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一种用于在髋关节造影术中测量髋关节受力的设备的开发和验证,用于早期诊断犬髋关节发育不良。

Development and validation of a device to measure the force applied to the coxofemoral joint during stress radiography for early diagnosis of canine hip dysplasia.

机构信息

Department of Veterinary Morphology, Imaging, Orthopedics, Rehabilitation and Nutrition, Ghent University, Merelbeke, Belgium.

Department of Physical Medicine and Orthopaedic Surgery, Ghent University, Ghent, Belgium; Department of Electrical Energy, Metal, Mechanical Construction and Systems, Ghent University, Ghent, Belgium.

出版信息

Med Eng Phys. 2023 Feb;112:103953. doi: 10.1016/j.medengphy.2023.103953. Epub 2023 Jan 9.

Abstract

Hip dysplasia is a common orthopaedic condition in dogs and stress radiography is the best diagnostic tool for early diagnosis. Objective force guidelines are lacking, leaving room for errors and fraud during screening. Our objective was to develop an accurate and validated measuring device that allows quantification of the applied force in vivo in real-time during stress radiographic imaging. A two-step approach was followed. First, four load cells were incorporated in the original Vezzoni Modified Badertscher Distension Device (VMBDD) and a dedicated computer program was developed. In vitro evaluations of the accuracy demonstrated a trueness of 0.19 N (0.1%FS) and precision of 0.26 N (0.2%FS) for the individual loadcells. The trueness and precision of the assembled VMBDmD were 0.02 N (0.02%FS) and 0.52 N (0.38%FS). Secondly, the modified device was tested on several cadavers. The device was similar in use as the VMBDD, did not interfere with radiographic acquisition, gave the operator real-time feedback, and linked the force with the radiograph. Altogether, we describe the accuracy of the VMBDmD and have evaluated its use in cadavers. We saw that the device successfully quantified and stored the applied force in real-time during stress radiography.

摘要

髋关节发育不良是犬类常见的骨科疾病,放射影像学检查是早期诊断的最佳工具。目前缺乏客观的力量标准,这在筛选过程中为错误和欺诈行为留下了空间。我们的目标是开发一种准确且经过验证的测量设备,使其能够在放射影像学检查过程中实时定量活体应用的力。我们采用两步法。首先,在原始的 Vezzoni 改良 Badertscher 扩张装置(VMBDD)中加入了四个负载单元,并开发了专用的计算机程序。体外评估的准确性表明,单个负载单元的真实度为 0.19 N(0.1%FS),精度为 0.26 N(0.2%FS)。组装后的 VMBDmD 的真实度和精度分别为 0.02 N(0.02%FS)和 0.52 N(0.38%FS)。其次,对几个尸体进行了改良设备的测试。该设备的使用方式与 VMBDD 相似,不干扰放射学采集,为操作人员提供实时反馈,并将力与射线照相联系起来。总的来说,我们描述了 VMBDmD 的准确性,并评估了其在尸体中的应用。我们发现该设备成功地在放射影像学检查过程中实时量化并存储了应用的力。

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