we aim to develop a probabilistic atlas of the lumbar spine segment using statistical shape modeling (SSM) and then explore the variability of spine geometry using principal component analysis (PCA). Using computed tomography (CT), the human spine was reconstructed for 24 patients with spine disorders and then the mean shape was deformed upon specific boundaries (e.g., by ±3 or ±1.5 standard deviation). Results demonstrated that principal shape modes are associated with specific morphological features of the spine segment such as Cobb's angle, lordosis degree, spine width and height. The lumbar spine atlas here developed has evinced the potential of SSM to investigate the association between shape and morphological parameters, with the goal of developing new treatments for the management of patients with spine disorders.
脊柱是人体的承重结构,可能出现多种病症,其中下背痛是人类一生中最常见的问题。脊柱病症或疾病的体征因脊柱状况的位置和类型而异。因此,我们旨在使用统计形状建模(SSM)开发腰椎节段的概率图谱,然后使用主成分分析(PCA)探索脊柱几何形状的变异性。利用计算机断层扫描(CT),对24例脊柱疾病患者的人体脊柱进行重建,然后在特定边界(例如,±3或±1.5标准差)上使平均形状变形。结果表明,主要形状模式与脊柱节段的特定形态特征相关,如 Cobb 角、脊柱前凸程度、脊柱宽度和高度。这里开发的腰椎图谱证明了统计形状建模在研究形状与形态参数之间关联方面的潜力,目标是开发新的治疗方法来管理脊柱疾病患者。