Computerbased quantification of the mean Achilles tendon thickness in B-mode ultrasound images – effect of tendinosis

Purpose: In Achilles midpart tendinosis chronic tissue degeneration results in an increased tendon thickness and changed tendon texture. Measurement of Achilles tendon (AT) thickness in B-mode ultrasound images is an established parameter to quantify AT tissue degeneration. The established punctiform measurement is partly dependent on the subjectivity of the reader. The aim of this study is to compare the tracing results of the AT boundaries by an automatic identification (AI) process and by computer-assisted manual tracing (MT). Material and methods: AT boundaries were detected in 115 B-mode ultrasound images b…