Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.08.21.260992v1?rss=1 Authors: Rytky, S. J. O., Huang, L., Tanska, P., Tiulpin, A., Panfilov, E., Herzog, W., Korhonen, R. K., Saarakkala, S., Finnilä, M. A. J. Abstract: Purpose: Only little is known how calcified cartilage (CC) structure changes during exercise, aging and disease. CC thickness (CC.Th) can be analyzed using conventional histological sections. Micro-computed tomography (CT) allows for three-dimensional (3D) imaging of mineralized tissues, however, the segmentation between bone and CC is challenging. Here, we present state-of-the-art deep learning segmentation for CT images to enable assessment of CC morphology. Methods: Sixteen knees from twelve New Zealand White rabbits were dissected into osteochondral samples from six anatomical regions: lateral and medial femoral condyles, lateral and medial tibial plateaus, femoral groove and patella (n = 96). Samples were imaged with CT and processed for conventional histology. Manually segmented CC from the histology and reconstructed CT images was used as the gold standard to train segmentation models with different encoder-decoder architectures. The models with the greatest out-of-fold evaluation Dice score were used for automated CC.Th analysis. Subsequently, the automated CC.Th analysis was compared across a total of 24 regions, co-registered between the imaging modalities, using Pearson correlation and Bland-Altman analyses. Finally, the anatomical variation in CC.Th was assessed via a Linear Mixed Model analysis. Results: The best segmentation models yielded average Dice scores of 0.891 and 0.807 for histology and CT segmentation, respectively. The correlation between the co-registered regions across the modalities was strong (r = 0.897). The Bland-Altman analysis yielded a bias of 21.9 m and a standard deviation of 21.5 m between the methods. Finally, both methods could separate the CC morphology between the patella, femoral, and tibial regions (p < 0.001). Conclusion: The presented method allows for ex vivo 3D assessment of CC.Th in an automated and non-destructive manner. We demonstrated its utility by quantifying CC.Th in different anatomical regions. CC.Th was the thickest in the patella and the thinnest in the tibial plateau. Copy rights belong to original authors. Visit the link for more info