Multi-dimensional reliability assessment of fractal signature analysis in an outpatient sports medicine population

Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft
Mohamed JarrayaF W Roemer

Abstract

The aim of this study has been to test reproducibility of fractal signature analysis (FSA) in a young, active patient population taking into account several parameters including intra- and inter-reader placement of regions of interest (ROIs) as well as various aspects of projection geometry. In total, 685 patients were included (135 athletes and 550 non-athletes, 18-36 years old). Regions of interest (ROI) were situated beneath the medial tibial plateau. The reproducibility of texture parameters was evaluated using intraclass correlation coefficients (ICC). Multi-dimensional assessment included: (1) anterior-posterior (A.P.) vs. posterior-anterior (P.A.) (Lyon-Schuss technique) views on 102 knees; (2) unilateral (single knee) vs. bilateral (both knees) acquisition on 27 knees (acquisition technique otherwise identical; same A.P. or P.A. view); (3) repetition of the same image acquisition on 46 knees (same A.P. or P.A. view, and same unitlateral or bilateral acquisition); and (4) intra- and inter-reader reliability with repeated placement of the ROIs in the subchondral bone area on 99 randomly chosen knees. ICC values on the reproducibility of texture parameters for A.P. vs. P.A. image acquisitions for horizontal and vertical di...Continue Reading

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