Gregorio Alejandro Villarreal-Villarreal, Mario Simental-Mendía, Diego Arturo Ramírez Mendoza, Víctor Manuel Peña-Martínez, Adrian A Negreros-Osuna, Carlos Alberto Acosta-Olivo
{"title":"通过计算机断层扫描对上肢骨移植部位进行三维分析。","authors":"Gregorio Alejandro Villarreal-Villarreal, Mario Simental-Mendía, Diego Arturo Ramírez Mendoza, Víctor Manuel Peña-Martínez, Adrian A Negreros-Osuna, Carlos Alberto Acosta-Olivo","doi":"10.1177/10225536241268607","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To perform a quantitative analysis of the amount of cancellous bone in the distal radius and olecranon process by segmentation of computed tomographic scans. As a secondary analysis, the bone density by Hounsfield units was evaluated at the same sites.</p><p><strong>Methods: </strong>Computed tomography angiography images of the upper extremity were analyzed using 3-D Slicer™ medical imaging software. Bone volume (cm<sup>3</sup>) and density (Hounsfield units) from the cancellous bone between the distal radius and the olecranon process were compared by creating an advanced three-dimensional model. The images were analyzed in duplicate, and an intraclass correlation was performed to assess measurement consistency.</p><p><strong>Results: </strong>Twenty subjects were included. A total volume of 5.01 ± 1.21 cm<sup>3</sup> and 5.81 ± 1.61 cm<sup>3</sup> for the distal radius and the olecranon process (<i>p</i> < .0001), respectively, was found. Regarding Hounsfield units, the density of the olecranon process was 303.1 ± 73.26, and the distal radius was 206.5 ± 63.73 (<i>p</i> < .0001). All intraclass correlation coefficients were >0.992.</p><p><strong>Conclusion: </strong>These results suggest that the olecranon process has a greater volume and a higher bone mineral density than the distal radius. With these results, the surgeon will have the ability to decide the quantity and quality of bone grafts according to the surgical procedure.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"32 2","pages":"10225536241268607"},"PeriodicalIF":1.6000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Three-dimensional analysis of bone site grafting on the upper extremity on computed tomography scans.\",\"authors\":\"Gregorio Alejandro Villarreal-Villarreal, Mario Simental-Mendía, Diego Arturo Ramírez Mendoza, Víctor Manuel Peña-Martínez, Adrian A Negreros-Osuna, Carlos Alberto Acosta-Olivo\",\"doi\":\"10.1177/10225536241268607\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To perform a quantitative analysis of the amount of cancellous bone in the distal radius and olecranon process by segmentation of computed tomographic scans. As a secondary analysis, the bone density by Hounsfield units was evaluated at the same sites.</p><p><strong>Methods: </strong>Computed tomography angiography images of the upper extremity were analyzed using 3-D Slicer™ medical imaging software. Bone volume (cm<sup>3</sup>) and density (Hounsfield units) from the cancellous bone between the distal radius and the olecranon process were compared by creating an advanced three-dimensional model. The images were analyzed in duplicate, and an intraclass correlation was performed to assess measurement consistency.</p><p><strong>Results: </strong>Twenty subjects were included. A total volume of 5.01 ± 1.21 cm<sup>3</sup> and 5.81 ± 1.61 cm<sup>3</sup> for the distal radius and the olecranon process (<i>p</i> < .0001), respectively, was found. Regarding Hounsfield units, the density of the olecranon process was 303.1 ± 73.26, and the distal radius was 206.5 ± 63.73 (<i>p</i> < .0001). All intraclass correlation coefficients were >0.992.</p><p><strong>Conclusion: </strong>These results suggest that the olecranon process has a greater volume and a higher bone mineral density than the distal radius. With these results, the surgeon will have the ability to decide the quantity and quality of bone grafts according to the surgical procedure.</p>\",\"PeriodicalId\":16608,\"journal\":{\"name\":\"Journal of Orthopaedic Surgery\",\"volume\":\"32 2\",\"pages\":\"10225536241268607\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10225536241268607\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10225536241268607","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Three-dimensional analysis of bone site grafting on the upper extremity on computed tomography scans.
Purpose: To perform a quantitative analysis of the amount of cancellous bone in the distal radius and olecranon process by segmentation of computed tomographic scans. As a secondary analysis, the bone density by Hounsfield units was evaluated at the same sites.
Methods: Computed tomography angiography images of the upper extremity were analyzed using 3-D Slicer™ medical imaging software. Bone volume (cm3) and density (Hounsfield units) from the cancellous bone between the distal radius and the olecranon process were compared by creating an advanced three-dimensional model. The images were analyzed in duplicate, and an intraclass correlation was performed to assess measurement consistency.
Results: Twenty subjects were included. A total volume of 5.01 ± 1.21 cm3 and 5.81 ± 1.61 cm3 for the distal radius and the olecranon process (p < .0001), respectively, was found. Regarding Hounsfield units, the density of the olecranon process was 303.1 ± 73.26, and the distal radius was 206.5 ± 63.73 (p < .0001). All intraclass correlation coefficients were >0.992.
Conclusion: These results suggest that the olecranon process has a greater volume and a higher bone mineral density than the distal radius. With these results, the surgeon will have the ability to decide the quantity and quality of bone grafts according to the surgical procedure.
期刊介绍：
Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association.
The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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