sct_detect_compression

Predict compression probability in a spinal cord MRI image using spinal cord shape metrics. The script process axial slices at the level of intervertebral discs C3/C4 (value: 4) to C6/C7 (value: 7).

Compression categories are determined based on the following cut-offs:

  • ‘yes’ : p > 0.451

  • ‘possible’: 0.345 <= p <= 0.451

  • ‘no’ : p < 0.345

These cut-off values and compression categories were determined by ROC analysis and the Youden’s index (the sum of sensitivity and specificity). More info in the reference below.

Reference:

  • Horáková M, Horák T, Valošek J, Rohan T, Koriťáková E, Dostál M, Kočica J, Skutil T, Keřkovský M, Kadaňka Z Jr, Bednařík P, Svátková A, Hluštík P, Bednařík J. Semi-automated detection of cervical spinal cord compression with the Spinal Cord Toolbox. Quant Imaging Med Surg 2022; 12:2261–2279. https://doi.org/10.21037/qims-21-782

usage: sct_detect_compression -s <file> -discfile <file> [-num-of-slices <int>]
                              [-angle-corr <int>] [-o <file>] [-h] [-v <int>]

MANDATORY ARGUMENTS

-s

Segmentation of the spinal cord, which will be used to compute the shape metrics. Example: t2s_seg.nii.gz.

-discfile

File with disc labels. Each label must be a single voxel. Only label values 4, 5, 6, and 7 (C3/C4 to C6/C7) are supported for now; all other labels will be ignored. Labels can be located either at the posterior edge of the intervertebral discs, or at the orthogonal projection of each disc onto the spinal cord. Such a label file can be manually created using: sct_label_utils -i IMAGE_REF -create-viewer 4:7 or obtained automatically using the sct_label_vertebrae function (the file with the labeled_discs.nii.gz suffix). Example: t2s_discs.nii.gz.

OPTIONAL ARGUMENTS

-num-of-slices

Number of additional axial slices above and below the intervertebral disc to process. Specifying -num-of-slices 1 will process 3 slices total per disc (+/- 1), 2 will process 5 slices total (+/- 2), and so on.

Default: 0

-angle-corr

Possible choices: 0, 1

Angle correction for computing morphometric measures. When angle correction is used, the cord within the slice is stretched/expanded by a factor corresponding to the cosine of the angle between the centerline and the axial plane. If the cord is already quasi-orthogonal to the slab, you can set -angle-corr to 0.

Default: 1

-o

Output CSV file name. If not provided, the suffix compression_results is added to the file name provided by the flag -s.

MISC ARGUMENTS

-v

Possible choices: 0, 1, 2

Verbosity. 0: Display only errors/warnings, 1: Errors/warnings + info messages, 2: Debug mode.

Default: 1