Automated Measurement of Patient-Specific Tibial Slopes from MRI.

Bioengineering (Basel)

Departments of Health and Human Performance & Physical Therapy, College of Health Professions, The University of Findlay, Findlay, OH 45840, USA.

Published: August 2017

AI Article Synopsis

  • The study investigates the relationship between multi-planar proximal tibial slopes and the risk of osteoarthritis and ACL injuries, highlighting the need for efficient measurement methods.
  • An automated Matlab-based approach was developed to measure tibial slope geometries from MRI scans, showing better repeatability and efficiency compared to existing methods.
  • Findings revealed that females generally have steeper lateral and medial tibial slopes than males, suggesting potential implications for clinical assessments and surgical planning related to knee injuries.

Article Abstract

Background: Multi-planar proximal tibial slopes may be associated with increased likelihood of osteoarthritis and anterior cruciate ligament injury, due in part to their role in checking the anterior-posterior stability of the knee. Established methods suffer repeatability limitations and lack computational efficiency for intuitive clinical adoption. The aims of this study were to develop a novel automated approach and to compare the repeatability and computational efficiency of the approach against previously established methods.

Methods: Tibial slope geometries were obtained via MRI and measured using an automated Matlab-based approach. Data were compared for repeatability and evaluated for computational efficiency.

Results: Mean lateral tibial slope (LTS) for females (7.2°) was greater than for males (1.66°). Mean LTS in the lateral concavity zone was greater for females (7.8° for females, 4.2° for males). Mean medial tibial slope (MTS) for females was greater (9.3° vs. 4.6°). Along the medial concavity zone, female subjects demonstrated greater MTS.

Conclusion: The automated method was more repeatable and computationally efficient than previously identified methods and may aid in the clinical assessment of knee injury risk, inform surgical planning, and implant design efforts.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615315PMC
http://dx.doi.org/10.3390/bioengineering4030069DOI Listing

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