Future trends in the use of X-ray fluoroscopy for the measurement and modelling of joint motion

Ackland, David C.; Keynejad, Farzad; Pandy, Marcus G.

doi:10.1177/0954411911422840

Cited by 13 publications

(13 citation statements)

References 82 publications

(134 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally we envision that the radiopaque marker could be used in marking a biopsy location or tumor resection bed, in tumor localization and monitoring tumor resection margins, in breast imaging, or vessel anastomosis. In addition to exploring the use of the radiopaque marker in a variety of applications, the potential utility of using the radiopaque tissue markers with dynamic imaging modalities such as biplanar radiography or RSA to assess joint kinematics [32, 33] or tissue strain [4, 5] should be assessed in future work.…”

Section: Discussionmentioning

confidence: 99%

A novel radiopaque tissue marker for soft tissue localization and in vivo length and area measurements

et al. 2019

View full text Add to dashboard Cite

PurposeThe purpose of the study was to describe the characteristics and demonstrate proof-of-concept and clinical use of a barium sulfate infused polypropylene radiopaque tissue marker for soft tissue localization and in vivo measurement of lengths and areas.MethodsMarker mechanical properties were evaluated by tensile tests. Biocompatibility was evaluated following 8–12 weeks’ implantation in a pig model. Proof-of-concept of marker application was performed in a human cadaveric shoulder model, and methods for CT imaging and measurement of dimensions were established. Lastly, the method of clinical use of the markers was described in one patient undergoing arthroscopic rotator cuff repair (RCR).ResultsThe radiopaque markers had a tensile strength of 28 ±4.7 N and were associated with minimal to mild inflammatory tissue reaction similar to polypropylene control. CT-based measurements showed relatively high precisions for lengths (0.66 mm), areas (6.97 mm2), and humeral orientation angles (2.1°) in the cadaveric model, and demonstrated 19 ±3 mm medio-lateral tendon retraction and 227 ±3 mm2 increase in tendon area in the patient during 26 weeks following RCR. No radiographic leaching, calcification or local adverse events were observed.ConclusionsThe radiopaque tissue marker was biocompatible and had adequate strength for handling and affixation to soft tissues using standard suturing techniques. The marker could be used with low-dose, sequential CT imaging to quantitatively measure rotator cuff tendon retractions with clinically acceptable accuracy. We envision the radiopaque tissue marker to be useful for soft tissue localization and in vivo measurement of tissue and organ dimensions following surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

A novel radiopaque tissue marker for soft tissue localization and in vivo length and area measurements

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Nevertheless, current developments in nanoparticulate‐based contrast agents will impact research in micro‐ and nanorobotics. Additionally, the incorporation of high‐speed cameras together with advanced computer‐controlled tracking systems will facilitate the tracking of small devices without limiting their motion capabilities …”

Section: Imaging Technologies For Micro‐ and Nanoswimmersmentioning

confidence: 99%

Imaging Technologies for Biomedical Micro‐ and Nanoswimmers

Pané

Puigmartí‐Luis

Bergeles

et al. 2018

Adv Materials Technologies

102

View full text Add to dashboard Cite

The last decade has seen the rapid development of untethered mobile micro‐ and nanorobots able to navigate liquids by means of external power sources or by harvesting chemicals from their surrounding media. These tiny devices hold great promise for applications in the biomedical field including targeted drug delivery, localized diagnostics, microsurgery, and cell stimulation. However, to translate small‐scale robots from the laboratory to the clinic, many challenges remain. A major obstacle is the lack of imaging technologies that will allow for precise tracking of the devices in vivo. Here, the current progress, challenges, and future possibilities in the monitoring and tracking of biomedical micro‐ and nanomachines using established as well as less conventional imaging technologies are reviewed.

show abstract

“…versus to ICC < 0.75 for observational gait analysis [192]). In addition, new technologies, bi-planar x-ray fluoroscopy allows for a highly accurate and precise in vivo , measurement of joint motion [193]. …”

Section: Ankle Painmentioning

confidence: 99%

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

Rao

Riskowski

Hannan

2012

Best Practice & Research Clinical Rheumatology

View full text Add to dashboard Cite

Musculoskeletal conditions of the foot and ankle are an important public health challenge due to their increasing incidence combined with their substantial negative impact on patients’ quality of life. Non-pharmacological treatments serve as the first line of treatment and are frequently used for patients with musculoskeletal conditions of the foot and ankle. This review provides a summary of the assessments and non-invasive treatment options based upon available evidence. Recent studies show that individuals with foot and ankle pain have multiple co-existing impairments in alignment, motion, load distribution and muscle performance that may be evident in static and/or dynamic tasks. Additionally, both clinical and epidemiological studies support the inter-dependence between the foot and proximal joints. For instance, aberrant foot structure has been linked to foot osteoarthritis (OA), as well as OA and pain at the knee and hip. Most recently, advances in motion capture technology and plantar load distribution measurement offer opportunities for precise dynamic assessments of the foot and ankle. In individuals with musculoskeletal conditions of the foot and ankle, the chief objectives of treatment are to afford pain relief, restore mechanics (alignment, motion and/or load distribution) and return the patient to their desired level of activity participation. Given that most patients present with multiple impairments, combinational therapies that target foot-specific as well as global impairments have shown promising results. In particular, in individuals with rheumatoid arthritis and other rheumatic diseases, comprehensive rehabilitation strategies including early detection, foot-based interventions (such as orthoses) and wellness-based approaches for physical activity and self-management have been successful. While significant improvements have been made in the last decade to the assessment and treatment of foot and ankle conditions, few randomized clinical trials specifically have investigated patients with foot or ankle conditions to provide global insights into this area. Consequently, current recommendations vary based upon the scope of studies presented in this review as well as the strength of studies. This review indicates a need for more in-depth investigations into the components of assessment and treatment options for foot and ankle musculoskeletal conditions.

show abstract

Future trends in the use of X-ray fluoroscopy for the measurement and modelling of joint motion

Cited by 13 publications

References 82 publications

A novel radiopaque tissue marker for soft tissue localization and in vivo length and area measurements

A novel radiopaque tissue marker for soft tissue localization and in vivo length and area measurements

Imaging Technologies for Biomedical Micro‐ and Nanoswimmers

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

Contact Info

Product

Resources

About