Morphometric measurement of the proximal tibia to design the tibial component of total knee arthroplasty for the Thai population

Abstract Purpose This study evaluates the morphology of the Thai proximal tibia based on three-dimensional (3D) models to design the tibial component. Methods The 3D models of 480 tibias were created using reverse engineering techniques from computed tomography imaging data obtained from 240 volunteers (120 males, 120 females; range 20–50 years). Based on 3D measurements, a digital ruler was used to measure the distance between the triangular points of the models. The morphometric parameters consisted of mediolateral length (ML), anteroposterior width (AP), medial anteroposterior width (MAP), lateral anteroposterior width (LAP), central to a medial length (CM), central to a lateral length (CL), medial anterior radius (MAR), lateral anterior radius (LAR), and tibial aspect ratio (AR). An independent t-test was performed for gender differences, and K-means clustering was used to find the optimum sizes of the tibial component with a correlation between ML length and AP width in Thai people. Results The average morphometric parameters of Thai proximal tibia, namely ML, AP, MAP, LAP, CM, and CL, were as follows: 72.52 ± 5.94 mm, 46.36 ± 3.84 mm, 49.22 ± 3.62 mm, 43.59 ± 4.05 mm, 14.29 ± 2.72 mm, and 15.28 ± 2.99 mm, respectively. The average of MAR, LAR, and AR was 24.43 ± 2.11 mm, 21.52 ± 2.00 mm, and 1.57 ± 0.08, respectively. All morphometric parameters in males were significantly higher than those of females. There was a difference between the Thai proximal tibia and other nationalities and a mismatch between the size of the commercial tibial component and the Thai knee. Using K-means clustering analysis, the recommended number of ML and AP is seven sizes for the practical design of tibial components to cover the Thai anatomy. Conclusion The design of the tibial component should be recommended to cover the anatomy of the Thai population. These data provide essential information for the specific design of Thai knee prostheses.

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Custom Patient-Specific Three-Dimensional Printed Mitral Valve Models for Pre-Operative Patient Education Enhance Patient Satisfaction and Understanding

Journal of Medical Devices ◽

10.1115/1.4043737 ◽

2019 ◽

Vol 13 (3) ◽

Author(s):

Kay S. Hung ◽

Michael J. Paulsen ◽

Hanjay Wang ◽

Camille Hironaka ◽

Y. Joseph Woo

Keyword(s):

Patient Education ◽

Mitral Valve ◽

Three Dimensional ◽

3D Models ◽

Patient Specific ◽

Imaging Data ◽

Anatomical Models ◽

Mitral Valves ◽

Flexible Polymer ◽

3D Printed

In recent years, advances in medical imaging and three-dimensional (3D) additive manufacturing techniques have increased the use of 3D-printed anatomical models for surgical planning, device design and testing, customization of prostheses, and medical education. Using 3D-printing technology, we generated patient-specific models of mitral valves from their pre-operative cardiac imaging data and utilized these custom models to educate patients about their anatomy, disease, and treatment. Clinical 3D transthoracic and transesophageal echocardiography images were acquired from patients referred for mitral valve repair surgery and segmented using 3D modeling software. Patient-specific mitral valves were 3D-printed using a flexible polymer material to mimic the precise geometry and tissue texture of the relevant anatomy. 3D models were presented to patients at their pre-operative clinic visit and patient education was performed using either the 3D model or the standard anatomic illustrations. Afterward, patients completed questionnaires assessing knowledge and satisfaction. Responses were calculated based on a 1–5 Likert scale and analyzed using a nonparametric Mann–Whitney test. Twelve patients were presented with a patient-specific 3D-printed mitral valve model in addition to standard education materials and twelve patients were presented with only standard educational materials. The mean survey scores were 64.2 (±1.7) and 60.1 (±5.9), respectively (p = 0.008). The use of patient-specific anatomical models positively impacts patient education and satisfaction, and is a feasible method to open new opportunities in precision medicine.

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A workflow to generate patient-specific three-dimensional augmented reality models from medical imaging data and example applications in urologic oncology

3D Printing in Medicine ◽

10.1186/s41205-021-00125-5 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Nicole Wake ◽

Andrew B. Rosenkrantz ◽

William C. Huang ◽

James S. Wysock ◽

Samir S. Taneja ◽

...

Keyword(s):

Augmented Reality ◽

Patient Care ◽

Three Dimensional ◽

3D Models ◽

Patient Specific ◽

Imaging Data ◽

Urologic Oncology ◽

Case Examples ◽

Microsoft Hololens ◽

Enhance Patient Care

AbstractAugmented reality (AR) and virtual reality (VR) are burgeoning technologies that have the potential to greatly enhance patient care. Visualizing patient-specific three-dimensional (3D) imaging data in these enhanced virtual environments may improve surgeons’ understanding of anatomy and surgical pathology, thereby allowing for improved surgical planning, superior intra-operative guidance, and ultimately improved patient care. It is important that radiologists are familiar with these technologies, especially since the number of institutions utilizing VR and AR is increasing. This article gives an overview of AR and VR and describes the workflow required to create anatomical 3D models for use in AR using the Microsoft HoloLens device. Case examples in urologic oncology (prostate cancer and renal cancer) are provided which depict how AR has been used to guide surgery at our institution.

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Three-Dimensional Virtual Model Used to Analyze a Normal and Prosthetic Human Joint

Advanced Engineering Forum ◽

10.4028/www.scientific.net/aef.34.159 ◽

2019 ◽

Vol 34 ◽

pp. 159-164

Author(s):

Mihai Catalin Tenovici ◽

Ilaria Lorena Petrovici ◽

Razvan Cristian Vaduva ◽

Danut Nicolae Tarnita ◽

Dragoş Laurenţiu Popa ◽

...

Keyword(s):

Knee Arthroplasty ◽

Tibial Component ◽

Numerical Models ◽

Three Dimensional ◽

Axial Rotation ◽

Survival Duration ◽

Knee Prostheses ◽

Prosthetic Alignment ◽

Tibial Plate

Prosthetic alignment is one of the most important factors, both in terms of the correct functioning of neoarticulation and the survival duration of knee arthroplasty. Significant changes in the alignment of prosthetic components affect the distribution of stress in the knee joint. These changes may also affect the distribution of stresses on the contact surface, soft knee joints, and the subjacent bone remodeling under these forces. The malposition of the components and, in particular, the tibial component in the varus, which in practice is the most common situation alongside the malrotation of the femoral component, leads to the excessive intimal tension of the internal tibial plate by the summing of the additional stresses at this level with its physiological loading from during the unipodal support phase during the walk. Although valuable, all of these studies have no capacity to assess these changes in the kinetics of in vivo knee arthroplasty. Two methods are used for this: telemetry and mathematical models. Traditionally, telemetry has been used to determine the forces acting on the hip, and more recently, on the knee. It values very precisely the value of the axial rotation forces as well as the moments of bending; however, this method is little used, because the necessary equipment is very expensive. Taking this into account, the most used method is the finite element method. The objective of this study was to investigate the effect of malpositioning in the valgus and varus of the tibial component on tension developed in polyethylene as well as in the subjacent bone. Obviously, other situations have also been analyzed. In this direction a series of original numerical models of the anatomical elements (tibia, fibula, femur) of the knee were constructed to simulate the biomechanical phenomena occurring in the normal and prosthetic joint during physical activities, in order to evaluate the factors that influence the duration operation of total knee prostheses.

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COMPARATIVE INVESTIGATION OF THE 3D REPRESENTATIONS OF THE HOLY AEDICULE OF THE TOMB OF CHRIST

10.4995/arqueologica9.2021.12153 ◽

2021 ◽

Author(s):

Nefeli Tentoma ◽

Andreas Georgopoulos ◽

Gracia Tucci

Keyword(s):

Cultural Heritage ◽

Three Dimensional ◽

3D Models ◽

Comparative Investigation ◽

Sacred Sites ◽

Essential Information ◽

Web Map ◽

University Of Florence ◽

The Impact ◽

Online Web

The significance of preservation of cultural heritage is undeniable, which is why both their geometric documentation and the creation of their digital “twins”, i.e. reconstructions and replicas at any scale, are essential procedures. A special category of cultural heritage is sacred sites which combine historical, spiritual and religious values. The most sacred monument of Christianity is the Holy Aedicule covering the Tomb of Christ in the Church of the Holy Sepulchre in Jerusalem. This paper aims to investigate and compare the various three-dimensional representations of the Holy Aedicule of the Tomb of Christ, which exist both in physical and in digital form. Initially, the main structural phases of the Aedicule are presented, including its destructions and restorations. Moreover, the different categories of the three-dimensional representations of the monument are defined. With reference to the replicas, both the reasons of their construction and their list in the form of a dataset table are presented. More specifically, in the context of this research, the three-dimensional representations of the Aedicule are divided into two major categories: the replicas constructed worldwide and the geometric documentations of the monument's condition through the years. Regarding the replicas, a list of the discovered representations is created and this database is visualized and depicted in an online web map along with essential information with the use of an open-source Geographic Information System (GIS). Based on this visualization an online web map has been created. Furthermore, the previous geometric documentations and surveys of the Holy Aedicule of the Tomb of Christ are presented. A comparison is conducted between the 3D models of the Aedicule, which were created by the University of Florence in 2007-8 and the National Technical University of Athens in 2015-17. The impact of the Holy Aedicule across the world is examined through statistics based on the type, date of construction and location of the replicas. The possible deformations of the monument's structure are detected from the assessment of the results from both the processing and the comparison of the 3D models. In conclusion, future works are suggested focusing on the discovery of the total number of replicas worldwide and the monitoring of the condition of the Aedicule. Cultural

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Morphometric Analysis and Three-Dimensional Computed Tomography Reconstruction of Thai Distal Femur

Applied Sciences ◽

10.3390/app11031052 ◽

2021 ◽

Vol 11 (3) ◽

pp. 1052

Author(s):

Chotchuang Phombut ◽

Supakit Rooppakhun ◽

Bura Sindhupakorn

Keyword(s):

Computed Tomography ◽

Aspect Ratio ◽

3D Model ◽

Distal Femur ◽

Three Dimensional ◽

Morphometric Parameters ◽

T Test ◽

Intercondylar Notch ◽

Thai Population ◽

Posterior Condyle

This study evaluates the distal femur morphology of the Thai population using a three-dimensional (3D) measurement method, measuring the distance between the triangular point of the femoral 3D model. The 3D model of 360 Thai femoral obtained from 180 volunteers (90 males, 90 females; range 20–50 years, average 32.8 years) was created using reverse engineering techniques from computed tomography imaging data. Using the 3D identified landmark method, the morphometric parameters evaluated included transepicondylar axis length (TEA), mediolateral length (ML), anteroposterior width (AP), medial anteroposterior width (MAP), lateral anteroposterior width (LAP), medial condyle width (MCW), lateral condyle width (LCW), intercondylar notch width (WIN), intercondylar notch depth (DIN), medial posterior condyle height (MPC), lateral posterior condyle height (LPC), femoral aspect ratio (ML/AP), lateral femoral aspect ratio (ML/LAP), and medial femoral aspect ratio (ML/MAP). The measured data were summarized for the analysis of an average value and standard deviation. Statistical analysis was performed using the independent samples t-test, unequal variances t-test, and linear regression. A p-value less than 0.05 (<0.05) was regarded as statistically significant and indicates strong evidence of the hypothesis. Additionally, the K-means clustering analysis of Thai distal femoral to the optimum size of the prosthesis with the correlation between ML length and AP width was performed. The results found that the morphometric parameters of the Thai male distal femur were significantly different and higher than those of Thai females, except for the ratio of ML/AP and ML/MAP. Comparatively, there was a significant difference between the specific size of Thai distal femur and that of the Korean population, which was also smaller than that for Caucasians. In addition, there was a mismatch between the distal femoral component sizing of knee prosthesis and what is available and commonly used in Thailand. At least six sizes of ML and/or AP should be recommended for the reasonable design of distal femoral prosthesis for covering the anatomy of Thais. These data are useful for predicting the morphometric parameters in forensic anthropology and provide basic data for the design of knee prostheses suitable for the Thai population.

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3D modelling for realistic training and learning

Turkish Journal of Biochemistry ◽

10.1515/tjb-2019-0182 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Ayse Hilal Bati

Keyword(s):

3D Printing ◽

3D Reconstruction ◽

Three Dimensional ◽

3D Models ◽

3D Modelling ◽

Patient Specific ◽

Physical Interaction ◽

Imaging Data ◽

Data Set ◽

Modelling Techniques

AbstractObjectivesThree-dimensional (3D) reconstruction and modelling techniques based on computer vision have shown significant progress in recent years. Patient-specific models, which are derived from the imaging data set and are anatomically consistent with each other, are important for the development of knowledge and skills. The purpose of this article is to share information about three-dimensional (3D) reconstruction and modelling techniques and its importance in medical education.MethodsAs 3D printing technology develops and costs are lower, adaptation to the original model will increase, thus making models suitable for the anatomical structure and texture. 3D printing has emerged as an innovative way to help surgeons implement more complex procedures.ResultsRecent studies have shown that 3D modelling is a powerful tool for pre-operative planning, proofing, and decision-making. 3D models have excellent potential for alternative interventions and surgical training on both normal and pathological anatomy. 3D printing is an attractive, powerful and versatile technology.ConclusionsPatient-specific models can improve performance and improve learning faster, while improving the knowledge, management and confidence of trainees, whatever their area of expertise. Physical interaction with models has proven to be the key to gaining the necessary motor skills for surgical intervention.

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The functional vascular anatomy of the swine for research

Vascular ◽

10.1177/1708538121996500 ◽

2021 ◽

pp. 170853812199650

Author(s):

Joseph Edwards ◽

Hossam Abdou ◽

Neerav Patel ◽

Marta J Madurska ◽

Kelly Poe ◽

...

Keyword(s):

Translational Research ◽

Functional Anatomy ◽

Three Dimensional ◽

Vascular Anatomy ◽

Review Article ◽

Imaging Data ◽

Preclinical Research ◽

Iodinated Contrast ◽

Translational Research Program ◽

And Function

Objectives Swine ( Sus Scrofa) are utilized broadly in research settings, given similarities to human vessel size and function; however, there are some important differences for clinicians to understand in order to interpret and perform translational research. This review article uses angiograms acquired in the course of a translational research program to present a description of the functional anatomy of the swine. Methods Digital subtraction angiography and computed tomography angiography were obtained throughout the course of multiple studies utilizing power injection with iodinated contrast. Subtracted two-dimensional images and three-dimensional multiplanar reformations were utilized post image acquisition to create maximal intensity projections and three-dimensional renderings of using open-source software (OsiriX). These imaging data are presented along with vessel measurements for reference. Results An atlas highlighting swine vascular anatomy, with an emphasis on inter-species differences that may influence how studies are conducted and interpreted, was compiled. Conclusions Swine are utilized in broad-reaching fields for preclinical research. While many similarities between human and swine vasculature exist, there are important differences to consider when conducting and interpreting research. This review article highlights these differences and presents accompanying images to inform clinicians gaining experience in swine research.

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Structured-light 3D scanning of exhibited historical clothing—a first-ever methodical trial and its results

Heritage Science ◽

10.1186/s40494-021-00544-x ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Jerzy Montusiewicz ◽

Marek Miłosz ◽

Jacek Kęsik ◽

Kamil Żyła

Keyword(s):

Cultural Heritage ◽

Information Technologies ◽

Structured Light ◽

Three Dimensional ◽

3D Models ◽

3D Scanning ◽

Dimensional Representation ◽

3D Scanner ◽

Three Dimensional Representation ◽

3D Scanners

AbstractHistorical costumes are part of cultural heritage. Unlike architectural monuments, they are very fragile, which exacerbates the problems of their protection and popularisation. A big help in this can be the digitisation of their appearance, preferably using modern techniques of three-dimensional representation (3D). The article presents the results of the search for examples and methodologies of implementing 3D scanning of exhibited historical clothes as well as the attendant problems. From a review of scientific literature it turns out that so far practically no one in the world has made any methodical attempts at scanning historical clothes using structured-light 3D scanners (SLS) and developing an appropriate methodology. The vast majority of methods for creating 3D models of clothes used photogrammetry and 3D modelling software. Therefore, an innovative approach was proposed to the problem of creating 3D models of exhibited historical clothes through their digitalisation by means of a 3D scanner using structural light technology. A proposal for the methodology of this process and concrete examples of its implementation and results are presented. The problems related to the scanning of 3D historical clothes are also described, as well as a proposal how to solve them or minimise their impact. The implementation of the methodology is presented on the example of scanning elements of the Emir of Bukhara's costume (Uzbekistan) from the end of the nineteenth century, consisting of the gown, turban and shoes. Moreover, the way of using 3D models and information technologies to popularise cultural heritage in the space of digital resources is also discussed.

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Comparative Analysis of Digital Models of Objects of Cultural Heritage Obtained by the “3D SLS” and “SfM” Methods

Applied Sciences ◽

10.3390/app11125321 ◽

2021 ◽

Vol 11 (12) ◽

pp. 5321

Author(s):

Marcin Barszcz ◽

Jerzy Montusiewicz ◽

Magdalena Paśnikowska-Łukaszuk ◽

Anna Sałamacha

Keyword(s):

Cultural Heritage ◽

Low Cost ◽

Three Dimensional ◽

3D Models ◽

Silk Road ◽

Digital Models ◽

Global Pandemic ◽

University Of Technology ◽

Three Dimensional Models ◽

3D Digitisation

In the era of the global pandemic caused by the COVID-19 virus, 3D digitisation of selected museum artefacts is becoming more and more frequent practice, but the vast majority is performed by specialised teams. The paper presents the results of comparative studies of 3D digital models of the same museum artefacts from the Silk Road area generated by two completely different technologies: Structure from Motion (SfM)—a method belonging to the so-called low-cost technologies—and by Structured-light 3D Scanning (3D SLS). Moreover, procedural differences in data acquisition and their processing to generate three-dimensional models are presented. Models built using a point cloud were created from data collected in the Afrasiyab museum in Samarkand (Uzbekistan) during “The 1st Scientific Expedition of the Lublin University of Technology to Central Asia” in 2017. Photos for creating 3D models in SfM technology were taken during a virtual expedition carried out under the “3D Digital Silk Road” program in 2021. The obtained results show that the quality of the 3D models generated with SfM differs from the models from the technology (3D SLS), but they may be placed in the galleries of the vitrual museum. The obtained models from SfM do not have information about their size, which means that they are not fully suitable for archiving purposes of cultural heritage, unlike the models from SLS.

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3D-Volume Rendering of the Pelvis with Emphasis on Paraurethral Structures Based on MRI Scans and Comparisons between 3D Slicer and OsiriX®

Journal of Medical Systems ◽

10.1007/s10916-020-01695-3 ◽

2021 ◽

Vol 45 (3) ◽

Author(s):

C. M. Durnea ◽

S. Siddiqi ◽

D. Nazarian ◽

G. Munneke ◽

P. M. Sedgwick ◽

...

Keyword(s):

Image Processing ◽

Secondary Analysis ◽

Three Dimensional ◽

3D Models ◽

Clinical Role ◽

Cross Sectional ◽

3D Slicer ◽

Mri Scans ◽

3D Volume ◽

Good Agreement

AbstractThe feasibility of rendering three dimensional (3D) pelvic models of vaginal, urethral and paraurethral lesions from 2D MRI has been demonstrated previously. To quantitatively compare 3D models using two different image processing applications: 3D Slicer and OsiriX. Secondary analysis and processing of five MRI scan based image sets from female patients aged 29–43 years old with vaginal or paraurethral lesions. Cross sectional image sets were used to create 3D models of the pelvic structures with 3D Slicer and OsiriX image processing applications. The linear dimensions of the models created using the two different methods were compared using Bland-Altman plots. The comparisons demonstrated good agreement between measurements from the two applications. The two data sets obtained from different image processing methods demonstrated good agreement. Both 3D Slicer and OsiriX can be used interchangeably and produce almost similar results. The clinical role of this investigation modality remains to be further evaluated.

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