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International Journal of Computer Assisted Radiology and Surgery

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Open Access 01-12-2017 | Short Communication

An exploratory study into measuring the cortical bone thickness from CT in the presence of metal implants

Authors: Tristan Whitmarsh, Graham M. Treece, Andrew H. Gee, Kenneth E. S. Poole

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 12/2017

Abstract

Purpose

The aim of this study was to develop and evaluate a method for measuring the cortical bone thickness from computed tomography (CT) scans with metallic implants and to assess the benefits of metal artefact removal software.

Methods

A previously validated technique based on the fitting of a cortical model was modified to also model metal structures when required. Cortical thickness measurements were taken over intact bone segments and compared with the corresponding contralateral bone segment. The evaluation dataset includes post-operative CT scans of a unipolar hemi-arthroplasty, a dynamic hip screw fixation, a bipolar hemi-arthroplasty, a fixation with cannulated screws and a total hip arthroplasty. All CT scans were analysed before and after processing with metal artefact removal software.

Results

Cortical thickness validity and accuracy were improved through the use of a modified metalwork-optimised model and metal artefact removal software. For the proximal femoral segments of the aforementioned cases, the cortical thickness was measured with a mean absolute error of 0.55, 0.39, 0.46, 0.53 and 0.69 mm. The hemi-pelvis produced thickness errors of 0.51, 0.52, 0.52, 0.47 and 0.67 mm, respectively.

Conclusions

The proposed method was shown to measure cortical bone thickness in the presence of metalwork at a sub-millimetre accuracy. This new technique might be helpful in assessing fracture healing near implants or fixation devices, and improve the evaluation of periprosthetic bone after hip replacement surgery.

http://www.revisionrads.com.

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http://mi.eng.cam.ac.uk/~ahg/wxRegSurf/.

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Title: An exploratory study into measuring the cortical bone thickness from CT in the presence of metal implants
Authors: Tristan Whitmarsh
Graham M. Treece
Andrew H. Gee
Kenneth E. S. Poole
Publication date: 01-12-2017
Publisher: Springer International Publishing
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 12/2017
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-017-1539-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

An exploratory study into measuring the cortical bone thickness from CT in the presence of metal implants

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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