RESUMEN
OBJECTIVES: This paper proposes imaging with 3-dimensional vibroacoustography for postoperatively assessing the uncovered cup area after total hip arthroplasty as a quantitative criterion to evaluate implant fixation. METHODS: A phantom with a bone-like structure covered by a tissue-mimicking material was used to simulate a total hip arthroplasty case. Vibroacoustography images of the uncovered cup region were generated using a two-element confocal ultrasound transducer and a hydrophone inside a water tank. Topological correction based on the geometry of the implant was performed to generate a 3-dimensional representation of the vibroacoustography image and to accurately evaluate the surface. The 3-dimensional area obtained by the vibroacoustography approach was compared to the area evaluated by a 3-dimensional motion capture system. RESULTS: The vibroacoustography technique provided high-resolution, high-contrast, and speckle-free images with less sensitivity to the beam incidence. Using a 3-dimensional-topology correction of the image, we accurately estimated the uncovered area of the implant with a relative error of 8.1% in comparison with the motion capture system measurements. CONCLUSION: Measurement of the cup coverage after total hip arthroplasty has not been well established; however, the covered surface area of the acetabular component is one of the most important prognostic factors. The preliminary results of this study show that vibroacoustography is a 3-dimensional approach that can be used to postoperatively evaluate total hip arthroplasty. The favorable results also provide an impetus for exploring vibroacoustography in other bone or implant surface imaging applications.
Asunto(s)
Artroplastia de Reemplazo de Cadera , Diagnóstico por Imagen de Elasticidad/métodos , Diagnóstico por Imagen de Elasticidad/instrumentación , Humanos , Imagenología Tridimensional , Ilustración Médica , Fantasmas de Imagen , Rango del Movimiento Articular , Reproducibilidad de los Resultados , Propiedades de SuperficieRESUMEN
OBJECTIVES: This paper proposes imaging with 3-dimensional vibroacoustography for postoperatively assessing the uncovered cup area after total hip arthroplasty as a quantitative criterion to evaluate implant fixation. METHODS: A phantom with a bone-like structure covered by a tissue-mimicking material was used to simulate a total hip arthroplasty case. Vibroacoustography images of the uncovered cup region were generated using a two-element confocal ultrasound transducer and a hydrophone inside a water tank. Topological correction based on the geometry of the implant was performed to generate a 3-dimensional representation of the vibroacoustography image and to accurately evaluate the surface. The 3-dimensional area obtained by the vibroacoustography approach was compared to the area evaluated by a 3-dimensional motion capture system. RESULTS: The vibroacoustography technique provided high-resolution, high-contrast, and speckle-free images with less sensitivity to the beam incidence. Using a 3-dimensional-topology correction of the image, we accurately estimated the uncovered area of the implant with a relative error of 8.1% in comparison with the motion capture system measurements. CONCLUSION: Measurement of the cup coverage after total hip arthroplasty has not been well established; however, the covered surface area of the acetabular component is one of the most important prognostic factors. The preliminary results of this study show that vibroacoustography is a 3-dimensional approach that can be used to postoperatively evaluate total hip arthroplasty. The favorable results also provide an impetus for exploring vibroacoustography in other bone or implant surface imaging applications. .
Asunto(s)
Humanos , Artroplastia de Reemplazo de Cadera , Diagnóstico por Imagen de Elasticidad/métodos , Diagnóstico por Imagen de Elasticidad/instrumentación , Imagenología Tridimensional , Ilustración Médica , Fantasmas de Imagen , Rango del Movimiento Articular , Reproducibilidad de los Resultados , Propiedades de SuperficieRESUMEN
This work presents Vibro-acoustography (VA) as a tool to visualize absorbed dose distributions in a polymer gel dosimeter. VA uses the radiation force of focused ultrasound to vibrate a small region of the sample. Different modalities of VA were used to investigate the feasibility of this technique to evaluate dose distribution in irradiated 'MAGIC' polymer gel. A phantom was designed using this polymer with 2% w/w added glass microspheres having an average diameter range between 40-75 microm. The phantom was irradiated using conventional 10 MeV X-rays from a linear accelerator at a distance of 100 cm. An absorbed dose of 50 gray was delivered to the gel. To study the phenomena of dose distribution, continuous wave (CW), toneburst and multifrequency VA were applied to the phantom. Images were generated from the phase and magnitude of the emitted sound from the irradiated area. The comparative accuracy of the different VA results were validated using transverse relaxation rate (R2) image analysis by Magnetic Resonance Imaging (MRI) and a treatment planning system. A contour map of R2 was registered with the transverse CW images, obtained with the focal point on the top surface, and a good correlation was found between the images. The axial profile of irradiated inclusion from the toneburst VA image obtained with excitation frequency of 75 kHz showed the best accuracy compared to other VA modalities. The results show that VA imaging has potential to visualize dose distribution in a polymer gel dosimeter.