Clinical applications of a computed tomography color “marrow mapping” algorithm to increase conspicuity of nondisplaced trabecular fractures
To explore clinical applications of a novel conventional computed tomography (CT) color post-processing algorithm to increase conspicuity of nondisplaced trabecular fractures.
Materials and methods
The algorithm was created in Adobe Photoshop and Adobe Extendscript, utilizing DICOM images from conventional CT as source images. A total of six representative cases were selected and processed. No statistical analyses were performed.
A total of six cases are demonstrated, five with MRI correlation demonstrating corresponding fractures and bone marrow edema, including a case of sacral insufficiency fracture, two cases of vertebral body fracture, two cases of nondisplaced hip fracture, and a knee bone marrow edema lesion (without MRI correlate). All cases were processed successfully without error.
A conventional CT color post-processing algorithm may be clinically useful in increasing conspicuity of nondisplaced fractures and bone marrow edema. A potential pitfall is the presence of subchondral or marrow sclerosis, which may mimic edema. Future prospective studies will be necessary to evaluate diagnostic performance.
KeywordsComputed tomography Color post-processing Image manipulation Bone contusion Occult fracture
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 6.Kaup M, Wichmann JL, Scholtz J-E, Beeres M, Kromen W, Albrecht MH, Lehnert T, Boettcher M, Vogl TJ, Bauer RW (2016) Dual-energy CT–based display of bone marrow edema in osteoporotic vertebral compression fractures: impact on diagnostic accuracy of radiologists with varying levels of experience in correlation to MR imaging. Radiology 280(2):510–519CrossRefGoogle Scholar
- 12.Henes FO, Groth M, Bley TA, Regier M, Nüchtern JV, Ittrich H, Treszl A, Adam G, Bannas P (2012) Quantitative assessment of bone marrow attenuation values at MDCT: an objective tool for the detection of bone bruise related to occult sacral insufficiency fractures. Eur Radiol 22(10):2229–2236CrossRefGoogle Scholar
- 15.Mandell JC, Wortman JR, Rocha TC, Folio LR, Andriole KP, Khurana B (2018) Computed tomography window blending: feasibility in thoracic trauma. Acad Radiol. https://doi.org/10.1016/j.acra.2017.12.029
- 24.Dominguez S, Liu P, Roberts C, Mandell M, Richman PB (2005) Prevalence of traumatic hip and pelvic fractures in patients with suspected hip fracture and negative initial standard radiographs - a study of emergency department patients. Acad Emerg Med 12(4):366–369Google Scholar
- 38.Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ (2016) Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. J Clin Diagn Res 10(4):TC06–TC11Google Scholar
- 39.Mandell JC, Rocha TC, Duran-Mendicuti MA, Miskin NP, Shi J, Khurana B (2018) Color postprocessing of conventional CT images: preliminary results in assessment of nondisplaced proximal femoral fractures. Emerg Radiol 14:1–7Google Scholar