Degenerative cervical myelopathy (DCM) occurs when arthritic changes cause extrinsic spinal cord (SC) compression, inducing motor and sensory disabilities due to gray matter (GM) and white matter (WM) injury. GM segmentation of MR images can quantify atrophy of both GM and WM and may offer biomarkers to improve diagnosis, monitoring of disease progression, and prognosis. In this study, the GM of 33 DCM patients and 8 healthy subjects was automatically segmented using the method included in the Spinal Cord Toolbox (SCT). GM segmentation results were in good accordance with the underlying anatomy, demonstrating the feasibility of automatic GM segmentation in DCM patients exhibiting severe SC compression.
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