A Novel Quantitative Evaluation of Bone Formation After Opening Wedge High Tibial Osteotomy Using Tomosynthesis.

This study aimed to establish and validate a novel evaluation method using digital tomosynthesis to quantify bone formation in the gap after opening wedge high tibial osteotomy (OW-HTO). We retrospectively analyzed bone formation in the gap in 22 patients who underwent OW-HTO using digital tomosynth...

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Publicado en:Journal of Digital Imaging Vol. 35; no. 5; pp. 1373 - 1382
Autores principales: Ishibashi, Kyota, Sasaki, Eiji, Wijaya, Edward, Yamauchi, Shohei, Sasaki, Shizuka, Kimura, Yuka, Yamamoto, Yuji, Shimbo, Takashi, Tamai, Katsuto, Ishibashi, Yasuyuki
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
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      pub: Springer Nature
      place: New York, New York
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        atl: A Novel Quantitative Evaluation of Bone Formation After Opening Wedge High Tibial Osteotomy Using Tomosynthesis.
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          Ishibashi, Kyota
          Sasaki, Eiji
          Wijaya, Edward
          Yamauchi, Shohei
          Sasaki, Shizuka
          Kimura, Yuka
          Yamamoto, Yuji
          Shimbo, Takashi
          Tamai, Katsuto
          Ishibashi, Yasuyuki
        affil: Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan
      sug:
        subj:
          Tibia Surgery
          Osteotomy Methods
          Osteogenesis Evaluation
          Tibia Radiography
          Human
          Retrospective Design
          Postoperative Period
          Bone Density Evaluation
          Intraclass Correlation Coefficient
          Intrarater Reliability
          Interrater Reliability
          Digital Technology
          Male
          Female
          Middle Age
          Aged
          Japan
          Quantitative Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: This study aimed to establish and validate a novel evaluation method using digital tomosynthesis to quantify bone formation in the gap after opening wedge high tibial osteotomy (OW-HTO). We retrospectively analyzed bone formation in the gap in 22 patients who underwent OW-HTO using digital tomosynthesis at 1, 2, 3, 6, 9, and 12 months postoperatively. Bone formation was semi-quantitatively assessed using the modified van Hemert's score and density measurements on digital tomosynthesis images. The gap filling value (GFV) was calculated as the ratio of the intensities of the opening gap and the tibial shaft. In addition, the relationship between the modified van Hemert's score and GFV was evaluated. The reproducibility of GFV had an interclass correlation coefficient (ICC [1,2]) of 0.958 for intraobserver reliability and an ICC (2,1) of 0.975 for interobserver reliability. The GFV increased in a time-dependent manner and was moderately correlated with the modified van Hemert's score (r = 0.630, p < 0.001). The GFV plateaued at 6 months postoperatively. In addition, the GFV was higher in patients with a modified van Hemert's score of 2 than in patients with a modified van Hemert's score of 3 (p = 0.008). The GFVs obtained using digital tomosynthesis can be used to assess postoperative bone formation in the opening gap after OW-HTO with high accuracy and reproducibility.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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