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Proceedings Paper

Digital hand atlas for web-based bone age assessment: system design and implementation
Author(s): Fei Cao; H. K. Huang; Ewa Pietka; Vicente Gilsanz
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Paper Abstract

A frequently used assessment method of skeletal age is atlas matching by a radiological examination of a hand image against a small set of Greulich-Pyle patterns of normal standards. The method however can lead to significant deviation in age assessment, due to a variety of observers with different levels of training. The Greulich-Pyle atlas based on middle upper class white populations in the 1950s, is also not fully applicable for children of today, especially regarding the standard development in other racial groups. In this paper, we present our system design and initial implementation of a digital hand atlas and computer-aided diagnostic (CAD) system for Web-based bone age assessment. The digital atlas will remove the disadvantages of the currently out-of-date one and allow the bone age assessment to be computerized and done conveniently via Web. The system consists of a hand atlas database, a CAD module and a Java-based Web user interface. The atlas database is based on a large set of clinically normal hand images of diverse ethnic groups. The Java-based Web user interface allows users to interact with the hand image database form browsers. Users can use a Web browser to push a clinical hand image to the CAD server for a bone age assessment. Quantitative features on the examined image, which reflect the skeletal maturity, is then extracted and compared with patterns from the atlas database to assess the bone age.

Paper Details

Date Published: 18 April 2000
PDF: 12 pages
Proc. SPIE 3976, Medical Imaging 2000: Image Display and Visualization, (18 April 2000); doi: 10.1117/12.383062
Show Author Affiliations
Fei Cao, Univ. of California/San Francisco (United States)
H. K. Huang, Univ. of California/San Francisco (United States)
Ewa Pietka, Medical Univ. of Silesia (Poland)
Vicente Gilsanz, Children's Hospital Los Angeles (United States)


Published in SPIE Proceedings Vol. 3976:
Medical Imaging 2000: Image Display and Visualization
Seong Ki Mun, Editor(s)

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