Mobile C-arm X-ray image-splicing techniques applied in orthopedic surgery

doi:10.3969/j.issn.2095-4344.2013.17.011

Abstract

Abstract:

BACKGROUND: In the treatment of orthopedic surgery of the spine and long bone fractures, obtaining the complete bone structure image of the fracture part has great clinical significance for monitoring and evaluating the intraoperative effect of orthopedic surgery.
OBJECTIVE: To investigate the clinical application of mobile C-arm X-ray image-splicing technology in orthopedic surgery.
METHODS: The spine and long bone in the surgical site took the X-ray C-arm fluoroscopy in order to obtain 2-4 images. The image mosaicing software was used to multiple regional overlap the images, and then a panoramic image of spine and long bone on the surgical site was obtained after treated with image-splicing technology.
RESULTS AND CONCLUSION: A panoramic image of spine and long bone on the surgical site was obtained on one photo after treated with C-arm X-ray image-splicing technology, which could display the overall view of spine and long bone clearly and completely, help the surgeon to understand and evaluate the contraposition and alignment situation timely, thus measure the length and the angle. It can provide strong support for the further development of the surgical quality.

Key words: bone and joint implants, photographs and images of bone and joint, C-arm X-ray machine, panoramic imaging, splicing technology, fracture surgery, tibia, femur, spine, minimally invasive, image-splicing, provincial grants-supported paper

CLC Number:

R318

Xie Jia-bing, Xu Zhu-jun, Ding Guo-zheng, Zhou Mao-sheng, Wang Zheng-yu, Zhu Jin-song, Yang Min. Mobile C-arm X-ray image-splicing techniques applied in orthopedic surgery[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(17): 3117-3123.

Figures/Tables 3

References

[1] Yaniv Z, Joskowicz L. Long bone panoramas from fluoroscopic X-ray images. IEEE Trans Med Imaging. 2004; 23(1):26-35.

[2] Yang GQ,Yang XF,Wu TF,et al. Yingxiang Zhenduan yu Jieru Fangshexue. 2009;18(6):316-318.杨广奇,杨旭峰,吴腾芳,等. Philips DR全脊柱立位摄影技术的探讨[J].影像诊断与介入放射学,2009,18(6):316-318.

[3] Bai YN,He HD,Deng ZS. Shiyong Fangshexue Zazhi. 2006; 22(9):1141-1142.白亚妮,贺洪德,邓振生.CR在双下肢全长投照技术中的应用[J].实用放射学杂志, 2006,22(9):1141-1142.

[4] Wang JQ,Liu WY,Zhang LJ,et al. Zhonghua Chuangshang Guke Zazhi. 2006;8(12):1149-1152.王军强,刘文勇,张利军,等.计算机辅助带锁髓内钉固定胫骨骨折全程规划手术系统的实验研究[J].中华创伤骨科杂志,2006,8 (12): 1149-1152.

[5] Zhao CP,Wang JQ,Liu WY,et al. Zhonghua Yixue Zazhi. 2007; 87(43):3038-3042.赵春鹏,王军强,刘文勇,等.骨科机器人系统全程规划模块在长骨骨折精确牵引中的研究[J].中华医学杂志,2007,87(43): 3038-3042.

[6] Exadaktylos AK, Benneker LM, Jeger V, et al. Total-body digital X-ray in trauma. An experience report on the first operational full body scanner in Europe and its possible role in ATLS. Injury. 2008;39(5):525-529.

[7] Weinberger MJ, Seroussi G, Sapiro G.The LOCO-I lossless image compression algorithm: principles and standardization into JPEG-LS.IEEE Trans Image Process. 2000;9(8): 1309-1324.

[8] Trippi D, Russo G, Talone P, et al. The compression of numerical radiological images. Radiol Med. 1994;88(5): 631-642.

[9] Guan Y. Xiangnan Xueyuan Xuebao:Yixueban. 2009;11(1): 73-75.

关勇.运用Photoshop CS软件对医学影像图像拼接处理[J].湘南学院学报:医学版,2009,11(1):73-75.

[10] Adobe公司北京代表处. Adobe Photoshop CS 标准培训教材[M].北京:人民邮电出版社,2005:219.

[11] Chen HP,Jiang SQ,Du Y,et al. Fangshexue Shijian. 2009; 24(9):1044-1046.陈华平,蒋书情,杜云,等.FotoCanvas软件在全脊柱摄影中的应用[J].放射学实践,2009,24(9):1044-1046.

[12] Luo X,Wang Y,Deng ZS. Zhongguo Yixue Wulixue Zazhi. 2009;26(4):1281-1284.罗香,王邺,邓振生.X光图像自动增强拼接技术的研究和实现[J].中国医学物理学杂志,2009,26(4):1281-1284.

[13] Kang ZZ. Zhongguo Tuxiang Tuxing Xuebao. 2008;13(12): 2368-2375.康志忠.近景数码影像中墙面纹理自动拼接方法的研究[J].中国图象图形学报,2008,13(12):2368-2375.

[14] Luo ZH,Chen SL,Yu JY. Linchuang he Shiyan Yixue Zazhi. 2009;8(4):60-61.罗志鸿,陈胜利,余京元.CR下肢全长图像拼接摄影参数的探讨[J].临床和实验医学杂志,2009,8(4):60-61.

[15] Zhu JS,Xie JB,Ding GZ,et al. Zhongguo Yixue Chuangxin. 2012;9(14):52-54.朱劲松,谢加兵,丁国正,等.微创稳定系统治疗复杂性股骨干骨折37例临床分析[J].中国医学创新,2012,9(14):52-54.

[16] Kolb W, Guhlmann H, Windisch C,et al. Fixation of distal femoral fractures with the Less Invasive Stabilization System: a minimally invasive treatment with locked fixed-angle screws.J Trauma. 2008;65(6):1425-1434.

[17] Tong DK, Ji F, Cai XB. Locking internal fixator with minimally invasive plate osteosynthesis for the proximal and distal tibial fractures.Chin J Traumatol. 2011;14(4):233-236.

[18] Sohn OJ, Kang DH.Staged protocol in treatment of open distal tibia fracture: using lateral MIPO.Clin Orthop Surg. 2011;3(1):69-76.

[19] Zhong H,Zhu ZM,Liu LH,et al. Zhongguo Gu yu Guanjie Shunshang Zazhi. 2011;26(3):213-216.钟华,朱智敏,刘立华,等.MIPPO技术下LCP锁定和加压固定后应力遮挡效应的有限元研究[J].中国骨与关节损伤杂志,2011, 26(3):213-216.

[20] Xie JB,Xu ZJ,Yang M,et al. Zhongguo Gu yu Guanjie Shunshang Zazhi. 2012;27(10):902-904.谢加兵,徐祝军,杨民,等.微创钢板接骨技术治疗复杂胫骨远端骨折49例临床分析[J].中国骨与关节损伤杂志,2012,27(10): 902-904.

[21] Xiao HB,Zhong H,Liu JD,et al. Zhongguo Gu yu Guanjie Shunshang Zazhi. 2009;24(2):123-125.肖华斌,钟华,刘敬东,等.MIPPO技术下胫骨近端骨折LCP固定的三维有限元研究[J].中国骨与关节损伤杂志,2009,24(2): 123-125.

[22] Xie JB,Xu ZJ,Ding GZ,et al. Jiepou yu Linchuang. 2013;18(1): 12-13.谢加兵,徐祝军,丁国正,等.微创稳定系统治疗复杂性胫骨近端骨折29例临床分析[J].解剖与临床,2013,18(1):12-13.

[23] Ronga M, Longo UG, Maffulli N.Minimally invasive locked plating of distal tibia fractures is safe and effective.Clin Orthop Relat Res. 2010;468(4):975-982.

[24] Tan XQ,Zhang WX,Ji ZY,et al. Shiyong Guke Zazhi. 2010; 16(6):450-452.谭相齐,张文祥,季祝永,等.AO微创内固定系统治疗股骨远端骨折[J].实用骨科杂志,2010,16(6):450-452.