An Automated Pelvic Bone Geometrical Feature Measurement Utilities on Ct Scan...IOSR Journals
This document discusses an automated system for measuring geometric features of the pelvic bone from CT scan images. The system uses patch statistical shape models and a multilevel measurement utility to determine pelvic orientation based on image calibration. It aims to help orthopedic surgeons locate damage areas and landmarks more accurately, especially for obese patients where manual palpation is difficult. The system involves experts to analyze statistical values generated from the measurements to inform treatment decisions.
This study evaluated the use of freehand 3D ultrasound imaging to measure muscle volume as an alternative to MRI. Nine subjects underwent ultrasound scans of the rectus femoris muscle, with image slices and position data reconstructed into 3D models. The results demonstrated the reliability and feasibility of this technique, with average errors of 2.4% for volume and 3.5% for distances compared to actual measurements. This suggests freehand 3D ultrasound could allow clinicians to conveniently evaluate muscle volume changes after ACL reconstruction surgery.
This document presents an automated pipeline for segmenting the carpometacarpal (CMC) joint from CT images using random forest regression and statistical shape modeling. A training set of 50 manually segmented CMC joints was used to build a statistical shape model. Random forest regressors predicted landmark positions on an input mesh, which was then fitted to the predictions to segment new images. On a test set of 15 images, the pipeline achieved an average error of 1.95 mm compared to manual segmentation, reducing segmentation time by 99%. This automatic method shows promise for collecting large datasets of CMC joint morphology for statistical analysis and potential clinical use.
This document presents an adaptive Kalman filter for estimating human body orientation using micro-sensors. The filter uses quaternions to represent orientation to avoid singularities. It includes motion acceleration in the state vector to compensate for interference of body motion on gravity measurements. Additionally, it adapts the process noise covariance based on sensor signal variations to optimize performance under human motion. Experiments showed this algorithm had less error than existing methods and that including motion compensation and adaptive mechanisms improved accuracy of human motion capture.
Robotic systems are increasingly being used in orthopaedic surgery to improve accuracy and consistency when performing procedures like total hip replacements, unicompartmental knee replacements, and anterior lumbar interbody fusions. These systems can be autonomous, haptic/surgeon-guided, or passive, and preliminary results suggest robotic assistance may lead to short-term improvements in clinical and radiological outcomes compared to traditional techniques. The precision and accuracy afforded by robotic surgery is well-suited for operations on bones and may help achieve better long-term outcomes by more accurately placing implants and balancing tissues.
This document describes a study that aims to compare two methods of measuring muscle volume: MRI and ultrasound combined with 3D motion capture. Five female subjects participated in MRI scans and ultrasound imaging of their right triceps surae muscle while motion capture data was recorded. The study hopes to calculate muscle volumes from ultrasound images using a transformation matrix applied to outline points, and to show these volumes match those calculated from MRI images, validating ultrasound as an acceptable alternative method. The document outlines the data collection methods, which involved capturing ultrasound images and motion data at marked points on the leg. It also provides preliminary results and plans for ongoing MATLAB processing of the images to determine muscle volumes.
Introduction to Navigation - Robotic Total Knee Replacement Queen Mary Hospital
Computer-assisted surgery (CAS) uses computer technology to help guide surgical procedures and has evolved from early systems that located brain tumors to current navigation systems that provide real-time positional information of surgical tools to help surgeons accurately reach anatomical targets and optimally position implants while avoiding areas of risk. CAS systems can be passive with just navigation, semi-active assisting with guide tools but not surgery, or active performing pre-programmed surgical actions. Modern navigation relies on tracking reflective markers in real-time rather than external imaging to construct a 3D model of the patient's anatomy.
An automated 3D cup planning in total hip arthroplasty from a standard X‑ray ...AutoImPlan team
This document describes a method for automated 3D cup planning in total hip arthroplasty using only a standard X-ray radiograph as input. Boundaries are extracted from the X-ray and used to reconstruct the 3D pelvis shape via an atlas-based 2D-3D method. Cup diameter and position are then automatically determined. The method was tested on 6 cases, achieving pelvis reconstruction errors of 1.8mm on average and cup planning errors similar to using 3D CT images. The method shows potential for automated preoperative planning without needing 3D CT scans.
An Automated Pelvic Bone Geometrical Feature Measurement Utilities on Ct Scan...IOSR Journals
This document discusses an automated system for measuring geometric features of the pelvic bone from CT scan images. The system uses patch statistical shape models and a multilevel measurement utility to determine pelvic orientation based on image calibration. It aims to help orthopedic surgeons locate damage areas and landmarks more accurately, especially for obese patients where manual palpation is difficult. The system involves experts to analyze statistical values generated from the measurements to inform treatment decisions.
This study evaluated the use of freehand 3D ultrasound imaging to measure muscle volume as an alternative to MRI. Nine subjects underwent ultrasound scans of the rectus femoris muscle, with image slices and position data reconstructed into 3D models. The results demonstrated the reliability and feasibility of this technique, with average errors of 2.4% for volume and 3.5% for distances compared to actual measurements. This suggests freehand 3D ultrasound could allow clinicians to conveniently evaluate muscle volume changes after ACL reconstruction surgery.
This document presents an automated pipeline for segmenting the carpometacarpal (CMC) joint from CT images using random forest regression and statistical shape modeling. A training set of 50 manually segmented CMC joints was used to build a statistical shape model. Random forest regressors predicted landmark positions on an input mesh, which was then fitted to the predictions to segment new images. On a test set of 15 images, the pipeline achieved an average error of 1.95 mm compared to manual segmentation, reducing segmentation time by 99%. This automatic method shows promise for collecting large datasets of CMC joint morphology for statistical analysis and potential clinical use.
This document presents an adaptive Kalman filter for estimating human body orientation using micro-sensors. The filter uses quaternions to represent orientation to avoid singularities. It includes motion acceleration in the state vector to compensate for interference of body motion on gravity measurements. Additionally, it adapts the process noise covariance based on sensor signal variations to optimize performance under human motion. Experiments showed this algorithm had less error than existing methods and that including motion compensation and adaptive mechanisms improved accuracy of human motion capture.
Robotic systems are increasingly being used in orthopaedic surgery to improve accuracy and consistency when performing procedures like total hip replacements, unicompartmental knee replacements, and anterior lumbar interbody fusions. These systems can be autonomous, haptic/surgeon-guided, or passive, and preliminary results suggest robotic assistance may lead to short-term improvements in clinical and radiological outcomes compared to traditional techniques. The precision and accuracy afforded by robotic surgery is well-suited for operations on bones and may help achieve better long-term outcomes by more accurately placing implants and balancing tissues.
This document describes a study that aims to compare two methods of measuring muscle volume: MRI and ultrasound combined with 3D motion capture. Five female subjects participated in MRI scans and ultrasound imaging of their right triceps surae muscle while motion capture data was recorded. The study hopes to calculate muscle volumes from ultrasound images using a transformation matrix applied to outline points, and to show these volumes match those calculated from MRI images, validating ultrasound as an acceptable alternative method. The document outlines the data collection methods, which involved capturing ultrasound images and motion data at marked points on the leg. It also provides preliminary results and plans for ongoing MATLAB processing of the images to determine muscle volumes.
Introduction to Navigation - Robotic Total Knee Replacement Queen Mary Hospital
Computer-assisted surgery (CAS) uses computer technology to help guide surgical procedures and has evolved from early systems that located brain tumors to current navigation systems that provide real-time positional information of surgical tools to help surgeons accurately reach anatomical targets and optimally position implants while avoiding areas of risk. CAS systems can be passive with just navigation, semi-active assisting with guide tools but not surgery, or active performing pre-programmed surgical actions. Modern navigation relies on tracking reflective markers in real-time rather than external imaging to construct a 3D model of the patient's anatomy.
An automated 3D cup planning in total hip arthroplasty from a standard X‑ray ...AutoImPlan team
This document describes a method for automated 3D cup planning in total hip arthroplasty using only a standard X-ray radiograph as input. Boundaries are extracted from the X-ray and used to reconstruct the 3D pelvis shape via an atlas-based 2D-3D method. Cup diameter and position are then automatically determined. The method was tested on 6 cases, achieving pelvis reconstruction errors of 1.8mm on average and cup planning errors similar to using 3D CT images. The method shows potential for automated preoperative planning without needing 3D CT scans.
This document describes a workflow for validating marker-less tracking of cervical vertebrae motion using X-ray Reconstruction of Moving Morphology (XROMM) techniques. Key steps included: 1) segmenting cervical vertebrae from a CT scan to create 3D models; 2) collecting biplane fluoroscopy data of a cadaver cervical spine during motion; 3) applying distortion correction and calibration to relate biplane images to a 3D coordinate system; and 4) using image registration to track 3D vertebrae motion between models and dynamic scans. The goal was to establish and document an accurate non-invasive method for spinal biomechanics research using XROMM.
SøRen Toksvig Larsen. The Role Of Cas (Computer Assisted Surgery). Slide 1 39Struijs
The document discusses the role of computer assisted surgery (CAS) in orthopedics. It notes that CAS aims to improve implant longevity, reduce human error, and simplify surgical techniques. While CAS can increase accuracy, early systems were too troublesome with complex feedback and safety systems. The document examines studies on the benefits of CAS for total knee arthroplasty, finding it can reduce outliers but does not clearly provide better patient outcomes. Large sample sizes are still needed to detect small differences. Accuracy depends on multiple factors introducing errors. While CAS aims to benefit patients, early techniques also increased costs and surgery time. [/SUMMARY]
Computer-assisted orthopaedic surgery uses computer and robotic technologies to provide precision and accuracy to orthopaedic procedures. This includes pre-operative planning tools, intraoperative navigation equipment, smart tools, and remote surgery technologies. The key benefits of computer-assisted orthopaedics are improved geometric precision, reproducibility, and reduced radiation exposure compared to conventional surgery. Navigation systems precisely guide surgical tools using tracking systems and registration of pre-operative images.
This study evaluated replacing the lateral scapula (LS) projection with a modified trauma axial (MTA) projection in the routine radiographic examination of acute shoulder injuries. A retrospective analysis of 244 shoulder examinations found that an anteroposterior (AP) view paired with an MTA projection identified 33 more traumatic abnormalities than an AP view paired with an LS projection. The MTA projection more clearly showed injuries like Hill-Sachs lesions, glenoid fractures, and fractures of the greater tuberosity. Additionally, the MTA projection had a lower estimated radiation dose than the LS projection. Therefore, the study recommends that the routine acute shoulder examination should include only AP and MTA projections.
A Study on 3D Finite Element Analysis of Anterior Cruciate Ligament Behavior ...ijsrd.com
The present study deals with the force and stress distribution within the anteromedial (AM) and posterolateral (PL) bundles of the anterior cruciate ligament (ACL) in response to an anterior tibial load with the knee at full extension was calculated using a validated three dimensional finite element model (FEM) of a human ACL. The interaction between the AM and PL bundles, as well as the contact and friction caused by the ACL wrapping around the bone during knee motion, were included in the model. The AM and PL bundles of the ACL were simulated as incompressible homogeneous and isotropic hyperelastic materials. The validated FEM was then used to calculate the force and stress distribution within the ACL under an anterior tibial load at full extension. The AM and PL bundles shared the force, and the stress distribution was non-uniform within both bundles with the highest stress localized near the femoral insertion site. The contact and friction caused by the ACL wrapping around the bone during knee motion played the role of transferring the force from the ACL to the bone, and had a direct effect on the force and stress distribution of the ACL. This validated model will enable the analysis of force and stress distribution in the ACL in response to more complex loading conditions and has the potential to help design improved surgical procedures following ACL injuries.
Biomechanical Properties of the AnteroLateral Ligament (ALL) of the Knee comp...KHALIFA ELMAJRI
This document discusses a study comparing the biomechanical properties of the anterolateral ligament (ALL) and iliotibial tract (ITT) of the knee. Testing of ALL and ITT specimens harvested from cadavers found that the ITT is about 10 times more resistant and slightly more viscous than the ALL under 5% strain. The ITT is also about 6 times more resistant to large deformations and fails at lower strains and higher stresses compared to the ALL. The study helps address gaps in understanding the mechanical properties of these ligaments, but comparisons are limited by controversies around anatomical definitions and the effects of preservation methods.
Learn more: https://www.brainlab.com/surgery-products
Abstract
Introduction “Navigation in surgery” spans a broad area, which, depending on the clinical challenge, can have different meanings. Over the past decade, navigation in surgery has evolved beyond imaging modalities and bulky systems into the rich networking of the cloud or devices that are pocket-sized.
Discussion
This article will review various aspects of navigation in the operating room and beyond. This includes a short history of navigation, the evolution of surgical navigation, as well as technical aspects and clinical benefits with examples from neurosurgery, spinal surgery, and orthopedics.
Conclusion
With improved computer technology and a trend towards advanced information processing within hospitals, navigation is quickly becoming an integral part in the surgical routine of clinicians.
Excerpt:
Over the last three decades, technical advances have significantly changed the way we live. From computers to smartphones, from single purpose to multipurpose devices, technology has become an intrinsic part of our daily routine. Navigation in surgery is an important example of today’s technological capabilities being applied to medicine. It has emerged as one of the most reliable representatives of technology as it continues to transform surgical interventions into safer and less invasive procedures. In surgery, navigation has spurred technical progress, enabled more daring procedures, and unlocked new synergies. What was once a simple localization tool has evolved into a centerpiece of technology in the surgical theater.
“Navigation in surgery” spans a broad area, which, depending on the clinical challenge, may have various interpretations. The meaning of navigation in surgery is most accurately defined by the questions posed: “Where is my (anatomical) target?”, “How do I reach my target safely?”, “Where am I (anatomically)?”, or “Where and how shall I position my implant?”. Apart from these important anatomical orientation questions, surgical navigation is also used as a measurement tool and an information center for providing surgeons with the right information at the right time.
There are examples of technological advances in the medical field, whose benefit to the patient became immediately evident which were rapidly adopted and integrated into the clinical routine—without the need for proper randomized clinical trials. Examples range from the introduction of anesthesia to enable safer surgery and the introduction of microscopy enabling microsurgery. Surgical navigation and its wide range of benefits could be next.
Precision in spinal screw placement is important but misplacement rates using conventional techniques range from 5-41%. 3D fluoroscopic navigation systems like the O-Arm provide multi-planar imaging, decreased radiation exposure, and improved accuracy over 2D systems. Studies show pedicle screw misplacement rates decrease from 68.1% with conventional fluoroscopy to 84.3% with 2D navigation and 95.5% with 3D navigation. The O-Arm allows for immediate correction of malplaced screws.
This document discusses image guided surgery, which uses computer technology and 3D imaging like CT and MRI scans to guide surgical interventions. Key aspects covered include:
- Image guidance allows surgeons to view a patient's anatomy during surgery to locate structures hidden from direct vision.
- Registration aligns the 3D imaging with the patient's actual anatomy using tracking devices and fiducial markers.
- Volume rendering and surface rendering techniques are used to visualize 3D models of the patient's anatomy overlaid during surgery.
- Accuracy depends on factors like registration error and tracking device precision. Image guidance is useful for locating small structures in complex areas like the skull base.
This document describes a study that evaluated the accuracy of using computer-assisted virtual surgical planning and guides for reconstructing zygomatic bone defects with vascularized iliac crest bone grafts. CT scans of patients' faces and bone grafts were used to create 3D models and virtual surgical plans. Surgical guides were fabricated to transfer the plans intraoperatively. Postoperative CT scans found the mean difference in bone graft shape and position between actual and planned was 0.71mm and 3.53mm respectively, indicating good accuracy of the computer-assisted method.
I. Real-time MR-guided stent placement is now feasible in coronary arteries of pigs. The presented real-time MR imaging sequence allows for high-quality coronary MR fluoroscopy without cardiac motion artifacts.
II. Passive visualization of the guidewire and stent during the procedure is sufficient for real-time monitoring.
III. While MR guidance has advantages over x-ray for interventional cardiology like reduced radiation and better imaging, challenges remain from respiratory and cardiac motion artifacts and the small, tortuous anatomy of coronary arteries.
I. Real-time MRI-guided stent placement is now feasible in coronary arteries of pigs. The presented real-time MRI sequence allows for high-quality coronary imaging without motion artifacts.
II. Passive visualization of guidewires and stents through MRI is sufficient for real-time monitoring of the procedure.
III. While MRI could provide advantages over x-ray for interventional cardiology, challenges include motion artifacts from breathing and heartbeat as well as the small, tortuous anatomy of coronary arteries.
MedCross Imaging provides various radiology services including MRI, MRA, CT scans, ultrasound, and general radiology exams such as bone density tests and x-rays. MRI uses magnetism and radio waves to produce clear images while MRA images vascular anatomy without radiation. CT scans use x-rays and computers to generate detailed cross-sectional and 3D body views. Ultrasound uses high-frequency sound waves to see inside the body. Bone density exams and x-rays are also offered. More information is available on their website.
Additive Manufacturing and Testing of a Prosthetic Foot Ankle Jointijtsrd
Ankle replacement is a fairly new concept and is one of the popular treatments of ankle fractures and arthritis. This project focuses on modelling and 3D Printing of a prosthetic talocrural joint. The standard sizes of tibia which is the larger bone of lower leg and talus being lower part of the ankle joint, are observed and modeled accordingly by using CATIA with standard dimensions. The prototype is made with PLA plastic using an FDM Fused Deposition Modelling 3D printer. The analytical tests carried on ANSYS by applying human weight on the tibial surface and physical tests are conducted on Universal testing machine. The compression force is applied on the prototype and observed till failure. Results obtained are compared for static position of the foot, of both analytical and physical outcomes. Yogesh Avula | Adi Seshan Mula | Vishal Onnala | Kartheek Merugu ""Additive Manufacturing and Testing of a Prosthetic Foot Ankle Joint"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23216.pdf
Paper URL: https://www.ijtsrd.com/engineering/bio-mechanicaland-biomedical-engineering/23216/additive-manufacturing-and-testing-of-a-prosthetic-foot-ankle-joint/yogesh-avula
This study aimed to image atherosclerotic plaques in the aortas of Apo E deficient mice using MRI. To visualize the aorta, contrast agent was injected into mice both while inside and outside of the MRI scanner. Respiratory gating was used to reduce motion artifacts from breathing by intubating mice and providing ventilation. Initial scans showed the aorta but more optimization is needed, such as decreasing the dose of iron contrast agent used and adding ECG gating to address motion from the heart. Future plans include further refining the MRI protocol and beginning a similar study in rabbits.
Arciero Laprade knee ligament study Ortiz 2016 (1)Gabriel Ortiz
This study compared the Arciero and LaPrade techniques for reconstructing the posterolateral corner of the knee through biomechanical testing on 10 cadaver specimens. The specimens underwent mechanical testing to measure varus angulation and external rotation at different degrees of flexion before and after reconstructing the posterolateral corner with either the Arciero or LaPrade technique. Statistical analysis found no significant differences between the techniques in restoring knee stability following reconstruction of an isolated posterolateral corner injury or combined posterolateral corner and tibiofibular injury. Therefore, the study concludes that surgeons can select either technique without concern for varying surgical outcomes.
IRJET - A Review on Segmentation of Chest RadiographsIRJET Journal
This document reviews and compares various techniques for segmenting anatomical structures from chest radiographs. It begins with an introduction to image segmentation and its importance in medical imaging. It then describes 12 different segmentation methods that have been used for segmenting lungs and other structures from chest radiographs, including active shape models, active appearance models, pixel classification, visual saliency, convolutional neural networks, and others. For each method, it provides details on the algorithm and compares their performance based on accuracy, sensitivity and specificity. In conclusion, it discusses some of the challenges of medical image segmentation and suggests that hybrid approaches combining multiple techniques may be most effective.
FUZZY CLUSTERING BASED SEGMENTATION OF VERTEBRAE IN T1-WEIGHTED SPINAL MR IMA...Wireilla
The document summarizes a study that developed an automated method for segmenting vertebrae from T1-weighted spinal MRI images using fuzzy c-means clustering. The method first performs anisotropic diffusion filtering for pre-processing. It then applies fuzzy c-means clustering to segment the vertebrae. Various morphological operations are used as post-processing to extract and label the individual vertebrae. The method is compared to Otsu thresholding and K-means clustering. Validation using the Dice coefficient and Hausdorff distance measures showed the fuzzy clustering method provided more accurate segmentation of the vertebrae from the MR images.
This document describes a workflow for validating marker-less tracking of cervical vertebrae motion using X-ray Reconstruction of Moving Morphology (XROMM) techniques. Key steps included: 1) segmenting cervical vertebrae from a CT scan to create 3D models; 2) collecting biplane fluoroscopy data of a cadaver cervical spine during motion; 3) applying distortion correction and calibration to relate biplane images to a 3D coordinate system; and 4) using image registration to track 3D vertebrae motion between models and dynamic scans. The goal was to establish and document an accurate non-invasive method for spinal biomechanics research using XROMM.
SøRen Toksvig Larsen. The Role Of Cas (Computer Assisted Surgery). Slide 1 39Struijs
The document discusses the role of computer assisted surgery (CAS) in orthopedics. It notes that CAS aims to improve implant longevity, reduce human error, and simplify surgical techniques. While CAS can increase accuracy, early systems were too troublesome with complex feedback and safety systems. The document examines studies on the benefits of CAS for total knee arthroplasty, finding it can reduce outliers but does not clearly provide better patient outcomes. Large sample sizes are still needed to detect small differences. Accuracy depends on multiple factors introducing errors. While CAS aims to benefit patients, early techniques also increased costs and surgery time. [/SUMMARY]
Computer-assisted orthopaedic surgery uses computer and robotic technologies to provide precision and accuracy to orthopaedic procedures. This includes pre-operative planning tools, intraoperative navigation equipment, smart tools, and remote surgery technologies. The key benefits of computer-assisted orthopaedics are improved geometric precision, reproducibility, and reduced radiation exposure compared to conventional surgery. Navigation systems precisely guide surgical tools using tracking systems and registration of pre-operative images.
This study evaluated replacing the lateral scapula (LS) projection with a modified trauma axial (MTA) projection in the routine radiographic examination of acute shoulder injuries. A retrospective analysis of 244 shoulder examinations found that an anteroposterior (AP) view paired with an MTA projection identified 33 more traumatic abnormalities than an AP view paired with an LS projection. The MTA projection more clearly showed injuries like Hill-Sachs lesions, glenoid fractures, and fractures of the greater tuberosity. Additionally, the MTA projection had a lower estimated radiation dose than the LS projection. Therefore, the study recommends that the routine acute shoulder examination should include only AP and MTA projections.
A Study on 3D Finite Element Analysis of Anterior Cruciate Ligament Behavior ...ijsrd.com
The present study deals with the force and stress distribution within the anteromedial (AM) and posterolateral (PL) bundles of the anterior cruciate ligament (ACL) in response to an anterior tibial load with the knee at full extension was calculated using a validated three dimensional finite element model (FEM) of a human ACL. The interaction between the AM and PL bundles, as well as the contact and friction caused by the ACL wrapping around the bone during knee motion, were included in the model. The AM and PL bundles of the ACL were simulated as incompressible homogeneous and isotropic hyperelastic materials. The validated FEM was then used to calculate the force and stress distribution within the ACL under an anterior tibial load at full extension. The AM and PL bundles shared the force, and the stress distribution was non-uniform within both bundles with the highest stress localized near the femoral insertion site. The contact and friction caused by the ACL wrapping around the bone during knee motion played the role of transferring the force from the ACL to the bone, and had a direct effect on the force and stress distribution of the ACL. This validated model will enable the analysis of force and stress distribution in the ACL in response to more complex loading conditions and has the potential to help design improved surgical procedures following ACL injuries.
Biomechanical Properties of the AnteroLateral Ligament (ALL) of the Knee comp...KHALIFA ELMAJRI
This document discusses a study comparing the biomechanical properties of the anterolateral ligament (ALL) and iliotibial tract (ITT) of the knee. Testing of ALL and ITT specimens harvested from cadavers found that the ITT is about 10 times more resistant and slightly more viscous than the ALL under 5% strain. The ITT is also about 6 times more resistant to large deformations and fails at lower strains and higher stresses compared to the ALL. The study helps address gaps in understanding the mechanical properties of these ligaments, but comparisons are limited by controversies around anatomical definitions and the effects of preservation methods.
Learn more: https://www.brainlab.com/surgery-products
Abstract
Introduction “Navigation in surgery” spans a broad area, which, depending on the clinical challenge, can have different meanings. Over the past decade, navigation in surgery has evolved beyond imaging modalities and bulky systems into the rich networking of the cloud or devices that are pocket-sized.
Discussion
This article will review various aspects of navigation in the operating room and beyond. This includes a short history of navigation, the evolution of surgical navigation, as well as technical aspects and clinical benefits with examples from neurosurgery, spinal surgery, and orthopedics.
Conclusion
With improved computer technology and a trend towards advanced information processing within hospitals, navigation is quickly becoming an integral part in the surgical routine of clinicians.
Excerpt:
Over the last three decades, technical advances have significantly changed the way we live. From computers to smartphones, from single purpose to multipurpose devices, technology has become an intrinsic part of our daily routine. Navigation in surgery is an important example of today’s technological capabilities being applied to medicine. It has emerged as one of the most reliable representatives of technology as it continues to transform surgical interventions into safer and less invasive procedures. In surgery, navigation has spurred technical progress, enabled more daring procedures, and unlocked new synergies. What was once a simple localization tool has evolved into a centerpiece of technology in the surgical theater.
“Navigation in surgery” spans a broad area, which, depending on the clinical challenge, may have various interpretations. The meaning of navigation in surgery is most accurately defined by the questions posed: “Where is my (anatomical) target?”, “How do I reach my target safely?”, “Where am I (anatomically)?”, or “Where and how shall I position my implant?”. Apart from these important anatomical orientation questions, surgical navigation is also used as a measurement tool and an information center for providing surgeons with the right information at the right time.
There are examples of technological advances in the medical field, whose benefit to the patient became immediately evident which were rapidly adopted and integrated into the clinical routine—without the need for proper randomized clinical trials. Examples range from the introduction of anesthesia to enable safer surgery and the introduction of microscopy enabling microsurgery. Surgical navigation and its wide range of benefits could be next.
Precision in spinal screw placement is important but misplacement rates using conventional techniques range from 5-41%. 3D fluoroscopic navigation systems like the O-Arm provide multi-planar imaging, decreased radiation exposure, and improved accuracy over 2D systems. Studies show pedicle screw misplacement rates decrease from 68.1% with conventional fluoroscopy to 84.3% with 2D navigation and 95.5% with 3D navigation. The O-Arm allows for immediate correction of malplaced screws.
This document discusses image guided surgery, which uses computer technology and 3D imaging like CT and MRI scans to guide surgical interventions. Key aspects covered include:
- Image guidance allows surgeons to view a patient's anatomy during surgery to locate structures hidden from direct vision.
- Registration aligns the 3D imaging with the patient's actual anatomy using tracking devices and fiducial markers.
- Volume rendering and surface rendering techniques are used to visualize 3D models of the patient's anatomy overlaid during surgery.
- Accuracy depends on factors like registration error and tracking device precision. Image guidance is useful for locating small structures in complex areas like the skull base.
This document describes a study that evaluated the accuracy of using computer-assisted virtual surgical planning and guides for reconstructing zygomatic bone defects with vascularized iliac crest bone grafts. CT scans of patients' faces and bone grafts were used to create 3D models and virtual surgical plans. Surgical guides were fabricated to transfer the plans intraoperatively. Postoperative CT scans found the mean difference in bone graft shape and position between actual and planned was 0.71mm and 3.53mm respectively, indicating good accuracy of the computer-assisted method.
I. Real-time MR-guided stent placement is now feasible in coronary arteries of pigs. The presented real-time MR imaging sequence allows for high-quality coronary MR fluoroscopy without cardiac motion artifacts.
II. Passive visualization of the guidewire and stent during the procedure is sufficient for real-time monitoring.
III. While MR guidance has advantages over x-ray for interventional cardiology like reduced radiation and better imaging, challenges remain from respiratory and cardiac motion artifacts and the small, tortuous anatomy of coronary arteries.
I. Real-time MRI-guided stent placement is now feasible in coronary arteries of pigs. The presented real-time MRI sequence allows for high-quality coronary imaging without motion artifacts.
II. Passive visualization of guidewires and stents through MRI is sufficient for real-time monitoring of the procedure.
III. While MRI could provide advantages over x-ray for interventional cardiology, challenges include motion artifacts from breathing and heartbeat as well as the small, tortuous anatomy of coronary arteries.
MedCross Imaging provides various radiology services including MRI, MRA, CT scans, ultrasound, and general radiology exams such as bone density tests and x-rays. MRI uses magnetism and radio waves to produce clear images while MRA images vascular anatomy without radiation. CT scans use x-rays and computers to generate detailed cross-sectional and 3D body views. Ultrasound uses high-frequency sound waves to see inside the body. Bone density exams and x-rays are also offered. More information is available on their website.
Additive Manufacturing and Testing of a Prosthetic Foot Ankle Jointijtsrd
Ankle replacement is a fairly new concept and is one of the popular treatments of ankle fractures and arthritis. This project focuses on modelling and 3D Printing of a prosthetic talocrural joint. The standard sizes of tibia which is the larger bone of lower leg and talus being lower part of the ankle joint, are observed and modeled accordingly by using CATIA with standard dimensions. The prototype is made with PLA plastic using an FDM Fused Deposition Modelling 3D printer. The analytical tests carried on ANSYS by applying human weight on the tibial surface and physical tests are conducted on Universal testing machine. The compression force is applied on the prototype and observed till failure. Results obtained are compared for static position of the foot, of both analytical and physical outcomes. Yogesh Avula | Adi Seshan Mula | Vishal Onnala | Kartheek Merugu ""Additive Manufacturing and Testing of a Prosthetic Foot Ankle Joint"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23216.pdf
Paper URL: https://www.ijtsrd.com/engineering/bio-mechanicaland-biomedical-engineering/23216/additive-manufacturing-and-testing-of-a-prosthetic-foot-ankle-joint/yogesh-avula
This study aimed to image atherosclerotic plaques in the aortas of Apo E deficient mice using MRI. To visualize the aorta, contrast agent was injected into mice both while inside and outside of the MRI scanner. Respiratory gating was used to reduce motion artifacts from breathing by intubating mice and providing ventilation. Initial scans showed the aorta but more optimization is needed, such as decreasing the dose of iron contrast agent used and adding ECG gating to address motion from the heart. Future plans include further refining the MRI protocol and beginning a similar study in rabbits.
Arciero Laprade knee ligament study Ortiz 2016 (1)Gabriel Ortiz
This study compared the Arciero and LaPrade techniques for reconstructing the posterolateral corner of the knee through biomechanical testing on 10 cadaver specimens. The specimens underwent mechanical testing to measure varus angulation and external rotation at different degrees of flexion before and after reconstructing the posterolateral corner with either the Arciero or LaPrade technique. Statistical analysis found no significant differences between the techniques in restoring knee stability following reconstruction of an isolated posterolateral corner injury or combined posterolateral corner and tibiofibular injury. Therefore, the study concludes that surgeons can select either technique without concern for varying surgical outcomes.
IRJET - A Review on Segmentation of Chest RadiographsIRJET Journal
This document reviews and compares various techniques for segmenting anatomical structures from chest radiographs. It begins with an introduction to image segmentation and its importance in medical imaging. It then describes 12 different segmentation methods that have been used for segmenting lungs and other structures from chest radiographs, including active shape models, active appearance models, pixel classification, visual saliency, convolutional neural networks, and others. For each method, it provides details on the algorithm and compares their performance based on accuracy, sensitivity and specificity. In conclusion, it discusses some of the challenges of medical image segmentation and suggests that hybrid approaches combining multiple techniques may be most effective.
FUZZY CLUSTERING BASED SEGMENTATION OF VERTEBRAE IN T1-WEIGHTED SPINAL MR IMA...Wireilla
The document summarizes a study that developed an automated method for segmenting vertebrae from T1-weighted spinal MRI images using fuzzy c-means clustering. The method first performs anisotropic diffusion filtering for pre-processing. It then applies fuzzy c-means clustering to segment the vertebrae. Various morphological operations are used as post-processing to extract and label the individual vertebrae. The method is compared to Otsu thresholding and K-means clustering. Validation using the Dice coefficient and Hausdorff distance measures showed the fuzzy clustering method provided more accurate segmentation of the vertebrae from the MR images.
Fuzzy Clustering Based Segmentation of Vertebrae in T1-Weighted Spinal MR Imagesijfls
The document summarizes a study that developed an automated method for segmenting vertebrae from T1-weighted spinal MRI images using fuzzy c-means clustering. The method first performs anisotropic diffusion filtering for pre-processing. It then applies fuzzy c-means clustering to segment the vertebrae. Various morphological operations are used as post-processing to extract and label the individual vertebrae. The method is compared to Otsu thresholding and K-means clustering. Validation using the Dice coefficient and Hausdorff distance measures showed the fuzzy clustering method provided more accurate segmentation of the vertebrae from the MR images.
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International Journal of Computational Engineering Research (IJCER) is dedicated to protecting personal information and will make every reasonable effort to handle collected information appropriately. All information collected, as well as related requests, will be handled as carefully and efficiently as possible in accordance with IJCER standards for integrity and objectivity
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The journal publishes original works with practical significance and academic value. Authors are invited to submit theoretical or empirical papers in all aspects of management, including strategy, human resources, marketing, operations, technology, information systems, finance and accounting, business economics, and public sector management. IJMRR is an international forum for research that advances the theory and practice of management. All papers submitted to IJMRR are subject to a double-blind peer review process.
Estimation of Walking rate in Complex activity recognitionEditor IJCATR
This document summarizes a study that investigated using a flexible conductive polymer sensor embedded in leggings to monitor knee movement and activity recognition. The sensor was connected to a wireless sensing node to collect data. Twelve subjects performed walking, running, and stair activities while wearing the smart leggings. Test-retest reliability of the sensor output range showed good to excellent reliability. Discrimination of activities was achieved using total power and median frequency features from the sensor signal, demonstrating over 90% accuracy. The system shows potential for assessing knee function during daily activities.
This study examined the relationship between cycling economy, measured as oxygen consumption (VO2), and simultaneous measurements of 3D kinematics and electromyography in trained cyclists. A multiple regression analysis showed that peak knee extension velocity and mean activity of the rectus femoris muscle were significant predictors of VO2 during steady state cycling. This was the first study to relate cycling economy to 3D kinematic and electromyography measurements, providing insight into optimizing biomechanical parameters to improve cycling performance.
3d ultrasound-guided-robotic-needle-steering-in-biological-tissueieeepondy
3d ultrasound-guided-robotic-needle-steering-in-biological-tissue
Contact:+91-9994232214,8144199666
Email:ieeeprojectchennai@gmail.com
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3 d ultrasound guided robotic needle steering in biological tissueieeepondy
Robotic needle steering systems have the potential to improve medical interventions but require new methods for medical image guidance. The document proposes using 3D ultrasound with a vibrating steerable needle visible in Doppler images to provide real-time feedback for needle steering robots. Experiments show the needle can be segmented from the Doppler data to within 1-2mm accuracy. A robotic needle steering system using this imaging and control achieved an average targeting error of 1.57mm in tests steering a needle in ex vivo bovine liver tissue.
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Automatic fascicle length estimation on muscle ultrasound images with an orientation sensitive segmentation
1. AUTOMATIC FASCICLE LENGTH ESTIMATION ON MUSCLE ULTRASOUND
IMAGES WITH AN ORIENTATION-SENSITIVE SEGMENTATION
ABSTRACT
Goal:Fascicle length obtained by ultrasoundimaging is one of the crucial muscle
architecture parameters forunderstanding the contraction mechanics and pathologicalconditions
of muscles. However, the lack of a reliable automaticmeasurement method restricts the
application of fascicle lengthfor the analysis of muscle function, as frame-by-frame
manualmeasurement is time-consuming. In this study, we propose anautomatic measurement
method to preclude the influence ofnon-fascicle components on the estimation of fascicle length
byusing motion estimation of fascicle structures.
Methods:Themethod starts with image segmentation using the cohesiveness offascicle
orientation as a feature, obtaining the fascicle change bytracking manually marked points on the
fascicular path with the Lucas–Kanade optical flow algorithm applied on the segmentedimage.
Results:The performance of this method was evaluated onultrasound images of the
gastronomies obtained from 7 healthysubjects (34.4 ± 5.0 years). Waveform similarity between
themanual and dynamic measurements was assessed by calculatingthe overall similarity with the
coefficient of multiple correlations(CMC). In vivo experiments demonstrated that fascicle
trackingwith the orientation-sensitive segmentation (CMC = 0.97 ± 0.01)was more consistent
with the manual measurements than existingautomatic methods (CMC = 0.87 ± 0.10).
Conclusion:Our methodwas robust to the interference of non-fascicle
components,resulting in a more reliable measurement of fascicle length.
Significance:The proposed method may facilitate furtherresearch and applications related
to real-time architecturalchange of muscles.