基于径向基函数技术的髋关节假体松动早期检测与测量

Alexander Wiese, Ann DiGuglielmo, Jerico Mellet, Mckayla Rebillon, S. Mandayam, E. Brewer, Luke S. Austin
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引用次数: 0

摘要

髋关节植入是非常常见的手术,用于减轻疼痛和恢复髋关节功能。从历史上看,大多数植入物将持续患者的整个生命,大约在植入后15年;然而,由于医学的进步,患者的寿命更长,甚至超过了植入物的寿命。种植体失败最常见的原因是由于种植体的平移或旋转导致种植体与骨之间的结合失败。一旦植入物失败,就需要进行侵入性强、昂贵且痛苦的修复手术。在早期发现种植体松动方面有明显的优势。本文提出了一种基于径向基函数的图像处理技术,用于从二维x射线图像中检测髋关节植入物的微小三维旋转。比较特定髋关节植入物的这些旋转随时间的变化,可以提醒骨科医生可能导致植入物即将发生严重松动的趋势,并使早期矫正成为可能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Radial Basis Function Technique for the Early Detection and Measurement of Hip Implant Loosening
Hip implants are extremely common procedures that are performed to relieve pain and restore function to the hip joint. Historically, most implants would last for the duration of the patient’s life, approximately 15 years after implantation; however, due to medical advancements patients are living longer and outliving the life of their implant. The most common cause for implant failure is the failure of the bond between the implant and the bone, occurring due to the translation or rotation of the implant. Once an implant has failed, a very invasive, costly, and painful revision surgery is required. There is significant advantage in the early detection of implant loosening. This paper presents a radial basis function based image processing technique to detect minute 3-D rotations of a hip implant from 2-D X-ray images. Comparing these rotations for a particular hip implant over time can alert orthopedic surgeons of trends that might lead to impending gross loosening of the implant and enable early correction.
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