There is a need for standardization of radiostereometric (RSA) investigations to facilitate comparison of outcome reported from different research groups. In this document, 6 research centers have agreed upon standards for terminology, description and use of RSA arrangement including radiographic set-up and techniques. Consensus regarding minimum requirements for marker stability and scatter, choice of coordinate systems, and preferred way of describing prosthetic micromotion is of special interest. Some notes on data interpretation are also presented. Validation of RSA should be standardized by preparation of protocols for assessment of accuracy and precision. Practical issues related to loading of the joint by weight bearing or other conditions, follow-up intervals, length of follow-up, radiation dose, and the exclusion of patients due to technical errors are considered. Finally, we present a checklist of standardized output that should be included in any clinical RSA paper.This document will form the basis of a detailed standardization protocol under supervision of ISO and the European Standards Working Group on Joint Replacement Implants (CEN/TC 285/WG4). This protocol will facilitate inclusion of RSA in a standard protocol for implant testing before it is released for general use. Such a protocol-also including other recognized clinical outcome parameters-will reduce the risk of implanting potentially inferior prostheses on a large scale.
The purpose of this study was to develop and test a phantom model based on actual total hip replacement (THR) components to simulate the true penetration of the femoral head resulting from polyethylene wear. This model was used to study both the accuracy and the precision of radiostereometric analysis, RSA, in measuring wear. We also used this model to evaluate optimum tantalurbead configuration for this particular cup design when used in a clinical setting.A physical model of a total hip replacement ( a phantom) was constructed which could simulate progressive, three-dimensional (3-D) penetration of the femoral head into the polyethylene component of a THR. Using a coordinate measuring machine (CMM) the positioning of the femoral head using the phantom was measured to be accurate to within 7 pm. The accuracy and precision of an RSA analysis system was determined from five repeat examinations of the phantom using various experimental set-ups of the phantom. The ac-curucy of the radiostereometric analysis, in this optimal experimental set-up studied was 33 pm for the medial direction, 22 pm for the superior direction, 86 pm for the posterior direction and 55 pm for the resultant 3-D vector length. The corresponding precision at the 95% confidence interval of the test results for repositioning the phantom five times, measured 8.4 pm for the medial direction, 5.5 pm for the superior direction, 16.0 pm for the posterior direction, and 13.5 pm for the resultant 3-D vector length. This in vitro model is proposed as a useful tool for developing a standard for the evaluation of radiostereometric and other radiographic methods used to measure in vivo wear. 0 1003 Orthopaedic Research Society. Published by Elsevier Science Ltd.All rights reserved.
Abstract:We propose a novel photogrammetric method for field plot inventory, designed for simplicity and time efficiency on-site. A prototype multi-camera rig was used to acquire images from field plot centers in multiple directions. The acquisition time on-site was less than two minutes. From each view, a point cloud was generated using a novel, rig-based matching of detected SIFT keypoints. Stems were detected in the merged point cloud, and their positions and diameters were estimated. The method was evaluated on 25 hemi-boreal forest plots of a 10-m radius. Due to difficult lighting conditions and faulty hardware, imagery from only six field plots was processed. The method performed best on three plots with clearly visible stems with a 76% detection rate and 0% commission. Diameters could be estimated for 40% of the stems with an RMSE of 2.8-9.5 cm. The results are comparable to other camera-based methods evaluated in a similar manner. The results are inferior to TLS-based methods. However, our method is easily extended to multiple station image schemas, something that could significantly improve the results while retaining low commission errors and time on-site. Furthermore, with smaller hardware, we believe this could be a useful technique for measuring stem attributes in the forest.
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