Evidence map›Paper›PMID 42848038›Full record

ArticleEuropean radiology2026

Segmentation-based morphometric analysis of neck abscesses on MRI: associations with disease severity.

Ville Viertonen, Aapo Sirén, Jari-Pekka Vierula, Tatu Happonen, Mikko Nyman, Janne Nurminen, Jussi Hirvonen

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Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Ville ViertonenDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland.ORCID http://orcid.org/0009-0009-3575-6979
Aapo SirénDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland.ORCID http://orcid.org/0000-0002-6822-1171
Jari-Pekka VierulaDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland.ORCID http://orcid.org/0009-0006-5933-5421
Tatu HapponenDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland.ORCID http://orcid.org/0000-0001-9756-4985
Mikko NymanDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland.ORCID http://orcid.org/0000-0002-2104-6302
Janne NurminenDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland.ORCID http://orcid.org/0000-0003-2482-9051
Jussi HirvonenDepartment of Radiology, University of Turku and Turku University Hospital, Turku, Finland. jussi.hirvonen@utu.fi.ORCID http://orcid.org/0000-0002-0368-3746

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAbscess diameter on MRI is an established predictor of clinical severity in neck infections, but this single measurement does not characterize three-dimensional morphology. This study evaluated whether segmentation-derived volume, sphericity, and compactness provide incremental prognostic value beyond conventional diameter. MATERIALS AND

methodsIn 227 consecutive patients with surgically confirmed neck abscesses, abscess masks were segmented on post-contrast T1-weighted MRI. Three morphometric features were extracted: volume, sphericity, and compactness; their associations with intensive care unit (ICU) admission and a prolonged hospital stay (exceeding 5 days) were evaluated using multivariable models.

resultsOf 227 patients, 33 (15%) required ICU admission, and 40 (18%) had a prolonged hospital stay. Sphericity was lower in ICU patients (median 0.35 vs. 0.45, p = 6.6 × 10

conclusionSegmentation-derived abscess volume, sphericity, and compactness provide complementary prognostic information beyond conventional diameter measurement for assessing neck infection severity. KEY POINTS: Question Can segmentation-derived morphometric features of neck abscesses (volume, sphericity, compactness) improve prognostication of ICU admission and prolonged hospital stay beyond conventional diameter measurement on MRI? Findings Abscess volume outperformed manual diameter for predicting ICU admissions, and lower sphericity independently predicted prolonged hospital stay beyond abscess size in multivariable models. Clinical relevance Segmentation-derived morphometric features offer reproducible, quantitative tools for stratifying neck abscess severity in surgically managed patients; their value for guiding individual treatment decisions was not directly evaluated and warrants prospective validation.

Indexed as

AbscessImage processing, computer-assistedMagnetic resonance imagingNeckPrognosis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.