A Comparison of Imaging Outcomes From 2 Weightbearing CT Modalities.

Background: The use of weightbearing images to diagnose foot and ankle injuries continues to offer hope for improved insight into pathologies, but weightbearing CT imaging has been limited by availability. The ability to apply force to the lower limb in a horizontal bore CT system may offer an adapt...

Descripción completa

Detalles Bibliográficos
Publicado en:Foot & Ankle International Vol. 44; no. 11; pp. 1174 - 1181
Autores principales: Smolinski, Michael P., Amadio, Joeseph, Prisk, Victor, Conti, Stephen F., Miller, Mark Carl
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. Nov2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173760908&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 173760908
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10711007
        DBG
      jtl: Foot & Ankle International
      issn: 10711007
      maglogo: Y
    pubinfo:
      dt: Nov2023
      vid: 44
      iid: 11
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
    artinfo:
      ui:
        173760908
        172388470
        173760908
        173760908
        10.1177/10711007231198230
        173760908
      ppf: 1174
      ppct: 7
      formats:
      tig:
        atl: A Comparison of Imaging Outcomes From 2 Weightbearing CT Modalities.
      aug:
        au:
          Smolinski, Michael P.
          Amadio, Joeseph
          Prisk, Victor
          Conti, Stephen F.
          Miller, Mark Carl
        affil: University of Pittsburgh, Pittsburgh, PA, USA
      sug:
        subj:
          Weight-Bearing Methods
          Tomography, X-Ray Computed Methods
          Imaging, Three-Dimensional Methods
          Lower Extremity Radiography
          Ankle Injuries Radiography
          Foot Injuries Radiography
          Biomechanics
          Adaptation, Physiological
          Musculoskeletal System Radiography
          Posture Physiology
          Human
          Male
          Female
          Adult
          Middle Age
          Comparative Studies
          Equipment Design
          Clinical Reasoning
          Ankle Injuries
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: The use of weightbearing images to diagnose foot and ankle injuries continues to offer hope for improved insight into pathologies, but weightbearing CT imaging has been limited by availability. The ability to apply force to the lower limb in a horizontal bore CT system may offer an adaptation to currently available imaging systems that provides access to weightbearing images without the acquisition of additional expensive imaging space or equipment. Methods: In order to determine whether a horizontal CT system could produce the same results as a standing CT, 3 images of one foot from 10 subjects was obtained and standard measures were calculated. Each subject underwent a standing CT scan, a scan in a horizontal bore CT machine while the subject pressed against a pedal with spring resistance and a finally a scan with the foot placed on the pedal but without any pressure. Results: No statistically significant difference between the standing and pedal-based CTs resulted. Navicular height and Meary angle (axial) were statistically different from nonweightbearing for both standing and horizontal systems. The horizontal results were statistically different from nonweightbearing in IM angle, talocalcaneal angle, and talonavicular coverage. No differences from nonweightbearing were found for either system in talar tilt, talocrural angle, or the lateral Meary angle. Conclusion: The results in this initial study of normal control subjects suggest that a pedal-based loading mechanism may adapt a horizontal-bore CT system for the acquisition of weightbearing images. Clinical Relevance: The ability to acquire a weightbearing CT from a horizontal bore CT machine can make these images more available.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N