![]() 11 In summary, there are three goals for this publication: the first goal is to introduce and demonstrate the segmentation of vertebral bodies with GrowCut, the second goal is to apply the GrowCut segmentation to a set of vertebral bodies from T2-weighted MRI acquisitions from the clinical routine and the third goal is to show that a GrowCut-based segmentation is faster than a manually slice-by-slice segmentation but at the same time can achieve a similar segmentation accuracy. 10 However, an (automatic) segmentation of vertebral bodies in magnetic resonance imaging (MRI) acquisitions is a demanding task, among other things because of the diversification in soft tissue. Furthermore, a CAD system can assist in the characterization and the quantification of abnormalities. Here, a computer-assisted diagnosis (CAD) system has the aim to reduce interpretation errors produced by the exhausting tasks of image screening and radiologic diagnosis. 8 In this decision process, an accurate and objective analysis of the vertebral deformities is very important for the diagnosis and a following therapy. However, when a decision for an adequate treatment is made, neuro-imaging plays an important role for the estimation of the treatment dimension, like surgery. ![]() 5 – 7 The increased number of spinal surgical procedures among older patients results from an increasing incidence for vertebral bone diseases, which is often responsible for a limited mobility and overall quality of life. 3, 4 In general, a vertebral fracture affects daily living activities, including getting up from a chair, walking, taking stairs, bathing, dressing and cooking. 2 In total, 30 million American women and 14 million American men are affected by osteoporosis or osteopenia, and the overall lifetime risk for an osteoporotic fracture is 40% in White women and 13% in White men in the United States. Anyway, osteoporosis, which is a decrease in bone density and mass, is a major public health concern, and recent clinical and epidemiologic trials on osteoporosis proved the need for a precise recognition and diagnosis of vertebral fractures. 1 A large part of the bones are the vertebral bodies that lie anterior to the spinal cord. It is the posterior part of the body’s trunk and it ranges from the neck to the pelvis. ![]() The human back is an intricate structure consisting of bones, muscles and other tissues.
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