Determining 3D Kinematics of the Hip Using Video Fluoroscopy: Guidelines for Balancing Radiation Dose and Registration Accuracy

D'Isidoro, Fabio; Eschle, P.; Zumbrunn, Thomas; Sömmer, Christian; Scheidegger, Stephan; Ferguson, Stephen J.

doi:10.1016/j.arth.2017.05.036

Cited by 8 publications

(11 citation statements)

References 25 publications

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“…3DV was chosen to obtain the subject-specific motion: bi-plane 3DV could also be performed, but this would have implied a smaller overall motion of the lower limb, and higher doses to the volunteer [40]. As for the latter issue, in the specific case of single-plane 3DV methodology as that of the present study, the radiation dose exposure is generally more limited than using bi-plane systems; this might be further minimized in the future via more proper image acquisition angles, since it has been proved that the radiation doses may vary based on viewing angles of the fluoroscope [41]. The sensitivity of the model results with respect to the techniques used for MRI-CT and CT-3DV registration was not analysed.…”

Section: Discussionmentioning

confidence: 78%

An Anatomical-Based Subject-Specific Model of In-Vivo Knee Joint 3D Kinematics From Medical Imaging

et al. 2020

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Biomechanical models of the knee joint allow the development of accurate procedures as well as novel devices to restore the joint natural motion. They are also used within musculoskeletal models to perform clinical gait analysis on patients. Among relevant knee models in the literature, the anatomy-based spatial parallel mechanisms represent the joint motion using rigid links for the ligaments’ isometric fibres and point contacts for the articular surfaces. To customize analyses, therapies and devices, there is the need to define subject-specific models, but relevant procedures and their accuracy are still questioned. A procedure is here proposed and validated to define a customized knee model based on a spatial parallel mechanism. Computed tomography, magnetic resonance and 3D-video-fluoroscopy were performed on a healthy volunteer to define the personalized model geometry. The model was then validated by comparing the measured and the replicated joint motion. The model showed mean absolute difference and standard deviations in translations and rotations, respectively of 0.98 ± 0.40 mm and 0.68 ± 0.29 ° for the tibia–femur motion, and of 0.77 ± 0.15 mm and 2.09 ± 0.69 ° for the patella–femur motion. These results show that accurate personalized spatial models of knee kinematics can be obtained from in-vivo imaging.

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Section: Discussionmentioning

confidence: 78%

An Anatomical-Based Subject-Specific Model of In-Vivo Knee Joint 3D Kinematics From Medical Imaging

et al. 2020

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“…This dataset is useful for standardized evaluation of the registration accuracy in orthopedic applications. and subject, and on the limits in delivered radiation exposure 55 . The dependence of the performance of a registration algorithm on the X-ray voltage can also be investigated with the proposed dataset.…”

Section: Discussionmentioning

confidence: 99%

A new 2D‐3D registration gold‐standard dataset for the hip joint based on uncertainty modeling

et al. 2021

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“…This technique is based on established techniques of prosthesis component pose estimation, even during motion, which relies on good quality 2D fluoroscopy images and relevant detailed 3D CAD models. This technique was originally established for knee joint replacements [35,44] and has recently been extended to THAs [33,[40][41][42], though for a limited number of motor tasks. The large amount of literature in this area shows that the overall accuracy is smaller than 1 mm and 1 • , which is good enough for the conclusions of this study.…”

Section: Discussionmentioning

confidence: 99%

“…This allows for the reconstruction of the absolute and relative position and orientation of the prosthesis components in 3D by using 2D-to-3D spatial matching [35]. This has been widely adopted for assessing the surface-to-surface interaction of prosthesis components in total joint replacement [35][36][37][38] and to a limited extent in THA [39][40][41][42]. However, single-plane VA has been demonstrated to be a good compromise between patient safety and measurement accuracy [42].…”

Section: Introductionmentioning

confidence: 99%

“…This has been widely adopted for assessing the surface-to-surface interaction of prosthesis components in total joint replacement [35][36][37][38] and to a limited extent in THA [39][40][41][42]. However, single-plane VA has been demonstrated to be a good compromise between patient safety and measurement accuracy [42]. Rarely, 3D GA and VA have been used in combination, and only in total knee and ankle replacements [36,43,44].…”

Section: Introductionmentioning

confidence: 99%

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Cup-To-Neck Contact and Range of Motion after Total Hip Arthroplasty with Large Head Diameters: An Original Three-Dimensional Combined Gait and Videofluoroscopy Analysis

et al. 2020

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After a total hip arthroplasty, a limited range of motion and lower-limb disability continue to be observed, with these being mainly associated with the implant design and the head-to-neck ratio. Larger diameters of the head bearings were assumed to provide better stability, a larger range of motion, and smaller risks of dislocation and stem-to-liner impingement. However, these claims have never been demonstrated in real patients. The specific aim of this study was to assess, via multi-instrumental analysis, whether the range of motion of a replaced hip is limited by the stem-to-liner contact in patients with large femoral head diameters. Twenty-three patients with a total hip arthroplasty were evaluated at their one-year follow-ups using clinical and instrumental examinations. A combined three-dimensional gait analysis of the full body and videofluoroscopy analysis of the replaced hip were performed during the execution of standard, i.e., daily living, and more demanding motor tasks. The latter were meant to reach the extreme range of motion at the replaced hip site, thus revealing possible stem-to-liner contact. An original technique based on imaging and computer-aided design (CAD) models of the prosthesis components was developed to calculate the stem-to-liner distance. Excellent clinical scores were observed in the study. The gait analysis showed that the range of motion of the replaced hip in the sagittal plane, averaged over all patients, ranged from 28° to 78° in standard activities. In more demanding tasks, single peaks were as high as 110°, 39°, and 60° in the sagittal, frontal, and transverse anatomical planes, respectively. In all motor tasks, the stem-to-liner distances ranged from 8.7 to 13.0 mm on average, with one outlier minimum distance being 2.2 mm. This study shows that, even in demanding motor tasks and with an extreme range of motion, the hip joint replaced with large femoral head diameters did not experience impingement between the prosthesis components.

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Determining 3D Kinematics of the Hip Using Video Fluoroscopy: Guidelines for Balancing Radiation Dose and Registration Accuracy

Cited by 8 publications

References 25 publications

An Anatomical-Based Subject-Specific Model of In-Vivo Knee Joint 3D Kinematics From Medical Imaging

An Anatomical-Based Subject-Specific Model of In-Vivo Knee Joint 3D Kinematics From Medical Imaging

A new 2D‐3D registration gold‐standard dataset for the hip joint based on uncertainty modeling

Cup-To-Neck Contact and Range of Motion after Total Hip Arthroplasty with Large Head Diameters: An Original Three-Dimensional Combined Gait and Videofluoroscopy Analysis

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