scholarly journals Radiographic optimization of the lateral position of the knee joint aided by CT images and the maximum intensity projection technique

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shiming Wang ◽  
Zhibo Xiao ◽  
Yunfeng Lu ◽  
Zhiwei Zhang ◽  
Fajin Lv

Abstract Background Standard lateral knee-joint X-ray images are crucial for the accurate diagnosis and treatment of many knee-joint-related conditions. However, it is difficult to obtain standard lateral knee-joint X-ray images in the current knee-joint lateral radiography position. Purpose To optimize the lateral position of knee joint for radiography aided by computed tomography (CT) images and the maximum intensity projection technique. Materials and methods One hundred cases of anteroposterior and lateral radiographs of knee joints were included. Of these, 50 cases were for lateral radiography in conventional position, and the other 50 cases were for lateral radiography in optimized position. The optimized position was acquired by a retrospective analysis of one hundred cases of knee-joint CT images. The quality of the X-ray images in optimized group was compared with those in conventional group. The data were statistically analyzed using the Mann–Whitney U test. Results There were differences in the optimized position between males and females. The posterior condyles of the femoral epiphysis in optimized group were in perfect superimposition for most patients. However, the ones in conventional group were not. The average quality score of the lateral knee-joint X-ray images in optimized position was 3.76 ± 0.98, which is much higher than the 1.84 ± 1.15 score in conventional position. Moreover, the difference in the average quality score was statistically significant (P < 0.05). Conclusion Optimization of the lateral position of knee joint for radiography is possible with the aid of CT images and the maximum intensity projection technique.

2021 ◽  
Author(s):  
Shiming Wang ◽  
Zhibo Xiao ◽  
Yunfeng Lu ◽  
Zhiwei Zhang ◽  
Fajin Lv

Abstract Background: Standard lateral knee-joint X-ray images are crucial for the accurate diagnosis and treatment of many knee joint-related conditions. However, it is difficult to obtain standard lateral knee-joint X-ray images in the current knee-joint lateral radiography position.Purpose: To optimize the lateral position of knee-joint for radiography aided by computed tomography (CT) images and the maximum intensity projection technique. Materials and Methods: One hundred cases of anteroposterior and lateral radiographs of knee-joints were included. Of these, 50 cases were for lateral radiography in conventional position, and the other 50 cases were for lateral radiography in optimized position. The optimized position was acquired by a retrospective analysis of one hundred cases of knee-joint CT images. The quality of the X-ray images in optimized group was compared with those in conventional group. The data were statistically analyzed using the Mann-Whitney U test. Results: There were differences in the optimized position between males and females. The posterior condyles of the femoral epiphysis in optimized group were in perfect superimposition for most patients. However, the ones in conventional group were not. The average quality score of the lateral knee–joint X-ray images in optimized position was 3.76 ± 0.98, which is much higher than the 1.84 ± 1.15 score in conventional position. Moreover, the difference in the average quality score was statistically significant (P < 0.05). Conclusion: Optimization of the lateral position of knee-joint for radiography is possible with the aid of CT images and the maximum intensity projection technique.


Author(s):  
Fanqin Wei ◽  
Jiahui Li ◽  
Chunxiang Zhou ◽  
Yun Li ◽  
Xianren Wang ◽  
...  

Abstract Background The purpose of this study was to develop an effective method of reducing metal artifacts in cochlear implant (CI) electrodes. Methods The temporal bones of 30 patients (34 ears) after CI were examined with 320-detector row computed tomography, which was evaluated by two senior radiologists using a double-blind method. Noise, artifact index, signal-to-noise ratio, and the subjective image quality score were compared before versus after using single-energy metal artifact reduction (SEMAR). The electrode position, single electrode visibility, and electrode count were evaluated using SEMAR combined with either multi-planar reconstruction (MPR) or maximum intensity projection. Results The two radiologists’ measurements had good consistency. SEMAR significantly reduced the image noise and artifacts index and significantly improved the signal-to-noise ratio and subjective image quality score (P < 0.01). The combination of SEMAR with MPR was conducive to accurate assessment of electrode position and single-electrode visibility. The combination of SEMAR with MIP facilitated accurate and intuitive matching of the assessed electrode count with the number of electrodes implanted during the operation (P = 0.062). Conclusion SEMAR significantly reduces metal artifacts generated by CI electrodes and improves the quality of computed tomography images. The combination of SEMAR with MPR and maximum intensity projection is beneficial for evaluating the position and number of CI electrodes.


2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Stephan A. Soder ◽  
Fabiola A. Perin ◽  
José Carlos Felicetti ◽  
José de Jesus P. Camargo ◽  
Spencer M. Camargo ◽  
...  

2011 ◽  
Vol 12 (2) ◽  
pp. 157-164
Author(s):  
Jae-Hwan Cho ◽  
Hae-Kag Lee ◽  
In-Sik Hong ◽  
Hyun-Joo Kim ◽  
Hyun-Cheol Jang ◽  
...  

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