scholarly journals Morphometric characteristics of the thoracοlumbar and lumbar vertebrae in the Greek population: a computed tomography-based study on 900 vertebrae—“Hellenic Spine Society (HSS) 2017 Award Winner”

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Theodoros B. Grivas ◽  
Olga Savvidou ◽  
Stefanos Binos ◽  
Georgios Vynichakis ◽  
Dimitrios Lykouris ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lumbar Vertebrae ◽  
Greek Population ◽  
Morphometric Characteristics ◽  
Award Winner

scholarly journals AGE AND SEX-RELATED STRUCTURAL AND FUNCTIONAL CHANGES OF BONE REMODELING DURING SIMULTATE ABDOMEN CT-SCANNING

2020 ◽  
Vol 73 (1) ◽  
pp. 91-94
Author(s):  
Nazar M. Kostyshyn ◽  
Liubov P. Kostyshyn ◽  
Mechyslav R. Gzhegotskyi
Keyword(s):  
Computed Tomography ◽  
Bone Mineral Density ◽  
Bone Mass ◽  
Old Age ◽  
Bone Mineral ◽  
Lumbar Vertebrae ◽  
Middle Adulthood ◽  
Mineral Density ◽  
Functional Changes ◽  
Early Old Age

The aim of investigation was to study the structural and functional conditions of cortical and trabecular layers of lumbar vertebrae L1-L5 in different age groups. Materials and methods: In order to assess BMD of the lumbar vertebrae 102 people18 to 75 years old was examined. Study of bone mineral density cortical and trabecular layer of lumbar vertebrae (L1-L5) performed by computed tomography in Hounsfield Units (HU) in terms of standard deviation (SD). Results: The results of computed tomography showed a direct relationship of bone mineral density of lumbar vertebrae with age of examined persons. Osteoporosis and osteopenia was registered in 15% of men and 30% women in middle adulthood, in late adulthood – 35% and 50% respectively. During early old age osteopenia and osteoporosis are observed in 37,5% and 25% of men and 26% and 64% women. Osteoporosis in the middle old age has been reported in 50% of men and 75% of women Conclusions: Results of the study showed a direct link between mineral density, age and gender. The middle adulthood age period was characterized by the highest mineral mass compared with the other age periods. Then there is a loss of bone mass throughout life, and with the onset of aging osteopenia and osteoporosis are recorded. It was investigated that in the early old age, loss of bone mass is mainly observed in female.

scholarly journals Evaluation of the Root and Canal Morphology of Maxillary Permanent Molars and the Incidence of the Second Mesiobuccal Root Canal in Greek Population Using Cone-beam Computed Tomography

2015 ◽  
Vol 9 (1) ◽  
pp. 267-272 ◽  
Author(s):  
Georgia E. Nikoloudaki ◽  
Taxiarchis G. Kontogiannis ◽  
Nikolaos P. Kerezoudis
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Greek Population ◽  
Root Canal Treatment ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Permanent Molars ◽  
Canal Morphology

Objectives: Cone-Beam Computed Tomography is an alternative imaging technique which has been recently introduced in the field of Oral & Maxillofacial Radiology. It has rapidly gained great popularity among clinicians due to its ability to detect lesions and defects of the orofacial region and provide three-dimensional information about them. In the field of Endodontics, CBCT can be a useful tool to reveal tooth morphology irregularities, additional root canals and vertical root fractures. The objective of this study is to evaluate the root and root canal morphology of the maxillary permanent molars in Greek population using Cone-Beam Computed Tomography.Materials and Methods:273 cone-beam computed tomography (CBCT) images were examined. The number of roots and root canals of the first and second maxillary molars were evaluated. Root canal configuration was classified according to Weine’s classification by two independent examiners and statistical analysis was performed.Results:A total of 812 molars (410 first and 402 second ones) were evaluated. The vast majority of both first and second molars had three roots (89.26% and 85.07%, respectively). Most first molars had four canals, while most second molars had three. In the mesiobuccal roots, one foramen was recorded in 80.91% of all teeth. Other rare morphologic variations were also found, such as fusion of a maxillary second molar with a supernumerary tooth.Conclusion:Within the limitations of this study, it can be concluded that more attention should be given to the detection of additional canals during root canal treatment in maxillary permanent molars. Towards this effort, CBCT can provide the clinician with supplemental information about the different root canal configurations for successful Root Canal Treatment.

scholarly journals Lumbar Morphometry: A Study of Lumbar Vertebrae from a Pakistani Population Using Computed Tomography Scans

2014 ◽  
Vol 8 (4) ◽  
pp. 421 ◽  
Author(s):  
Muhammad M Alam ◽  
Muhammad Waqas ◽  
Hussain Shallwani ◽  
Gohar Javed
Keyword(s):  
Computed Tomography ◽  
Lumbar Vertebrae ◽  
Pakistani Population ◽  
Computed Tomography Scans

Quantitative study of the influence of swimming therapy on osteoporosis rat models based on synchrotron radiation computed tomogaphy

2018 ◽  
Vol 25 (3) ◽  
pp. 793-800 ◽  
Author(s):  
Liya Huang ◽  
Jun Xu ◽  
Han Guo ◽  
Yujie Wang ◽  
Jun Zhao ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Synchrotron Radiation ◽  
Exercise Therapy ◽  
Bone Pain ◽  
Lumbar Vertebrae ◽  
Nutrition Therapy ◽  
Moderate Intensity ◽  
Element Analysis ◽  
Rat Models ◽  
Major Treatment

Osteoporosis is a bone disease with a variety of causes, leading to bone pain and fragility to fracture. Major treatment methods include nutrition therapy, exercise therapy, drug therapy and surgical treatment, among which exercise therapy, such as swimming, is the most effective. To investigate the optimal swimming therapy regime for postmenopausal women, the effects of eight weeks of different intensity swimming exercises were studied in rat models. After the swimming program, lumbar vertebrae were dissected from all the rats and scanned by synchrotron radiation computed tomography (SRCT). Histomorphometry analysis and finite-element analysis were carried out on the trabecular structure of the L4 lumbar based on the acquired SRCT slices. Histomorphometry analysis showed that swimming can alleviate the decrease in bone strength induced by estrogen deficiency, and moderate-intensity swimming was found to have the most significant effect.

scholarly journals ABSORPTIOMETRIC ANALYSIS OF SOME QUANTITATIVE AND QUALITATIVE INDICATORS OF BONE TISSUE STATUS ASSESSED BY A QUANTITATIVE COMPUTED TOMOGRAPHY IN WOMEN OF DIFFERENT AGES

2015 ◽  
Vol 18 (2) ◽  
pp. 3-5
Author(s):  
A A Volkov ◽  
N N Beloselsky ◽  
Y N Pribytkov
Keyword(s):  
Computed Tomography ◽  
Bone Tissue ◽  
Quantitative Computed Tomography ◽  
Clinical Signs ◽  
Lumbar Vertebrae ◽  
Mineral Density ◽  
Different Ages ◽  
Qualitative State ◽  
Qualitative Characteristics

Aim. To study the characteristics of the quantitative and qualitative characteristics of bone mineral density in women. Materials and methods. Quantitative computed tomography with additional quantitative and qualitative assessments was performed in 127 women of different ages without clinical signs of osteoporosis. Results. We had calculated the size and the ratio of cortical bone and spongy tissue at the lumbar vertebrae considering the density range characterized as the maximum and minimum of mineralized areas that represent not only quantitative but also qualitative state of the bone tissue. Conclusions. The obtained data can be used to assess the changes in the quality of bone in osteoporosis and osteopenia.

scholarly journals Correlation between the Computed Tomography Values of the Screw Path and Pedicle Screw Pullout Strength: An Experimental Study in Porcine Vertebrae

2020 ◽  
Vol 14 (3) ◽  
pp. 265-272
Author(s):  
Atsushi Ikeura ◽  
Taketoshi Kushida ◽  
Kenichi Oe ◽  
Yoshihisa Kotani ◽  
Muneharu Ando ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Mineral Density ◽  
Pedicle Screw ◽  
Bone Mineral ◽  
Lumbar Vertebrae ◽  
Pedicle Screws ◽  
Mineral Density ◽  
Screw Insertion ◽  
Pull Out ◽  
Pull Out Strength

Study Design: Biomechanical study.Purpose: To assess the correlation between the computed tomography (CT) values of the pedicle screw path and screw pull-out strength.Overview of Literature: The correlation between pedicle screw pull-out strength and bone mineral density has been well established. In addition, several reports have demonstrated a correlation between bone mineral density and CT values. However, no previous biomechanical studies investigated the correlation between CT values and pedicle screw pull-out strength.Methods: Sixty fresh-frozen lumbar vertebrae from 6-month-old pigs were used. Before screw insertion, the CT values of the screw path were obtained for each sample. Specimens were then randomly divided into three equal groups. Each group had one of three pedicle screws inserted: 4.0-mm LEGACY (4.0-LEG), 4.5-mm LEGACY (4.5-LEG), or 4.5-mm SOLERA (4.5-SOL) (all from Medtronic Sofamor Danek Inc., Memphis, TN, USA). Each screw had a consistent 30-mm thread length. Axial pull-out testing was performed at a rate of 1.0 mm/min. Correlations between the CT values and pedicle screw pull-out strength were evaluated using Pearson’s correlation coefficient analysis.Results: The correlation coefficients between the CT values of the screw path and pedicle screw pull-out strength for the 4.0-LEG, 4.5-LEG, and 4.5-SOL groups were 0.836 (<i>p</i> <0.001), 0.780 (<i>p</i> <0.001), and 0.873 (<i>p</i> <0.001), respectively. Greater CT values were associated with greater screw pull-out strength.Conclusions: The CT values of the screw path were strongly positively correlated with pedicle screw pull-out strength, regardless of the screw type and diameter, suggesting that the CT values could be clinically useful for predicting pedicle screw pull-out strength.

scholarly journals Phantomless assessment of volumetric bone mineral density using virtual non-contrast images from spectral detector computed tomography

2020 ◽  
Vol 93 (1109) ◽  
pp. 20190992 ◽  
Author(s):  
David Zopfs ◽  
Simon Lennartz ◽  
Charlotte Zaeske ◽  
Martin Merkt ◽  
Kai Roman Laukamp ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Mineral Density ◽  
Contrast Enhancement ◽  
Bone Mineral ◽  
Lumbar Vertebrae ◽  
Volumetric Bone Mineral Density ◽  
Mineral Density ◽  
Phase Images ◽  
Spectral Detector Ct ◽  
Venous Phase

Objective: To evaluate phantomless assessment of volumetric bone mineral density (vBMD) based on virtual non-contrast images of arterial (VNCa) and venous phase (VNCv) derived from spectral detector CT in comparison to true non-contrast (TNC) images and adjusted venous phase conventional images (CIV(adjusted)). Methods: 104 consecutive patients who underwent triphasic spectral detector CT between January 2018 and April 2019 were retrospectively included. TNC, VNCa, VNCv and venous phase images (CIV) were reconstructed. vBMD was obtained by two radiologists using an FDA/CE-cleared software. Average vBMD of the first three lumbar vertebrae was determined in each reconstruction; vBMD of CIV was adjusted for contrast enhancement as suggested earlier. Results: vBMD values obtained from CIV(adjusted) are comparable to vBMD values derived from TNC images (91.79 ± 36.52 vs 90.16 ± 41.71 mg/cm3, p = 1.00); however, vBMD values derived from VNCa and VNCv (42.20 ± 22.50 and 41.98 ± 23.3 mg/cm3 respectively) were significantly lower as compared to vBMD values from TNC and CIV(adjusted) (all p ≤ 0.01). Conclusion: Spectral detector CT-derived virtual non-contrast images systematically underestimate vBMD and therefore should not be used without appropriate adjustments. Adjusted venous phase images provide reliable results and may be utilized for an opportunistic BMD screening in CT examinations. Advances in knowledge: Adjustments of venous phase images facilitate opportunistic assessment of vBMD, while spectral detector CT-derived VNC images systematically underestimate vBMD.

Could Computed Tomography Hounsfield Unit Values of Lumbar Vertebrae Detect Osteoporosis

2021 ◽  
Vol 17 ◽  
Author(s):  
Elif Hocaoglu ◽  
Ercan Inci ◽  
Meltem Vural
Keyword(s):  
Computed Tomography ◽  
Lumbar Vertebrae ◽  
Hounsfield Unit ◽  
Control Group ◽  
Mineral Density ◽  
Lumbar Degenerative Disease ◽  
T Score ◽  
Spinal Osteoporosis ◽  
Spine Degeneration ◽  
Group D

Background: Dual-energy X-ray absorptiometry (DEXA) scanning has several disadvantages determining osteoporosis especially for the degenerative spine. Introduction: To determine spinal osteoporosis in patients suffering from lumbar degenerative disease using computed tomography (CT). Methods: A total of 547 subjects that underwent DEXA and abdominal CT within a period of three months were examined retrospectively and separated into groups based on lumbar degenerative alteration on the CT scan. The subjects that showed degenerative severity at L1–L4, in at least two levels, were graded and placed in the degenerative group (Group D, n=350), while the other subjects constituted the control group (Group C, n=197). The Hounsfield unit (HU) of the vertebral body trabecular bone, the T-score, and bone mineral density (BMD) of L1–L4 and hips were determined from the CT images. CT-HU parameters for osteoporosis acquired from the control group were used to ascertain undiagnosed osteoporosis. Results: The CT-HU was positively correlated with T-score and lumbar BMD for both groups (P<0.001), while the L1–L4 correlation was higher in Group C than in Group D. Based on linear regression, the T-score and CT-HU for L1-L4 osteoporosis were 129, 136, 129 and 120 HU, respectively in Group C. Undiagnosed spinal osteoporosis was greater in Group D compared to the controls (44.2% vs. 9.6%, respectively) based on the CT-HU thresholds. Conclusion: Lumbar spine degeneration can augment BMD and T-score, resulting in the underestimation of lumbar osteoporosis. The osteoporosis threshold determined by CT-HU may be a valuable technique to determine undiagnosed spinal osteoporosis.

Computed tomographic study of safe implantation corridors in rabbit lumbar vertebrae

2017 ◽  
Vol 30 (05) ◽  
pp. 357-363 ◽  
Author(s):  
Tisha Harper ◽  
Stephen Joslyn ◽  
Julia Whittington ◽  
Devon Hague ◽  
Mark Mitchell ◽  
...  
Keyword(s):  
Computed Tomography ◽  
New Zealand ◽  
Three Dimensional ◽  
Lumbar Vertebrae ◽  
Bone Stock ◽  
Computed Tomographic ◽  
Mean Width ◽  
Entry Points ◽  
New Zealand White Rabbits ◽  
The Mean

Summary Objectives: A study was performed to evaluate the lumbar vertebrae of domestic rabbits using computed tomography (CT) in order to identify safe corridors for implant insertion. Methods: Computed tomography imaging of 20 adult New Zealand white rabbits was evaluated using three-dimensional multi -planar reconstruction, and safe corridors were determined. Following corridor determination, implant placement was performed, and imaging was repeated. Results: The cranial and caudal endplates contained the majority of the vertebral bone stock, and were an average of 3.14 and 3.30 mm in length, respectively. The mean safe corridor angle was 62.9 degrees (range: 58.8–66.7), and the mean width of the corridor was 2.03 mm (range: 1.60– 2.07). Post-placement imaging revealed that 35% of the pins demonstrated errors of placement, most commonly canal impingement. Conclusions: The results of the corridor evaluation indicate that an insertion angle of approximately 60 degrees relative to the sagittal midline is appropriate for implant insertion in the lumbar vertebrae of New Zealand white rabbits. Additionally, due to the hourglass shape of rabbit vertebrae, the endplates provide maximal bone stock for implant purchase, so insertion should be attempted in these regions. However, the high percentage of errors in placement indicate the need to more clearly define entry points to access the canal, and highlight the challenges of appropriate placement in the small bones of rabbits.

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