CTSpinoPelvic1K: spine, pelvis, ribs and femora in one coordinate frame, annotated for lumbosacral transitional anatomy

Gregory Schwing, Ashley Schehr, Annika Tekumulla, Margret Khoushi, Ryan Christian +9

Purpose: A vertebra at the lumbosacral junction is named by counting caudally from C2 on whole-spine imaging, but a lumbar case is planned on lumbar-only imaging (T12 to S1), without C2. Abdominopelvic CT holds that span plus the lowest ribs and pelvis. Where a lumbosacral transitional vertebra (LSTV) alters the count, the local anatomy is ambiguous: four rib-free vertebrae may be an L1 with a lumbar rib or an L5 assimilated to the sacrum, and six may be a sixth lumbar vertebra, a T12 with aplastic ribs, or a lumbarized S1. CTSpinoPelvic1K asks whether local morphology resolves it without the count. CTSpine1K's vertebrae and CTPelvic1K's pelvis covered these patients but were never joined; this release joins them on one series and adds the bones neither had. It provides 802 CT records with per-level ribs and femora, levels anchored on the lowest rib-bearing vertebra and S1, and classes for L6, T13, a separate S1 and lumbar ribs, so anomalies are recorded as such. Acquisition and Validation Methods: Records pair CTSpine1K and CTPelvic1K labels on each patient's bone-richest series under a VerSe-native scheme. Validation covered geometric invariants (802/802 pass), rib-vertebra…