Model-based cone-beam CT reconstruction for image-guided minimally invasive treatment of hip osteolysis

Author(s):  
Yoshito Otake ◽  
J. W. Stayman ◽  
W. Zbijewski ◽  
R. J. Murphy ◽  
M. D. Kutzer ◽  
...  
2011 ◽  
Vol 38 (12) ◽  
pp. 6697-6709 ◽  
Author(s):  
David Staub ◽  
Alen Docef ◽  
Robert S. Brock ◽  
Constantin Vaman ◽  
Martin J. Murphy

2015 ◽  
Vol 11 (2) ◽  
pp. 259-267 ◽  
Author(s):  
Paul Park

Abstract BACKGROUND As with most minimally invasive spine procedures, lateral lumbar interbody fusion (LLIF) requires the use of biplanar fluoroscopy for localization and safe interbody cage placement. Computed tomography (CT)-based intraoperative spinal navigation has been shown to be more effective than fluoroscopic guidance for posterior-based approaches such as pedicle screw instrumentation. However, the use of spinal navigation in LLIF has not been well studied. OBJECTIVE To present the technique for using an intraoperative cone-beam CT and image-guided navigation system in LLIF and to provide a preliminary analysis of outcomes. METHODS We retrospectively analyzed a prospectively acquired database and the electronic records of patients undergoing LLIF with spinal navigation. Eight patients were identified. Postoperative neurological deficits were recorded. All patients underwent postprocedural CT and x-ray imaging for analysis of accuracy of cage placement. Accuracy of cage placement was determined by location within the disk space. RESULTS The mean age was 66 years, and 6 patients were women. A mean 2.8 levels were treated with a total of 22 lateral cages implanted via navigation. All cages were placed within quarters 1 to 2 or 2 to 3, signifying the anterior half or middle portions of the disk space. There were no sensory or motor deficits postoperatively. CONCLUSION Use of an intraoperative cone-beam CT with an image-guided navigation system is feasible and safe and appears to be accurate, although a larger study is required to confirm these results.


2008 ◽  
Vol 44 (6) ◽  
pp. 312-317 ◽  
Author(s):  
Miguel Ángel de Gregorio ◽  
Alicia Laborda ◽  
Rosario Ortas ◽  
Teresa Higuera ◽  
Javier Gómez-Arrue ◽  
...  

2018 ◽  
Vol 9 (3) ◽  
pp. 385-390 ◽  
Author(s):  
Miltiadis E. Krokidis ◽  
Panagiotis Kitrou ◽  
Stavros Spiliopoulos ◽  
Dimitrios Karnabatidis ◽  
Konstantinos Katsanos

2016 ◽  
Vol 27 (9) ◽  
pp. 1342-1349 ◽  
Author(s):  
Nadine Abi-Jaoudeh ◽  
Teresa Fisher ◽  
John Jacobus ◽  
Marlene Skopec ◽  
Alessandro Radaelli ◽  
...  

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.


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