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In vitro quantification of the performance of model-based mono-planar and bi-planar fluoroscopy for 3D joint kinematics estimation

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Abstract

Model-based mono-planar and bi-planar 3D fluoroscopy methods can quantify intact joints kinematics with performance/cost trade-off. The aim of this study was to compare the performances of mono- and bi-planar setups to a marker-based gold-standard, during dynamic phantom knee acquisitions. Absolute pose errors for in-plane parameters were lower than 0.6 mm or 0.6° for both mono- and bi-planar setups. Mono-planar setups resulted critical in quantifying the out-of-plane translation (error < 6.5 mm), and bi-planar in quantifying the rotation along bone longitudinal axis (error < 1.3°). These errors propagated to joint angles and translations differently depending on the alignment of the anatomical axes and the fluoroscopic reference frames. Internal-external rotation was the least accurate angle both with mono- (error < 4.4°) and bi-planar (error < 1.7°) setups, due to bone longitudinal symmetries. Results highlighted that accuracy for mono-planar in-plane pose parameters is comparable to bi-planar, but with halved computational costs, halved segmentation time and halved ionizing radiation dose. Bi-planar analysis better compensated for the out-of-plane uncertainty that is differently propagated to relative kinematics depending on the setup. To take its full benefits, the motion task to be investigated should be designed to maintain the joint inside the visible volume introducing constraints with respect to mono-planar analysis.

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Acknowledgments

The authors would like to thank Prof. Kamiar Aminian (Ecole Polytechnique Fédérale de Lausanne, EPFL, Lausanne, Switzerland), Dr. Nicolas Theumann and Martine Bernasconi (Centre Hospitalier Universitaire Vaudois, CHUV, Lausanne, Switzerland) for the support given during data acquisition. This project was supported by the research grants “A multimodal approach to study the biomechanics of healthy and pathological knee” (PRIN 2008), and Swiss national foundation (SNSF 120136).

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Authors and Affiliations

  1. Health Sciences and Technologies, Interdepartmental Center for Industrial Research (HST-ICIR), University of Bologna, Bologna, Italy

    Luca Tersi, Silvia Fantozzi & Rita Stagni

  2. Laboratory of Movement Analysis and Measurement (LMAM), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland

    Arnaud Barré

  3. Department of Electrical, Electronic, and Information Engineering ″Guglielmo Marconi″ (DEI), University of Bologna, Bologna, Italy

    Silvia Fantozzi & Rita Stagni

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  1. Luca Tersi
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Correspondence to Luca Tersi.

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Tersi, L., Barré, A., Fantozzi, S. et al. In vitro quantification of the performance of model-based mono-planar and bi-planar fluoroscopy for 3D joint kinematics estimation. Med Biol Eng Comput 51, 257–265 (2013). https://doi.org/10.1007/s11517-012-0987-4

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