1,759 research outputs found
Recent trends, technical concepts and components of computer-assisted orthopedic surgery systems: A comprehensive review
Computer-assisted orthopedic surgery (CAOS) systems have become one of the most important and challenging types of system in clinical orthopedics, as they enable precise treatment of musculoskeletal diseases, employing modern clinical navigation systems and surgical tools. This paper brings a comprehensive review of recent trends and possibilities of CAOS systems. There are three types of the surgical planning systems, including: systems based on the volumetric images (computer tomography (CT), magnetic resonance imaging (MRI) or ultrasound images), further systems utilize either 2D or 3D fluoroscopic images, and the last one utilizes the kinetic information about the joints and morphological information about the target bones. This complex review is focused on three fundamental aspects of CAOS systems: their essential components, types of CAOS systems, and mechanical tools used in CAOS systems. In this review, we also outline the possibilities for using ultrasound computer-assisted orthopedic surgery (UCAOS) systems as an alternative to conventionally used CAOS systems.Web of Science1923art. no. 519
Computer-aided position planning of miniplates to treat facial bone defects
In this contribution, a software system for computer-aided position planning
of miniplates to treat facial bone defects is proposed. The intra-operatively
used bone plates have to be passively adapted on the underlying bone contours
for adequate bone fragment stabilization. However, this procedure can lead to
frequent intra-operatively performed material readjustments especially in
complex surgical cases. Our approach is able to fit a selection of common
implant models on the surgeon's desired position in a 3D computer model. This
happens with respect to the surrounding anatomical structures, always including
the possibility of adjusting both the direction and the position of the used
osteosynthesis material. By using the proposed software, surgeons are able to
pre-plan the out coming implant in its form and morphology with the aid of a
computer-visualized model within a few minutes. Further, the resulting model
can be stored in STL file format, the commonly used format for 3D printing.
Using this technology, surgeons are able to print the virtual generated
implant, or create an individually designed bending tool. This method leads to
adapted osteosynthesis materials according to the surrounding anatomy and
requires further a minimum amount of money and time.Comment: 19 pages, 13 Figures, 2 Table
Precise Proximal Femur Fracture Classification for Interactive Training and Surgical Planning
We demonstrate the feasibility of a fully automatic computer-aided diagnosis
(CAD) tool, based on deep learning, that localizes and classifies proximal
femur fractures on X-ray images according to the AO classification. The
proposed framework aims to improve patient treatment planning and provide
support for the training of trauma surgeon residents. A database of 1347
clinical radiographic studies was collected. Radiologists and trauma surgeons
annotated all fractures with bounding boxes, and provided a classification
according to the AO standard. The proposed CAD tool for the classification of
radiographs into types "A", "B" and "not-fractured", reaches a F1-score of 87%
and AUC of 0.95, when classifying fractures versus not-fractured cases it
improves up to 94% and 0.98. Prior localization of the fracture results in an
improvement with respect to full image classification. 100% of the predicted
centers of the region of interest are contained in the manually provided
bounding boxes. The system retrieves on average 9 relevant images (from the
same class) out of 10 cases. Our CAD scheme localizes, detects and further
classifies proximal femur fractures achieving results comparable to
expert-level and state-of-the-art performance. Our auxiliary localization model
was highly accurate predicting the region of interest in the radiograph. We
further investigated several strategies of verification for its adoption into
the daily clinical routine. A sensitivity analysis of the size of the ROI and
image retrieval as a clinical use case were presented.Comment: Accepted at IPCAI 2020 and IJCAR
Computer-aided detection in musculoskeletal projection radiography: A systematic review
This is the author accepted manuscript. The final version is available from WB Saunders via the DOI in this record.Objectives
To investigated the accuracy of computer-aided detection (CAD) software in musculoskeletal projection radiography via a systematic review.
Key findings
Following selection screening, eligible studies were assessed for bias, and had their study characteristics extracted resulting in 22 studies being included. Of these 22 three studies had tested their CAD software in a clinical setting; the first study investigated vertebral fractures, reporting a sensitivity score of 69.3% with CAD, compared to 59.8% sensitivity without CAD. The second study tested dental caries diagnosis producing a sensitivity score of 68.8% and specificity of 94.1% with CAD, compared to sensitivity of 39.3% and specificity of 96.7% without CAD. The third indicated osteoporotic cases based on CAD, resulting in 100% sensitivity and 81.3% specificity.
Conclusion
The current evidence reported shows a lack of development into the clinical testing phase; however the research does show future promise in the variation of different CAD systems
Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): Guidelines for medical 3D printing and appropriateness for clinical scenarios
Este número da revista Cadernos de Estudos Sociais estava em organização quando fomos colhidos pela morte do sociólogo Ernesto Laclau. Seu falecimento em 13 de abril de 2014 surpreendeu a todos, e particularmente ao editor Joanildo Burity, que foi seu orientando de doutorado na University of Essex, Inglaterra, e que recentemente o trouxe à Fundação Joaquim Nabuco para uma palestra, permitindo que muitos pudessem dialogar com um dos grandes intelectuais latinoamericanos contemporâneos. Assim, buscamos fazer uma homenagem ao sociólogo argentino publicando uma entrevista inédita concedida durante a sua passagem pelo Recife, em 2013, encerrando essa revista com uma sessão especial sobre a sua trajetória
Automated Analysis of Orthopaedic X-ray Images based on Digital-Geometric Techniques
This thesis reports several methods for automated analysis and interpretation of bone X-ray images. Automatic segmentation of the bone part in a digital X-ray image is a challenging problem because of its low contrast against the surrounding flesh. In this thesis, we propose a fully automated X-ray image segmentation technique, which is based on a variant of entropy measure of the image. We have also analyzed the geometric information embedded in the long-bone contour image to identify the presence of abnormalities in the bone and perform fracture detection, fracture classification, and bone cancer diagnosis
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