Evaluation of Software-Based Metal Artifact Reduction in Intraoperative 3D Imaging of the Spine Using a Mobile Cone Beam CT.

The aim of our study was to evaluate whether software-based artifact reduction can achieve an improved image quality, using intraoperative 3D imaging in spinal surgery. A total of 49 intraoperative 3D image datasets of patients, who underwent surgery with pedicle screw placement, were retrospectivel...

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Publicado en:Journal of Digital Imaging Vol. 33; no. 5; pp. 1136 - 1144
Autores principales: Privalov, Maxim, Mohr, Marcus, Swartman, Benedict, Beisemann, Nils, Keil, Holger, Franke, Jochen, Grützner, Paul Alfred, Vetter, Sven Yves
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2020
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-020-00324-2
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        atl: Evaluation of Software-Based Metal Artifact Reduction in Intraoperative 3D Imaging of the Spine Using a Mobile Cone Beam CT.
      aug:
        au:
          Privalov, Maxim
          Mohr, Marcus
          Swartman, Benedict
          Beisemann, Nils
          Keil, Holger
          Franke, Jochen
          Grützner, Paul Alfred
          Vetter, Sven Yves
        affil: Medical Imaging and Navigation in Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany
      sug:
        subj:
          Imaging, Three-Dimensional
          Software
          Spine Radiography
          Intraoperative Period
          Artifacts
          Metals
          Tomography, X-Ray Computed Methods
          Spine Surgery
          Human
          Spine Anatomy and Histology
          Pedicle Screws
          Retrospective Design
          Image Processing, Computer Assisted
      ab: The aim of our study was to evaluate whether software-based artifact reduction can achieve an improved image quality, using intraoperative 3D imaging in spinal surgery. A total of 49 intraoperative 3D image datasets of patients, who underwent surgery with pedicle screw placement, were retrospectively evaluated. The visibility of anatomical structures and the diameter of the pedicle screws were examined, with and without the application of the artifact reduction software. All software prototypes can improve the visibility of anatomical structures (P < 0.01), except MAR (metal artifact reduction) combined with IRIS (iterative reconstruction in image space) (P = 0.04). The algorithms MAR and MAR-2 can reduce the blooming artifacts significantly (P < 0.01), but SL (Shepp & Logan) cannot (P = 0.08–0.988). In summary, software-based artifact reduction for intraoperative 3D datasets can improve the current image quality. Additional information regarding the implant placement and the fracture reduction is therefore generated for the surgeon.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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