Plain Radiographs Research Articles

Xanthogranulomatous osteomyelitis of pubic bone mimicking neoplasm: a case report and literature review

BackgroundXanthogranulomatous osteomyelitis (XO) is a rare disease characterized radiologically by an osteolytic lesion with cortical expansion or disruption. Differentiating this condition from other osteolytic diseases such as primary or metastatic bone neoplasms is imperative. Several case reports have been published on XO, with previous reports predominantly identifying bacteria such as Pseudomonas or Staphylococcus as causative organisms. However, fungal infection-induced XO has not yet been reported.Case presentationWe present the case of a 23-year-old woman with a tumor-like osteolytic lesion in the pubic bone. The patient had experienced pelvic pain and intermittent febrile episodes for 2 months. Plain radiography revealed an osteolytic lesion in the right pubic tubercle. Magnetic resonance imaging suggested a cystic bone tumor or tubercular infection. Surgical intervention included curettage of the lesion and irrigation with normal saline. Histopathological examination of the specimen revealed abundant foamy histiocytes with inflammatory infiltrates consistent with XO. Culture of the osteolytic lesion confirmed an Aspergillus species infection and antifungal treatment was initiated. At 1-year follow-up, no evidence of local recurrence was observed.ConclusionsAlthough rare, XO requires differentiation from similar conditions and is treated with surgical intervention and targeted medical therapy based on the identified organisms. Clinicians should be mindful that XO can also be induced by fungal infections and that combination antifungal treatments may be beneficial in such cases.

Joint line convergence angle should be considered when constitutional alignment is predicted based on arithmetic hip-knee-ankle angle: a retrospective cross-sectional observational study.

Few studies have illustrated the role of the joint line convergence angle (JLCA) in the correlation between the arithmetic hip-knee-ankle angle (aHKA) and mechanical hip-knee-ankle angle (mHKA). We aimed to determine this role and to evaluate the effect of the JLCA in predicting constitutional alignment using the aHKA. A total of 107 normal participants (214 knees) and 246 patients (477 knees) with osteoarthritis(OA) were retrospectively examined using long-leg radiographs. The formula was calculated geometrically on plain radiographs of the knee based on the relationships among the mHKA, aHKA, and JLCA, and the distribution of the JLCA between the groups was determined. The effect of the JLCA on the prediction of constitutional alignment using the aHKA were evaluated. The geometric formula was determined to be 'mHKA=180°+aHKA - JLCA', and was verified. The median (quartile 1, quartile 3) JLCA was 2.0° (1.0°, 3.5°) and 2.5° (1.0°, 4.5°) in the normal and OA groups, respectively. The JLCA affected the prediction of constitutional alignment based on the aHKA. It should be considered when constitutional alignment is predicted based on the aHKA in patients with high JLCA values.

AE based crack size estimates from delamination propagation in fiber reinforced thermoset composites

In previous research it has been shown that micro-crack sizes estimated from acoustic emission (AE) data recorded during Mode I interlaminar delamination propagation in a carbon fiber reinforced PEEK and micro-crack sizes seen in video recordings from simultaneously performed X-ray projection radiography with a contrast agent indicate reasonable agreement. Now the approach of estimating crack sizes from AE data is extended to a carbon and a glass fiber reinforced epoxy laminate, using the same matrix. In a first step sensitivity of the AE measurement is estimated based on recorded AE data and estimated delamination area. Different signal filtering approaches are applied to AE data resulting in different estimated sensitivities. Furthermore, assumed delamination area affects sensitivity. Optical microscopy is used to account for roughness of the delamination area. Depending on the assumed sensitivity, average crack size diameters are either slightly below or above 100 µm in both investigated laminates.

Three-dimensional reconstruction of laser-direct-drive inertial confinement fusion hot-spot plasma from x-ray diagnostics on the OMEGA laser facility (invited).

A deep-learning convolutional neural network (CNN) is used to infer, from x-ray images along multiple lines of sight, the low-mode shape of the hot-spot emission of deuterium-tritium (DT) laser-direct-drive cryogenic implosions on OMEGA. The motivation of this approach is to develop a physics-informed 3-D reconstruction technique that can be performed within minutes to facilitate the use of the results to inform changes to the initial target and laser conditions for the subsequent implosion. The CNN is trained on a 3D radiation-hydrodynamic simulation database to relate 2D x-ray images to 3D emissivity at stagnation. The CNN accounts for the lack of an absolute spatial reference and the different bands of photon energies in the x-ray images. While previous work [O. M. Mannion etal., Phys. Plasmas 28, 042701 (2021) and A. Lees etal., Phys. Rev. Lett. 127, 105001 (2021)] studied the effect of mode-1 asymmetries on implosion performance using nuclear diagnostics, this work focuses on the effect of mode 2 inferred from x-ray diagnostics on implosion performance. A current analysis of 19 DT cryogenic implosions indicates there is an upper limit of ∼20% reduction in the neutron yield caused by an ℓ = 2 amplitude for ℓ2/ℓ0 ≤ 0.32. These conclusions are supported by 2D simulations.

Model-based dimensional NDE from few X-ray radiographs: Application to the evaluation of wall thickness in metallic turbine blades

The extraction of 3D dimensional measurements based on a limited number of 2D X-ray radiographs of a part would offer a significant speed-up of quality control procedures in industry. However, there are challenges with respect to both measurements and uncertainties. This work addresses these challenges by creating an estimated numerical model of the imaged part on which dimensional measurements can be made. The numerical model is chosen as a parametric deformable model that encodes the expected shape variability of the parts resulting from the manufacturing process. The parameters and uncertainties of the numerical model of the imaged part are estimated by the registration of the computed projections of the model and the observed radiographs without the need of any segmentation. The registration requires the model, the initial parameters, and the observed radiographs. The proposed approach is applied to the inspection of turbine blades manufactured by investment casting, and in particular to the measurement of their wall thickness, which is a critical control. The deformable model consists in partitioning the inner ceramic core into multiple subparts, which may undergo a rigid body motion with respect to the master die. Wall thickness measurements are determined from the estimation of these rigid body motions. To assess the reliability of the proposed procedure, a repeatability study is performed. In addition, wall thickness measurements were compared to corresponding measurements from the surface of the metal boundary obtained by X-ray computed tomography. This surface was determined from a reconstructed tomogram using commercial software. Both analyses show that such measurements are reliable and efficient. Furthermore, residual differences between captured and computed projections reveal localized shape deviations from the CAD model, meaning that despite localized model errors, the approach is operable.

Finite element analysis confirms the optimal apex position in medial opening wedge high tibial osteotomy to avoid lateral hinge fracture.

Lateral hinge fracture is a significant complication of medial opening wedge high tibial osteotomy. While fracture risk is closely associated with the osteotomy apex position, the optimum position remains variable within the literature. Our hypothesis is that stresses at the osteotomy apex predicted by finite element analysis can be used to identify an apex position which minimises intra and postoperative fracture risks. A finite element model was studied to investigate the effect of varying the hinge position on fracture risk and severity for a given bone geometry; variables analysed included stress, strain and micromotion levels. Nine further knee models were studied to assess the variability between patients' bone properties and examine the effect of apex location on strains. Lateral hinge width and height significantly influence intra-operative stress, strain, and fracture risk, while hinge width predominately determines postoperative stability. Wider hinges improve postoperative stability, but increase the likelihood of intra-articular fractures. Aiming the apex at the fibular head height minimises strain. The osteotomy apex should be located such that the hinge width is equal to 13% of the medial-lateral width to minimise apex stress and fracture risk while preserving sufficient bone at the hinge for stability. The height of the apex from the tibial plateau should maintain a minimum value of 16% of the medial-lateral width to avoid intra-articular fracture, with the apex below the fibula head if necessary. The size of the tibia does not alter the optimal location, making our findings applicable across all tibia sizes. Our study has investigated and verified a proposed optimal apex position, based upon fracture risk prediction and micromotion at the osteotomy apex. This is clinically useful due to the potential use of the apex point on preoperative 2D radiographs when planning surgery. Not applicable.

Combined study of Au-bearing arsenopyrite of orogenic gold deposits (NE Asia): High resolution 3D X-ray computed tomography, LA-ICP-MS, EMPA data

The distribution of gold in small acicular arsenopyrite of a pyrite-arsenopyrite association from Suzdal (Eastern Kazakhstan), Olympiada (Yenisei Ridge, Russia) and large pseudorhombic arsenopyrite crystals from Bazovskoe (Yakutia, Russia) orogenic-type deposits were investigated. On orogenic gold deposits in NE Asia, occurring mainly in black shales, two productive stages of ore deposition are distinguished, which correspond to two morphological varieties of arsenopyrite. At the early stage, fine-grained acicular-prismatic arsenopyrite with invisible gold was deposited; at the late stage, tabular arsenopyrite in association with free visible gold was formed. The samples of gold-bearing arsenopyrite were analyzed using Scanning Electron Microscopy, Electron Microprobe Analyses, Atomic Absorption and Laser Ablation Inductively Coupled Plasma Mass Spectrometry in combination with High Resolution 3D X-ray Computed Tomography (HRXCT). HRXCT does not destroy the studied mineral during the investigation. That technique permits to do an estimation of the amount of gold inclusions in minerals or host rocks and draw reasonable conclusions about the gold content of the ores, to study in detail the distribution patterns of metal inclusions (associated with certain minerals, cracks, crystal growth faces, etc.) and to determine the form of the gold. It can be used to understanding of the genesis of productive mineral associations, and to developing optimal technological schemes for gold extraction

A proposal for the combined analysis of bone quantity and quality of human cortical bone by quasi-brittle fracture mechanics

Quasi-brittle fracture mechanics is used to evaluate fracture of human cortical bone in aging. The approach is demonstrated using cortical bone bars extracted from one 92-year-old human male cadaver. In-situ fracture mechanics experiments in a 3D X-ray microscope are conducted. The evolution of the fracture process zone is documented. Fully developed fracture process zone lengths at peak load are found to span about three osteon diameters. Crack deflection and arrest at cement lines is a key process to build extrinsic toughness. Strength and toughness are found as size-dependent, not only for laboratory-scale experimental specimens but also for the whole femur. A scaling law for the length fracture process zone is used. Then, size-independent, tissue fracture properties are calculated. Linear elastic fracture mechanics applied to laboratory beam specimens underestimates the tissue toughness by 60%. Tissue fracture properties are used to predict the load capacity of the femur in bending within the range of documented data. The quasi-brittle fracture mechanics approach allows for the assessment of the combined effect of bone quantity and bone quality on fracture risk. However, further work is needed considering a larger range of subjects and in the model validation at the organ length scale.

Retrospective analysis of fractures in crab-eating foxes (Cerdocyon thous)

This study assessed axial and appendicular fractures in crab-eating foxes (Cerdocyon thous; Linnaeus, 1766) admitted to the Reference Center for Wildlife. Medical records and plain radiographs of C. thous were retrospectively evaluated. Seventy-four free-ranging C. thous were admitted over 10 years, of which 21 had fractures in the appendicular and/or axial skeleton. Appendicular skeleton fracture was verified in 42.86 % of the animals, five of whom had long bone involvement and four the hip bones. More than one fracture in the appendicular skeleton occurred in 14.28 % of the animals, with the most common being a long bone fracture with a hip fracture. Axial skeleton fractures were observed in 9.52 % of the cases, with one fracture located in the vertebral column and the other in the head. Five animals died and nine were euthanized due to injury severity, prognosis and/or poor outcome after treatment. Seven animals showed good evolution after treatment, and four animals were released. In conclusion, hip bone fractures, isolated or combined with injuries to other bones of the axial and/or appendicular skeleton, were the most common injuries in C. thous. The characteristics of multiple trauma were associated with high mortality and complications.

On the question of diagnosis and treatment of osteochondritis dissecans of the knee joint

About 25% of the adult population suffers from pain in the knee joint, the number of requests for medical help in the world reaches 4 million per year. The causes of chronic pain, in addition to inflammatory arthropathy, pathologies of the capsular-ligamentous apparatus and degenerative-dystrophic changes, can be pathologies of hyaline cartilage and subchondral bones – osteochondropathy. Among osteochondropathy of the knee joint, osteochondritis dissecans is of greatest importance in clinical practice. Although osteochondritis dissecans has been known for a century and a half, its exact cause remains unclear. Osteochondritis dissecans is a form of osteonecrosis that affects the subchondral epiphyses of long bones. In 75%, the knee is affected – the condyles (Konig's disease): in 64% of cases – the medial condyle, in 32% – the lateral, less often the pathology is localized in the patella (Leven's disease), the femoral trochlea and the tibial plateau. Osteochondritis dissecans is typically unilateral, but 7% to 25% of patients have bilateral involvement. The gold standard for staging osteochondritis, assessing the stability of the lesion and determining treatment tactics is arthroscopy. It is recommended to begin radiological diagnosis of osteochondritis dissecans with plain radiographs to localize the lesion. The prognosis for osteochondritis dissecans of the knee joint depends on the patient’s age, location and stage of the disease. In general, the prognosis for children is more favorable than for adults.

In-situ study on the effect of Li concentration on hydrogen microporosity evolution in Al-Li alloys by synchrotron X-ray radiography

The nucleation and growth of hydrogen microporosity during the solidification of Al-Li alloys were in situ observed by synchrotron radiation X-ray radiography, and the effect of initial Li concentration on its evolution kinetics was investigated. The results show that the high Li concentration effectively contributes to the high-temperature nucleation effect of hydrogen microporosity during the solidification of Al-Li alloys, and significantly increases the nucleation and growth rates of hydrogen microporosity. When the initial Li concentration was 2.0 wt%, the nucleation supersaturation of hydrogen microporosity was 1.96, which was 3.5 times higher than that at low Li concentration (1.5 wt%), and the growth rate was up to 2.61 μm/s. In addition, the quantitative results of the final size, morphology, and distribution of the hydrogen microporosity based on 3D X-ray computed tomography (X-CT) showed that high Li concentration not only increased the volume of monolithic hydrogen microporosity, and increased the total number of microporosities, but also increased the degree of irregularity of hydrogen microporosity. The in-situ observation results can provide a new dataset for the establishment and validation of the hydrogen microporosity model of Al-Li alloys.

Dual-energy subtraction radiography (DESR): a systematic review and meta-analysis of pulmonary nodule detection

PurposeThis study examined the literature to compare the accuracy, sensitivity, and specificity of dual-energy subtraction radiography (DESR) with conventional radiography (CR) in the detection of pulmonary nodules. To our knowledge, no meta-analysis has been conducted to compare DESR with CR. Material and MethodsThe authors searched Pubmed using the terms “Dual-energy subtraction radiography,” and “Dual-Energy Chest Radiography.” Only studies comparing the detection of pulmonary nodules between DESR and CR were included. Studies utilizing artificial intelligence were excluded. The primary study outcomes analyzed were the mean difference of Receiver Operating Characteristic Area under the Curve (ROC AUC), mean difference of sensitivity, and mean difference of specificity. ResultsTwenty-three studies between 1994 - 2022 were included. Of these twenty-three, eighteen reported ROC AUC statistics. The difference between DESR ROC AUC (mean = 0.7702, SD = 0.1361) and CR ROC AUC (mean = 0.7106, SD = 0.1183) was 0.0597 (p<0.001).Sensitivity data was reported for thirteen of the twenty-three selected studies. The difference between DESR sensitivity (mean = 0.5753, SD = 0.1546) and CR sensitivity (mean = 0.4391, SD = 0.1007) was 0.136 (p<0.001).Specificity data was reported for ten of the twenty-three selected studies. The difference between DESR specificity (mean = 0.753, SD = 0.1575) and CR specificity (mean = 0.764, SD = 0.1168) was -0.011 (p=0.767). This was not statistically significant. ConclusionDESR showed superior sensitivity and ROC AUC values compared to CR in detecting pulmonary nodules. There was no difference in specificity.

Radiography versus computed tomography for osseous staging of Kienböck's disease.

This retrospective study compared the diagnostic accuracy of conventional radiography (CR) and computed tomography (CT) in classifying Kienböck's disease (KD) according to Lichtman staging. Besides age, cartilage condition and vascularity, bone morphology is important in choosing the most appropriate treatment in KD. In 278 patients, two musculoskeletal radiologists performed a consensus reading of 281 lunate necroses according to the Lichtman classification, based on CR and CT. Stage IIIc was most common in CR (43%) and CT (61%), followed by stage IIIa for CR (25%) and stage IV for CT (15%). In 67%, KD was classified as the same in both modalities. The KD stage had to be upgraded in CT in 34% of cases, notably with stage IIIa progressing to IIIc in 24 out of 69 patients and stage IIIb to IIIc in 23 out of 38 cases. Overall, the Lichtman score was significantly higher on CT. The findings suggest that CT is better than CR in accurately determining the stage of KD stage, indicating a potential shift towards more surgical salvage procedures.Level of evidence: III.

The Role of Plain Radiography in Assessing Aborted Foetal Musculoskeletal Anomalies in Everyday Practice.

Conventional radiography is widely used for postmortem foetal imaging, but its role in diagnosing congenital anomalies is debated. This study aimed to assess the effectiveness of X-rays in detecting skeletal abnormalities and guiding genetic analysis and counselling. This is a retrospective analysis of all post-abortion diagnostic imaging studies conducted at a centre serving a population of over 300,000 inhabitants from 2008 to 2023. The data were analysed using descriptive statistics. X-rays of 81 aborted foetuses (total of 308 projections; mean: 3.8 projections/examination; SD: 1.79) were included. We detected 137 skeletal anomalies. In seven cases (12.7%), skeletal anomalies identified through radiology were missed by prenatal sonography. The autopsy confirmed radiological data in all cases except for two radiological false positives. Additionally, radiology failed to identify a case of syndactyly, which was revealed by anatomopathology. X-ray is crucial for accurately classifying skeletal abnormalities, determining the causes of spontaneous abortion, and guiding the request for genetic counselling. Formal training for both technicians and radiologists, as well as multidisciplinary teamwork, is necessary to perform X-ray examinations on aborted foetuses and interpret the results effectively.

Posterior Tibial Slope Measured on Plain Radiograph Versus MRI and Its Association With Revision Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study.

Posterior tibial slope (PTS) has been identified as a possible modifiable risk factor for anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) failure. However, the findings in the literature are inconsistent. This may be explained by several different reasons, including different measurement methods, differing definitions of ACLR failure, and possible inclusion of suboptimal films. To compare PTS values obtained using plain radiographs (XR-PTS) in a young (≤21 years of age), skeletally mature patient population with those obtained using magnetic resonance imaging (MRI), as well as to quantify the number of suboptimal lateral knee radiographs obtained across an integrated health care system and determine the potential effect of including these radiographs on summary statistics of XR-PTS. Case-control study; Level of evidence, 3. Skeletally mature adolescent and young adult patients ≤21 years of age were identified from the ACLR registry of Kaiser Permanente. The cases of concern were patients requiring revision ACLR. The controls were patients who had an ACLR and did not require a revision procedure. The XR-PTS measurements were made on plain radiographs by a single blinded reviewer. These results were compared with measurements obtained using MRI. The quality of each plain radiograph was evaluated by measuring posterior/distal femoral condylar overlap and length of tibial diaphysis captured on the radiograph. Summary statistics with and without inclusion of measurements made on suboptimal radiographs were calculated. Of the initial 634 patients with ACLR (317 case-control pairs), 561 (88.5%) had radiographs available and were included for the analysis comparing radiograph to MRI slope measurements. For the evaluation of slope between case and control pairs with radiograph information available, there were 257 case-control pairs; there were 124 pairs when those with suboptimal radiographs were excluded. There was no difference in MRI-measured lateral tibial posterior slope or medial tibial posterior slope for the 257 case-control pairs with XR-PTS information and for the 124 pairs with optimal radiographs. XR-PTS in the revision cohort was significantly steeper than in the control group when suboptimal radiographs were included in the analysis. There was no difference when patients with suboptimal radiographs were excluded. PTS measurements made on plain radiographs were larger than those made on MRI. There was a poor correlation between measurements made using these 2 modalities (r = 0.22 for radiograph and medial PTS). This study did not find a significantly steeper XR-PTS in patients who had to undergo revision ACLR when suboptimal radiographs were not included in the analysis. The present study's results confirmed the findings from a previous study of the same patient population that used MRI. However, there was poor correlation between PTS measurements made using plain radiograph and MRI.

Intraoperative cartilage analysis of the first carpometacarpal joint - comparison with conventional staging according to Eaton and Littler.

Osteoarthritis of the first carpometacarpal joint is a common pathology of the hand, which may show an increasing prevalence in Germany due to the demographic development. In recent years, not only the current gold standard - the resection arthroplasty of the thumb saddle joint - has been used, but also therapeutic thumb saddle joint arthroscopy. In addition to the patient's clinical complaints, radiographic diagnostics have been used to decide on treatment, although it has not been proven whether there is a correlation between imaging and clinical complaints. Between 2020 and 2022, 20 articular surfaces of the thumb saddle joint undergoing resection arthroplasty for symptomatic basal thumb osteoarthritis were prospectively examined, mapped and compared with preoperative conventional radiographs. The evaluation of the corresponding articular surfaces showed a higher cartilage destruction at the articular surfaces of the trapezium compared to the first metacarpal. No correlation was found between the stage of osteoarthritis and the Eaton-Littler classification. Overall, there is a patient-specific heterogeneity of the cartilage damage of the articular surface of the trapezium bone, as well in the metacarpal bone I base in relation to the radiographic diagnosis. Furthermore, an inhomogeneity of the radiographic stage of osteoarthritis of the carpometacarpal joint according to Eaton and Littler in relation to the intraoperatively assessed cartilage damage. The statistical significance of the surgically assessed cartilage damage in relation to the conventional radiographs could not be demonstrated. Thus, the treatment of symptomatic osteoarthritis of the carpometacarpal joint should primarily address the patient's individual complaints. The radiographic classification according to Eaton and Littler can be used as an additional factor to decide on the surgical procedure but should not delay the therapeutic treatment. III.

Molecular Networking-Guided Discovery of a New Antitumor Pyranonaphthoquinone from Streptomyces tanashiensis DSM 731: Insights from Single-Molecule Stretching Assays.

Guided by molecular networking based on single-molecule stretching assay, an unprecedented pyranonaphthoquinone, methyl kalafunginate (1) and five known compounds 2-6 were isolated from Streptomyces tanashiensisDSM 731. Compound 1 was characterized through a combination of spectroscopic techniques, including 1D and 2D NMR analysis, ECD calculation, and X-ray crystallography. Interestingly, we discovered that compound 1 was spontaneously converted from kalafungin (4) in methanol solution. All isolated compounds were assessed for their cytotoxic potential against a panel of five human cancer cell lines: A549, HepG2, BxPC-3, SW620, and C4-2B. Compounds 1, 2, 4, and 5 exhibited remarkable cytotoxicity with IC50values below 2.382 μM, suggesting their potential as promising anticancer agents. These findings highlight the significance of using a combined approach of single-molecule stretching assays and molecular networking for efficiently discovering novel natural products with potential therapeutic applications.

Back to basics: lung volumes on pediatric chest X-rays-pitfalls and diagnostic implications.

Evaluating lung "volumes" when interpreting pediatric chest radiographs is useful for supporting the diagnosis of lung pathology in children. Lung volumes can be estimated using semi-objective criteria such as anterior rib counting. Estimating lung volumes is one advantage plain radiographs have over other imaging modalities such as ultrasound or even cross-sectional imaging (Computed Tomography and Magnetic Resonance Imaging, where volumes can be calculated, but remain difficult to quickly be appreciated subjectively or semi-objectively in clinical practice). Lung hyperinflation is often a surrogate of air-trapping and may be suggestive of diseases such as bronchiolitis. Identifying under-inspired chest radiographs is also important to avoid misinterpreting findings related to low lung volumes as pathology, which is a significant diagnostic pitfall in children. This pictorial review will demonstrate the method for evaluating lung volumes, specifically for identifying lung hyperinflation as a surrogate of air-trapping and under-inspiration for avoiding false positive diagnoses.

Uncertainty Estimation for Dual View X-ray Mammographic Image Registration Using Deep Ensembles.

Techniques are developed for generating uncertainty estimates for convolutional neural network (CNN)-based methods for registering the locations of lesions between the craniocaudal (CC) and mediolateral oblique (MLO) mammographic X-ray image views. Multi-view lesion correspondence is an important task that clinicians perform for characterizing lesions during routine mammographic exams. Automated registration tools can aid in this task, yet if the tools also provide confidence estimates, they can be of greater value to clinicians, especially in cases involving dense tissue where lesions may be difficult to see. A set of deep ensemble-based techniques, which leverage a negative log-likelihood (NLL)-based cost function, are implemented for estimating uncertainties. The ensemble architectures involve significant modifications to an existing CNN dual-view lesion registration algorithm. Three architectural designs are evaluated, and different ensemble sizes are compared using various performance metrics. The techniques are tested on synthetic X-ray data, real 2D X-ray data, and slices from real 3D X-ray data. The ensembles generate covariance-based uncertainty ellipses that are correlated with registration accuracy, such that the ellipse sizes can give a clinician an indication of confidence in the mapping between the CC and MLO views. The results also show that the ellipse sizes can aid in improving computer-aided detection (CAD) results by matching CC/MLO lesion detects and reducing false alarms from both views, adding to clinical utility. The uncertainty estimation techniques show promise as a means for aiding clinicians in confidently establishing multi-view lesion correspondence, thereby improving diagnostic capability.

The Development of a Yolov8-Based Model for the Measurement of Critical Shoulder Angle (CSA), Lateral Acromion Angle (LAA), and Acromion Index (AI) from Shoulder X-ray Images.

Background: The accurate and effective evaluation of parameters such as critical shoulder angle, lateral acromion angle, and acromion index from shoulder X-ray images is crucial for identifying pathological changes and assessing disease risk in the shoulder joint. Methods: In this study, a YOLOv8-based model was developed to automatically measure these three parameters together, contributing to the existing literature. Initially, YOLOv8 was used to segment the acromion, glenoid, and humerus regions, after which the CSA, LAA angles, and AI between these regions were calculated. The MURA dataset was employed in this study. Results: Segmentation performance was evaluated with the Dice and Jaccard similarity indices, both exceeding 0.9. Statistical analyses of the measurement performance, including Pearson correlation coefficient, RMSE, and ICC values demonstrated that the proposed model exhibits high consistency and similarity with manual measurements. Conclusions: The results indicate that automatic measurement methods align with manual measurements with high accuracy and offer an effective alternative for clinical applications. This study provides valuable insights for the early diagnosis and management of shoulder diseases and makes a significant contribution to existing measurement methods.