Evaluating pelvic tilt using the pelvic antero‐posterior radiographs: A novel method
Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, ha...
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Published in | Journal of orthopaedic research Vol. 42; no. 10; pp. 2318 - 2326 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.10.2024
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Subjects | |
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Abstract | Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, hardware interference, and limited medical resources. Addressing these challenges and with the aim of reducing radiation exposure to patients, our study developed a novel method to estimate PT from antero‐posterior (AP) radiographs, using vertical distances from the pelvic outlet and obturator foramen. We correlated these measurements with PT, defined both anatomically (anterior pelvic plane, PTa) and mechanically (centers of femoral heads and sacral plate, PTm). The study explored creating linear, exponential, and multivariate regression models based on twelve 3D CT‐derived pelvic models (six men, six women), simulating AP radiograph projections with controlled PTs. We then validated these models against 105 pairs of patient stereoradiographs. Statistical analysis revealed that combined exponential‐linear models yielded the most accurate results, with Pearson correlation coefficients of 0.75 for PTa and 0.77 for PTm, and mean absolute errors of 3.7° ± 2.6° for PTa and 4.5° ± 3.4° for PTm, showing excellent measurement reliability (all ICCs > 0.9) without significant gender discrepancies. In conclusion, this study presents a validated, simple, and accessible method for estimating PT using AP radiograph parameters, supported by the Supporting Information S1: Excel Tool, showing great potential for clinical application in hip and spine procedures.
Clinical Significance
The proposed approach offers an alternative for estimating PT using AP radiographs, potentially reducing patient radiation exposure and improving surgical precision. |
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AbstractList | Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, hardware interference, and limited medical resources. Addressing these challenges and with the aim of reducing radiation exposure to patients, our study developed a novel method to estimate PT from antero-posterior (AP) radiographs, using vertical distances from the pelvic outlet and obturator foramen. We correlated these measurements with PT, defined both anatomically (anterior pelvic plane, PTa) and mechanically (centers of femoral heads and sacral plate, PTm). The study explored creating linear, exponential, and multivariate regression models based on twelve 3D CT-derived pelvic models (six men, six women), simulating AP radiograph projections with controlled PTs. We then validated these models against 105 pairs of patient stereoradiographs. Statistical analysis revealed that combined exponential-linear models yielded the most accurate results, with Pearson correlation coefficients of 0.75 for PTa and 0.77 for PTm, and mean absolute errors of 3.7° ± 2.6° for PTa and 4.5° ± 3.4° for PTm, showing excellent measurement reliability (all ICCs > 0.9) without significant gender discrepancies. In conclusion, this study presents a validated, simple, and accessible method for estimating PT using AP radiograph parameters, supported by the Supporting Information S1: Excel Tool, showing great potential for clinical application in hip and spine procedures.Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, hardware interference, and limited medical resources. Addressing these challenges and with the aim of reducing radiation exposure to patients, our study developed a novel method to estimate PT from antero-posterior (AP) radiographs, using vertical distances from the pelvic outlet and obturator foramen. We correlated these measurements with PT, defined both anatomically (anterior pelvic plane, PTa) and mechanically (centers of femoral heads and sacral plate, PTm). The study explored creating linear, exponential, and multivariate regression models based on twelve 3D CT-derived pelvic models (six men, six women), simulating AP radiograph projections with controlled PTs. We then validated these models against 105 pairs of patient stereoradiographs. Statistical analysis revealed that combined exponential-linear models yielded the most accurate results, with Pearson correlation coefficients of 0.75 for PTa and 0.77 for PTm, and mean absolute errors of 3.7° ± 2.6° for PTa and 4.5° ± 3.4° for PTm, showing excellent measurement reliability (all ICCs > 0.9) without significant gender discrepancies. In conclusion, this study presents a validated, simple, and accessible method for estimating PT using AP radiograph parameters, supported by the Supporting Information S1: Excel Tool, showing great potential for clinical application in hip and spine procedures. Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, hardware interference, and limited medical resources. Addressing these challenges and with the aim of reducing radiation exposure to patients, our study developed a novel method to estimate PT from antero-posterior (AP) radiographs, using vertical distances from the pelvic outlet and obturator foramen. We correlated these measurements with PT, defined both anatomically (anterior pelvic plane, PT ) and mechanically (centers of femoral heads and sacral plate, PT ). The study explored creating linear, exponential, and multivariate regression models based on twelve 3D CT-derived pelvic models (six men, six women), simulating AP radiograph projections with controlled PTs. We then validated these models against 105 pairs of patient stereoradiographs. Statistical analysis revealed that combined exponential-linear models yielded the most accurate results, with Pearson correlation coefficients of 0.75 for PT and 0.77 for PT , and mean absolute errors of 3.7° ± 2.6° for PT and 4.5° ± 3.4° for PT , showing excellent measurement reliability (all ICCs > 0.9) without significant gender discrepancies. In conclusion, this study presents a validated, simple, and accessible method for estimating PT using AP radiograph parameters, supported by the Supporting Information S1: Excel Tool, showing great potential for clinical application in hip and spine procedures. Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, hardware interference, and limited medical resources. Addressing these challenges and with the aim of reducing radiation exposure to patients, our study developed a novel method to estimate PT from antero‐posterior (AP) radiographs, using vertical distances from the pelvic outlet and obturator foramen. We correlated these measurements with PT, defined both anatomically (anterior pelvic plane, PTa) and mechanically (centers of femoral heads and sacral plate, PTm). The study explored creating linear, exponential, and multivariate regression models based on twelve 3D CT‐derived pelvic models (six men, six women), simulating AP radiograph projections with controlled PTs. We then validated these models against 105 pairs of patient stereoradiographs. Statistical analysis revealed that combined exponential‐linear models yielded the most accurate results, with Pearson correlation coefficients of 0.75 for PTa and 0.77 for PTm, and mean absolute errors of 3.7° ± 2.6° for PTa and 4.5° ± 3.4° for PTm, showing excellent measurement reliability (all ICCs > 0.9) without significant gender discrepancies. In conclusion, this study presents a validated, simple, and accessible method for estimating PT using AP radiograph parameters, supported by the Supporting Information S1: Excel Tool, showing great potential for clinical application in hip and spine procedures. Clinical Significance The proposed approach offers an alternative for estimating PT using AP radiographs, potentially reducing patient radiation exposure and improving surgical precision. Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However, various challenges can compromise the feasibility of measurement from sagittal imaging, including obscured landmarks, anatomical variations, hardware interference, and limited medical resources. Addressing these challenges and with the aim of reducing radiation exposure to patients, our study developed a novel method to estimate PT from antero‐posterior (AP) radiographs, using vertical distances from the pelvic outlet and obturator foramen. We correlated these measurements with PT, defined both anatomically (anterior pelvic plane, PT a ) and mechanically (centers of femoral heads and sacral plate, PT m ). The study explored creating linear, exponential, and multivariate regression models based on twelve 3D CT‐derived pelvic models (six men, six women), simulating AP radiograph projections with controlled PTs. We then validated these models against 105 pairs of patient stereoradiographs. Statistical analysis revealed that combined exponential‐linear models yielded the most accurate results, with Pearson correlation coefficients of 0.75 for PT a and 0.77 for PT m , and mean absolute errors of 3.7° ± 2.6° for PT a and 4.5° ± 3.4° for PT m , showing excellent measurement reliability (all ICCs > 0.9) without significant gender discrepancies. In conclusion, this study presents a validated, simple, and accessible method for estimating PT using AP radiograph parameters, supported by the Supporting Information S1: Excel Tool, showing great potential for clinical application in hip and spine procedures. The proposed approach offers an alternative for estimating PT using AP radiographs, potentially reducing patient radiation exposure and improving surgical precision. |
Author | Veltman, Ewout S. Walter, William L. Chai, Yuan Boudali, A. Mounir Farey, John E. |
Author_xml | – sequence: 1 givenname: Yuan orcidid: 0000-0001-6977-6155 surname: Chai fullname: Chai, Yuan email: yuanchai95@gmail.com organization: South China University of Technology – sequence: 2 givenname: A. Mounir surname: Boudali fullname: Boudali, A. Mounir organization: University of Sydney – sequence: 3 givenname: Ewout S. surname: Veltman fullname: Veltman, Ewout S. organization: Royal North Shore Hospital – sequence: 4 givenname: John E. surname: Farey fullname: Farey, John E. organization: Royal North Shore Hospital – sequence: 5 givenname: William L. surname: Walter fullname: Walter, William L. organization: Royal North Shore Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38814154$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1007/s00276-001-0105-z 10.1007/s00586-011-2061-6 10.1016/j.jcm.2016.02.012 10.1007/s11832-016-0713-0 10.1007/s00256-005-0050-8 10.5301/hipint.5000374 10.1097/01.blo.0000238862.92356.45 10.2106/JBJS.D.02043 10.1016/j.arth.2023.10.035 10.1007/s00256-015-2101-0 10.1177/1120700019850776 10.1097/BRS.0b013e31817886a2 10.1007/s00402-018-2931-z 10.1177/15563316221136128 10.1097/BRS.0000000000000592 10.1097/BRS.0b013e3181aad219 10.11604/pamj.2016.25.99.9736 10.1016/j.arth.2016.11.026 10.2106/JBJS.F.00628 10.1002/jor.24701 10.1097/OI9.0000000000000213 10.1016/j.otsr.2009.08.004 10.1302/0301-620X.99B2.BJJ-2016-0098.R1 10.1097/01.blo.0000069891.31220.fd 10.1016/j.arth.2014.07.009 10.1051/sicotj/2023010 10.1097/01.blo.0000164027.06880.3a |
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Keywords | spinopelvic alignment surgical planning acetabular retroversion pelvic tilt antero‐posterior radiograph |
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References | 2015; 1 2021; 2 2006; 35 2023; 9 2015; 30 2023; 19 2005; 437 2016; 10 2014; 27 2020; 38 2005; 87 2008; 33 2001; 23 2003; 411 2024; 39 2016; 15 2008; 90 2006; 453 2009; 34 2009; 95 2018; 138 2022; 5 2017; 99 2017; 32 2015; 44 2019; 29 2022; 10 2014; 39 2016; 26 2016; 25 2012; 21 e_1_2_8_28_1 e_1_2_8_29_1 e_1_2_8_24_1 Filkins M (e_1_2_8_18_1) 2015; 1 e_1_2_8_26_1 e_1_2_8_27_1 Chai Y (e_1_2_8_21_1) 2021; 2 e_1_2_8_3_1 e_1_2_8_2_1 e_1_2_8_5_1 e_1_2_8_4_1 e_1_2_8_7_1 e_1_2_8_6_1 e_1_2_8_9_1 e_1_2_8_8_1 e_1_2_8_20_1 e_1_2_8_22_1 e_1_2_8_23_1 e_1_2_8_17_1 e_1_2_8_19_1 e_1_2_8_13_1 e_1_2_8_14_1 e_1_2_8_16_1 e_1_2_8_32_1 e_1_2_8_10_1 e_1_2_8_31_1 e_1_2_8_11_1 e_1_2_8_12_1 Chai Y (e_1_2_8_15_1) 2022; 10 e_1_2_8_30_1 Bao H (e_1_2_8_25_1) 2014; 27 |
References_xml | – volume: 38 start-page: 1477 year: 2020 end-page: 1485 article-title: Can measurements from an anteroposterior radiograph predict pelvic sagittal inclination publication-title: J Orthop Res – volume: 99 start-page: 184 year: 2017 end-page: 191 article-title: Variation in functional pelvic tilt in patients undergoing total hip arthroplasty publication-title: Bone Joint J – volume: 25 start-page: 99 year: 2016 article-title: Defining the diagnostic divide: an analysis of registered radiological equipment resources in a low‐income African country publication-title: Pan Afr Med J – volume: 29 start-page: 564 year: 2019 end-page: 567 article-title: Correlation between the distance from the pubic symphysis to the sacrum with pelvic incidence publication-title: Hip Int – volume: 411 start-page: 140 year: 2003 end-page: 151 article-title: Measurements of pelvic flexion angle using three‐dimensional computed tomography publication-title: Clin Orthop Relat Res – volume: 30 start-page: 109 year: 2015 end-page: 113 article-title: Cup position alone does not predict risk of dislocation after hip arthroplasty publication-title: J Arthroplasty – volume: 26 start-page: 462 year: 2016 end-page: 467 article-title: Quantification of pelvic tilt and rotation by width/height ratio of obturator foramina on anteroposterior radiographs publication-title: Hip Int – volume: 90 start-page: 357 year: 2008 end-page: 365 article-title: The rationale for tilt‐adjusted acetabular cup navigation publication-title: J Bone Joint Surg Am – volume: 5 year: 2022 article-title: Comparison of 2 open‐sourced 3‐dimensional modeling techniques for orthopaedic application publication-title: OTA Int – volume: 27 start-page: E176 year: 2014 end-page: E180 article-title: Is the sacro‐femoral‐pubic angle predictive for pelvic tilt in adolescent idiopathic scoliosis patients? Clinical spine publication-title: Surgery – volume: 87 start-page: 260 year: 2005 end-page: 267 article-title: Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects publication-title: J Bone Joint Surg Am – volume: 95 start-page: 568 year: 2009 end-page: 572 article-title: Pelvic tilt measurement before and after total hip arthroplasty publication-title: Orthop Traumatol Surg Res – volume: 9 start-page: 12 year: 2023 article-title: Accuracy of acetabular component alignment with surgical guidance systems during hip arthroplasty publication-title: SICOT‐J – volume: 34 start-page: E599 year: 2009 end-page: E606 article-title: Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity publication-title: Spine – volume: 44 start-page: 935 year: 2015 end-page: 939 article-title: Reliability of measures used in radiographic evaluation of the adult hip publication-title: Skeletal Radiol – volume: 437 start-page: 132 year: 2005 end-page: 137 article-title: Cup alignment error model for total hip arthroplasty publication-title: Clin Orthop Relat Res – volume: 10 start-page: 1097 year: 2022 article-title: The sacro‐femoral‐pubic angle is unreliable to estimate pelvic tilt: a meta‐analysis publication-title: Clin Orthop Relat Res – volume: 2 start-page: 29 year: 2021 end-page: 32 article-title: An easy to use workflow of 3D medical reconstruction for preoperative planning and surgical education publication-title: Ann Surg Educ – volume: 138 start-page: 1045 year: 2018 end-page: 1052 article-title: Assessment of pelvic tilt in anteroposterior radiographs by means of tilt ratios publication-title: Arch Orthop Trauma Surg – volume: 35 start-page: 149 year: 2006 end-page: 155 article-title: Estimation of pelvic tilt on anteroposterior X‐rays—a comparison of six parameters publication-title: Skeletal Radiol – volume: 19 start-page: 187 year: 2023 end-page: 192 article-title: Correlations analysis of different pelvic tilt definitions: a preliminary study publication-title: HSS J – volume: 39 start-page: E1347 year: 2014 end-page: E1352 article-title: Can pelvic tilt be predicated by the sacrofemoral‐pubic angel in patients with thoracolumbar kyphosis secondary to ankylosing spondylitis? publication-title: Spine – volume: 33 start-page: 1572 year: 2008 end-page: 1578 article-title: Standing balance and sagittal plane spinal deformity: analysis of spinopelvic and gravity line parameters publication-title: Spine – volume: 39 start-page: 1108 issue: 4 year: 2024 end-page: 1116 article-title: Evaluating pelvic tilt using the pelvic antero‐posterior projection images—a systematic review publication-title: J Arthroplasty – volume: 21 start-page: 719 year: 2012 end-page: 724 article-title: Sacro‐femoral‐pubic angle: a coronal parameter to estimate pelvic tilt publication-title: Eur Spine J – volume: 15 start-page: 155 year: 2016 end-page: 163 article-title: A guideline of selecting and reporting intraclass correlation coefficients for reliability research publication-title: J Chiropr Med – volume: 32 start-page: 1665 year: 2017 end-page: 1669 article-title: Pelvic tilt evaluation from frontal radiographs: the validity, interobserver reliability and intraobserver reproducibility of the sacro‐femoral‐pubic parameter publication-title: J Arthroplasty – volume: 453 start-page: 272 year: 2006 end-page: 276 article-title: Functional pelvic orientation measured from lateral standing and sitting radiographs publication-title: Clin Orthop Relat Res – volume: 1 start-page: 1 year: 2015 article-title: Implementing diagnostic imaging services in a rural setting of extreme poverty: five years of X‐ray and ultrasound service delivery in Achham, Nepal publication-title: J Glob Radiol – volume: 10 start-page: 1 year: 2016 end-page: 14 article-title: EOS® biplanar X‐ray imaging: concept, developments, benefits, and limitations publication-title: J Child Orthop – volume: 23 start-page: 105 year: 2001 end-page: 110 article-title: Variations of pelvic anteversion in the lying and standing positions analysis of 24 control subjects and implications for CT measurement of position of a prosthetic cup publication-title: Surg Radiol Anat – ident: e_1_2_8_5_1 doi: 10.1007/s00276-001-0105-z – ident: e_1_2_8_19_1 doi: 10.1007/s00586-011-2061-6 – volume: 2 start-page: 29 year: 2021 ident: e_1_2_8_21_1 article-title: An easy to use workflow of 3D medical reconstruction for preoperative planning and surgical education publication-title: Ann Surg Educ contributor: fullname: Chai Y – ident: e_1_2_8_23_1 doi: 10.1016/j.jcm.2016.02.012 – ident: e_1_2_8_20_1 doi: 10.1007/s11832-016-0713-0 – ident: e_1_2_8_7_1 doi: 10.1007/s00256-005-0050-8 – ident: e_1_2_8_31_1 doi: 10.5301/hipint.5000374 – ident: e_1_2_8_11_1 doi: 10.1097/01.blo.0000238862.92356.45 – ident: e_1_2_8_14_1 doi: 10.2106/JBJS.D.02043 – ident: e_1_2_8_16_1 doi: 10.1016/j.arth.2023.10.035 – ident: e_1_2_8_32_1 doi: 10.1007/s00256-015-2101-0 – ident: e_1_2_8_28_1 doi: 10.1177/1120700019850776 – ident: e_1_2_8_13_1 doi: 10.1097/BRS.0b013e31817886a2 – ident: e_1_2_8_30_1 doi: 10.1007/s00402-018-2931-z – ident: e_1_2_8_12_1 doi: 10.1177/15563316221136128 – ident: e_1_2_8_26_1 doi: 10.1097/BRS.0000000000000592 – ident: e_1_2_8_9_1 doi: 10.1097/BRS.0b013e3181aad219 – volume: 27 start-page: E176 year: 2014 ident: e_1_2_8_25_1 article-title: Is the sacro‐femoral‐pubic angle predictive for pelvic tilt in adolescent idiopathic scoliosis patients? Clinical spine publication-title: Surgery contributor: fullname: Bao H – ident: e_1_2_8_17_1 doi: 10.11604/pamj.2016.25.99.9736 – ident: e_1_2_8_24_1 doi: 10.1016/j.arth.2016.11.026 – ident: e_1_2_8_3_1 doi: 10.2106/JBJS.F.00628 – ident: e_1_2_8_29_1 doi: 10.1002/jor.24701 – ident: e_1_2_8_22_1 doi: 10.1097/OI9.0000000000000213 – ident: e_1_2_8_4_1 doi: 10.1016/j.otsr.2009.08.004 – ident: e_1_2_8_10_1 doi: 10.1302/0301-620X.99B2.BJJ-2016-0098.R1 – ident: e_1_2_8_6_1 doi: 10.1097/01.blo.0000069891.31220.fd – volume: 10 start-page: 1097 year: 2022 ident: e_1_2_8_15_1 article-title: The sacro‐femoral‐pubic angle is unreliable to estimate pelvic tilt: a meta‐analysis publication-title: Clin Orthop Relat Res contributor: fullname: Chai Y – volume: 1 start-page: 1 year: 2015 ident: e_1_2_8_18_1 article-title: Implementing diagnostic imaging services in a rural setting of extreme poverty: five years of X‐ray and ultrasound service delivery in Achham, Nepal publication-title: J Glob Radiol contributor: fullname: Filkins M – ident: e_1_2_8_27_1 doi: 10.1016/j.arth.2014.07.009 – ident: e_1_2_8_8_1 doi: 10.1051/sicotj/2023010 – ident: e_1_2_8_2_1 doi: 10.1097/01.blo.0000164027.06880.3a |
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Snippet | Pelvic tilt (PT) is an important parameter for orthopedic surgeries involving hip and spine, typically determined from sagittal pelvic radiographs. However,... |
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SubjectTerms | acetabular retroversion Adult Aged antero‐posterior radiograph Female Humans Male Middle Aged Pelvic Bones - diagnostic imaging pelvic tilt Pelvis - diagnostic imaging Radiography - methods spinopelvic alignment surgical planning Tomography, X-Ray Computed |
Title | Evaluating pelvic tilt using the pelvic antero‐posterior radiographs: A novel method |
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