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Abstract #1177

Accurate Quantitative Assessment of Synovitis in Rheumatoid Arthritis Using Pixel by Pixel, Time-Intensity Curve Shape Analysis

Taro Sakashita 1 , Tamotsu Kamishima 2 , Hiroyuki Sugimori 3 , Meiki Tou 4 , Atsushi Noguchi 5 , Michihito Kawano 6 , and Tatsuya Atsumi 5

1 Graduate School of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan, 2 Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan, 3 Department of Radiology, Hokkaido University Hospital, Hokkaido, Japan, 4 Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan, 5 Internal Medicine 2, Hokkaido University Hospital, Hokkaido, Japan, 6 Obihiro-Kosei General Hospital, Hokkaido, Japan

We hypothesized that pixel by pixel, time-intensity curve (TIC) shape analysis can accurately quantify the pannus of rheumatoid patents. Area of enhancing pannus (AEP) measurement via segmentation using thresholding (AEP_THRES) and via pixel by pixel TIC analysis (AEP_TIC) was compared by setting the volume of enhancing pannus (VEP) by manual contouring (AEP_MANUAL) as gold standard to evaluate accuracy of VEP quantification. Correlation coefficient between AEP_TIC and AEP_MANUAL was evaluated as better than that of AEP_THRES and AEP_MANUAL in the wrist region. Pixel by pixel TIC analysis may be an alternative to manual contouring for pannus quantification in the hand.

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