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Error performances of a model-based biplane fluoroscopic system for tracking knee prosthesis during treadmill gait task

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Abstract

Roentgen stereophotogrammetry analysis technique allows an accurate measurement of knee joint prosthesis position and orientation using two X-ray images. Although this technique is used generally during static procedure, it is possible to use it with a biplane fluoroscopic system to measure the prosthesis kinematics during functional tasks (e.g., gait, squat, jump) performed in a laboratory environment. However, the performance of the system in terms of errors for the measurements and the model-based matching algorithm are not well known for dynamic tasks such as walking. The goal of this study was to estimate the static and dynamic errors of a model-based biplane fluoroscopic system for a treadmill gait task and analyze the error performance according to the speed and location of the knee joint prosthesis relative to X-ray sources. The results show a static maximum error (RMSE) of 0.13° for orientation and 0.06 mm for position for prosthesis components. The dynamic errors were different for each axis of the acquisition system and each prosthesis component. The largest dynamic error was along the vertical axis for the position (RMSE = 2.42 mm) and along the medio-lateral axis (perpendicular to movement) for the orientation (RMSE = 0.95°). As expected, the error depends on the distance between the prosthesis and the source in the acquisition system as well as the linear and angular velocity of the movement. The most accurate dynamic measure was around the centroid of the acquisition system, while kinematics measurements close to the X-rays detectors gave the worst errors.

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Acknowledgements

This study was supported partly by the Swiss National Science Foundation (SNSF Grant 205320-137940 and 205321-120136) and was partly financed by the Inter-institutional Centre of Translational Biomechanics (CBT) and the “Fondation de soutien à la recherche en orthopédie et traumatologie”.

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Authors and Affiliations

  1. Laboratory of Movement Analysis and Measurement, Ecole Polytechnique Federale de Lausanne, Station 9, 1015, Lausanne, Switzerland

    Arnaud Barré & Kamiar Aminian

  2. Digital Imagery Research and Development Center (CDRIN), 608, Avenue Saint-Rédempteur, Matane, QC, G4W 0E1, Canada

    Arnaud Barré

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  1. Arnaud Barré
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Correspondence to Kamiar Aminian.

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Barré, A., Aminian, K. Error performances of a model-based biplane fluoroscopic system for tracking knee prosthesis during treadmill gait task. Med Biol Eng Comput 56, 307–316 (2018). https://doi.org/10.1007/s11517-017-1680-4

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  • DOI: https://doi.org/10.1007/s11517-017-1680-4

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