Table 1. Summary of parametric differences, advantages and disadvantages between the three published methods for JSW measurement: CLG (11), LYN (12), and SFR (13).
JSW method | Joint space definition | Distance transform | ||||
---|---|---|---|---|---|---|
Dilation | Erosion | Function | Advantages | Disadvantages | ||
CLG | 25** | 25** | /dt_background | /close function faster than /dilation & /erosion sequence but limited to similar amplitudes | Same as SFR | |
LYN | 25 | 31 | /dt_object | Conservative definition of joint space via larger erosion than dilation reduces sensitivity to joint angle (see Figure 1) | /dt_object function sensitive to boundary conditions. Values on boundary of joint space may be truncated | |
SFR | 20 | 20 | /dt_background | /dt_background function reduces sensitivity to boundary effects; dilation/erosion of similar amplitudes create a joint space volume that looks closer to intuitive definition | Larger joint space definition induces more sensitivity of DT to joint alignment/angle in DT at boundaries (see Figure 1) | |
Spectra consensus | 20 | 26 | /dt_spacing* | Conservative joint definition less sensitive to joint alignment/placement: new function /dt_spacing less sensitive to boundary conditions |
*, indicates function available since 2018 in the manufacturer’s Image Processing Language IPL v5.42; **, indicates use of a single-step closing function in place of separate dilation/erosion steps. JSW, joint space width; SFR, University of California San Francisco; CLG, University of Calgary; LYN, University of Lyon.