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可穿戴式生物黏附金属探测器阵列(BioMDA)用于脊柱植入物。

Wearable bio-adhesive metal detector array (BioMDA) for spinal implants.

机构信息

Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China.

Hong Kong Centre for Cerebro-Cardiovascular Health Engineering (COCHE), Hong Kong, China.

出版信息

Nat Commun. 2024 Sep 6;15(1):7800. doi: 10.1038/s41467-024-51987-2.

Abstract

Dynamic tracking of spinal instrumentation could facilitate real-time evaluation of hardware integrity and in so doing alert patients/clinicians of potential failure(s). Critically, no method yet exists to continually monitor the integrity of spinal hardware and by proxy the process of spinal arthrodesis; as such hardware failures are often not appreciated until clinical symptoms manifest. Accordingly, herein, we report on the development and engineering of a bio-adhesive metal detector array (BioMDA), a potential wearable solution for real-time, non-invasive positional analyses of osseous implants within the spine. The electromagnetic coupling mechanism and intimate interfacial adhesion enable the precise sensing of the metallic implants position without the use of radiation. The customized decoupling models developed facilitate the precise determination of the horizontal and vertical positions of the implants with incredible levels of accuracy (e.g., <0.5 mm). These data support the potential use of BioMDA in real-time/dynamic postoperative monitoring of spinal implants.

摘要

脊柱内固定物的动态追踪可以实时评估硬件完整性,从而提醒患者/临床医生注意潜在的故障。重要的是,目前还没有连续监测脊柱内固定物完整性的方法,也无法监测脊柱融合过程;因此,硬件故障往往直到出现临床症状才被发现。因此,在这里,我们报告了一种生物粘附金属探测器阵列(BioMDA)的开发和工程,这是一种潜在的可穿戴解决方案,可用于实时、非侵入性地分析脊柱内骨骼植入物的位置。电磁耦合机制和紧密的界面附着力使我们能够在不使用辐射的情况下精确感知金属植入物的位置。开发的定制解耦模型有助于精确确定植入物的水平和垂直位置,具有令人难以置信的精度(例如,<0.5mm)。这些数据支持在脊柱植入物的实时/动态术后监测中使用 BioMDA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4559/11379874/5fcb1548bff0/41467_2024_51987_Fig1_HTML.jpg

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