PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Preoperative planning and post-operative estimation of vertebroplasty using CT/CAD/CAE systems

Wybrane pełne teksty z tego czasopisma
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the work was to determine the stiffness of vertebral bodies after vertebroplasty by means of radiological examination (CT), computer-aided design (CAD) and computer-aided engineering (CAE) systems. Twenty six patients with angiomata in vertebrae have been examined. A vertebra with pathological changes has been modelled twice, i.e. before operation and after the process of vertebral body filling with cement. The processing of CT images for the purposes of generation of 3D vertebral body models using Mimics software is also shown. In the analysis, non-homogeneous material properties of bone in the analysed areas are taken into consideration. Some problems related to the determination of non-homogeneous areas of particular material properties are discussed. FEM analyses described in the paper yielded the distributions of the stresses, strains and displacements in vertebral bodies. The stiffnesses of healthy vertebral bodies, bodies with pathological changes and bodies with bone cement injected were compared. The usefulness of the results obtained from the analyses of vertebral body stiffness for medical application in vertebroplasty was emphasised. The method presented above allows us to put forward a different approach to the problem consisting in individual examination of each patient and planning the surgery according to the case by case conditions. The computer-aided approach, using CT/CAD/CAE system, proposed above allows both improving the surgery performance and post-operative control of the patient condition.
Rocznik
Strony
15--22
Opis fizyczny
Bibliogr. 18 poz.,
Twórcy
autor
autor
  • Warsaw University of Technology, Warsaw, Poland
Bibliografia
  • [1] BELKOFF S.M., MATHIS J.M., JASPER L.E., DERAMOND H., The biomechanics of vertebroplasty. The effect of cement volume on mechanical behaviour, Spine, Jul., 2001, 15, 26(14), 1537–41.
  • [2] CEJMER W., Ocena skuteczości wertebroplastyki w naczyniakach trzonów kręgów, PhD thesis, Wojskowy Instytut Medyczny, 2007.
  • [3] DERAMOND H., DEPRIESTER C., TOUSSAINT P., GALIBERT P., Percutaneous Vertebroplasty, Semin. Musculoskelet. Radiol., 1997, 1(2), 285–29.
  • [4] DIETRICH M., KĘDZIOR K., SKALSKI K., ZAGRAJEK T., KRZESIŃSKI G., SKOWORODKO J., On concurrent engineering and design of an intervertebral disc of lumbar spine, Proceedings of the 18-th International Conference on Computeraided Production Engineering CAPE 2003, Professional Engineering Publishing Limited, Edinburgh, 2003, 209–219.
  • [5] HIGGINS K.B., HARTEN R.D., LIN D., VIEIRA P., LANGRANA N.A., REITER M.F., Biomechanics of Patient Specific Vertebroplasty, 2001, BED-Vol. 50, Bioengineering Conference ASME.
  • [6] HOBATHO M.-C., RHO J.Y., ASHMAN R.B., Anatomical variation of human cancellous bone mechanical properties in vitro, Studies in Health Technology and Informatics, 1997, Vol. 40, 157–173.
  • [7] JASPER L.E., DERAMOND H., MATHIS J.M., BELKOFF S.M., Material properties of various cements for use with vertebroplasty, Journal of Materials Science: Materials in Medicine, 2002, 13, 1–5.
  • [8] JENSEN M.E., EVANS A.J., MATHIS J.M., KALLMES D.F., CLOFT H.J., DION J.E., Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects, AJNR, 1997, 18(10), 1897–904.
  • [9] KAEMMERLEN P., THIESSE P., JONAS P. et al., Percutaneous injection of orthopedic cement in metastatic vertebral lesions, N. Engl. J. Med., 1989, 321, 121.
  • [10] KEYAK J.H. et al., Three dimensional finite element modeling of bone: effect of element size, J. Biomed. Eng., November 1992, Vol. 14.
  • [11] LIEBSCHNER M.A., KOPPERDAHL D.L., ROSENBERG W.S., KEAVENY T.M., Finite element modelling of the human thoracolumbar spine, Spine, 2003, 28(6), 559–65.
  • [12] Mimisc 9.1 Help
  • [13] RHO J.Y., HOBATHO M.-C., ASHMAN R.B., Relations of mechanical properties to density and CT numbers in human bone, Medical Engineering and Physics, 1995, Vol. 17, No. 5, 347–355.
  • [14] TAYLOR W.R., ROLAND E., PLOEG H., HERTIG D., KLABUNDE R., WARNER M.D., HOBATHO M.C., RAKOTOMANANA L., CLIFT S.E., Determination of orthotropic bone elastic constants using FEA and modal analysis, Journal of Biomechanics, 2002, Vol. 35, 767–773.
  • [15] TROJANOWSKI T., KAMIŃSKI J., JANCZAREK M., TROJANOWSKA M., Methyl methacrylate embolisation and stabilisation of vertebral hemangioma, Zentralbl. Neurochirg., (Suppl.), 1998, 154S.
  • [16] WEINANS H. et al., The behaviour for adaptive bone-remodelling simulations models, J. Biomechanics, 1992, Vol. 25, No. 12.
  • [17] WHITE A.A., PANJABI M.M., Clinical Biomechanics of the Spine, J. B. Lippincott Company, 1990.
  • [18] WHYNE C.M., HU S., LOTZ C., Parametric finite element analysis of vertebral bodies affected by tumors, Journal of Biomechanics, 34, 1317–1324, 2001.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPB1-0036-0002
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.