Assessing the Accuracy Factors in the Determination of Postoperative Acetabular Cup Orientation Using Hybrid 2D-3D Registration.

Single standard anteroposterior radiograph-based methods for measuring cup orientation following total hip arthroplasty (THA) are subject to substantial errors if the individual pelvic orientation with respect to X-ray plate is not taken into consideration. Previously, we proposed to use a hybrid 2D...

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Publicado en:Journal of Digital Imaging Vol. 23; no. 6; pp. 769 - 780
Autor principal: Zheng G
Formato: diagnostic images equations & formulas pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2010
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-009-9226-4
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        atl: Assessing the Accuracy Factors in the Determination of Postoperative Acetabular Cup Orientation Using Hybrid 2D-3D Registration.
      aug:
        au: Zheng G
        affil: ARTORG Research Center-ISTB, University of Bern, Stauffacherstrasse 78 CH-3014 Bern Switzerland; guoyan.zheng@ieee.org
      sug:
        subj:
          Hip Joint Radiography
          Acetabulum Radiography
          Radiographic Image Enhancement Methods
          X-Rays
          Tomography, X-Ray Computed
          Human
          Postoperative Care
          Validation Studies
          Cadaver
          Data Analysis Software
          P-Value
          Paired T-Tests
          Two-Tailed Test
      ab: Single standard anteroposterior radiograph-based methods for measuring cup orientation following total hip arthroplasty (THA) are subject to substantial errors if the individual pelvic orientation with respect to X-ray plate is not taken into consideration. Previously, we proposed to use a hybrid 2D-3D registration scheme to determine the postoperative acetabular cup orientation and developed an object-oriented cross-program called 'HipMatch.' However, its accuracy and robustness have not been fully investigated. To assess the potential factors that may affect the accuracy and robustness of the hybrid 2D-3D registration scheme in determining the postoperative acetabular cup orientation, a comprehensive validation study using a cadaver pelvis was performed. Nine X-ray radiographs taken from different pelvic positions relative to the X-ray plate and two computed tomography volumes of the pelvis with one acquired before the cup implantation and the other acquired after the cup implantation were used in the validation study. Potential factors that may affect the accuracy and robustness of the hybrid 2D-3D registration scheme were experimentally determined. Our experimental results demonstrate that (1) the plain radiograph-based method is not accurate; (2) the hybrid 2D-3D registration scheme helps to improve the estimation accuracy; (3) the hybrid 2D-3D registration scheme can robustly and accurately estimate the cup orientation even when a big portion of the radiograph is occluded; and (4) image resolution has minor effect on the estimation accuracy. The hybrid 2D-3D registration scheme is an accurate and robust method to measure exact cup orientation in THA. It holds the promise to be a valuable tool for clinical routine usage for providing evidence-based information.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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