大阪大学 · 医学
Uemura教授の研究室は、股関節の三次元的力学的挙動と病態の関係を解明することを目的としています。特に、立位や歩行時の股関節頭の被覆状態を三次元的に評価する画像解析技術の開発に注力しており、臨床的診断や人工関節置換術の術前評価に応用可能な新規画像解析システムの構築を進めています。また、骨密度測定や股関節の解剖的傾き(例えば骨盤の前傾)の予測にも応用可能なコンピュータモデリング技術の開発が進んでいます。
Figures are computed from collected data and may differ slightly.
Our findings will aid clinicians in choosing a set of radiographs to capture cam morphology in the assessment of patients with hip pain.
Individuals with over- or under-covered hips may develop hip osteoarthritis. Femoral head coverage is typically evaluated using radiographs, and/or computed tomography (CT) or magnetic resonance images obtained supine. Yet, these static assessments of coverage may not provide accurate information regarding the dynamic, three-dimensional (3-D) relationship between the femoral head and acetabulum. The objectives of this study were to: (1) quantify total and regional 3-D femoral head coverage in a
Accurate DXA-BMD measurements and diagnosis of osteoporosis were performed from CT images using the system developed herein. As the models are open-source, clinicians can use the proposed system to screen osteoporosis and determine the surgical strategy for hip surgery.
Stem anteversion in the setting of total hip arthroplasty (THA) is usually measured by referencing the posterior condylar line (PCL). However, stem anteversion may not express the functional torsion of the femur if a consistent horizontal tilt in the PCL is observed after THA. Herein, the horizontal tilt of the PCL at the resting neutral position of the hip was retrospectively measured in 53 THA patients from three computed tomography (CT) datasets: (i) preoperative (preop-CT), (ii) 3 weeks afte
Improved understanding of how three-dimensional (3D) femoral head coverage changes as the pelvic sagittal inclination (PSI) is altered would advance clinical diagnosis of hip pathoanatomy. Herein, we applied computer modeling of 3D computed tomography reconstructions of the pelvis and proximal femur to quantify relationships between the PSI and regional 3D femoral head coverage. Eleven healthy, young adult participants with typically developed hip anatomy were analyzed. The orientation of the pe
Pelvic sagittal inclination (PSI) is often evaluated in patients with hip pathology using lateral radiographs. However, it would be useful if PSI could be predicted from an anteroposterior radiograph since this film is ubiquitous in the evaluation of hip pathology. Herein, computer-modeling was applied to predict PSI from radiographic measurements assessed in the anteroposterior plane. Three-dimensional surface models of the pelvis, femur, and sacrum were reconstructed from computed tomography i
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