Basic study for ultrasound-based navigation for pedicle screw insertion using transmission and backscattered methods

The purpose of this study was to understand the acoustic properties of human vertebral cancellous bone and to study the feasibility of ultrasound-based navigation for posterior pedicle screw fixation in spinal fusion surgery. Fourteen human vertebral specimens were disarticulated from seven un-embal...

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Veröffentlicht in:PloS one 2015-04, Vol.10 (4), p.e0122392-e0122392
Hauptverfasser: Chen, Ziqiang, Wu, Bing, Zhai, Xiao, Bai, Yushu, Zhu, Xiaodong, Luo, Beier, Chen, Xiao, Li, Chao, Yang, Mingyuan, Xu, Kailiang, Liu, Chengcheng, Wang, Chuanfeng, Zhao, Yingchuan, Wei, Xianzhao, Chen, Kai, Yang, Wu, Ta, Dean, Li, Ming
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container_title PloS one
container_volume 10
creator Chen, Ziqiang
Wu, Bing
Zhai, Xiao
Bai, Yushu
Zhu, Xiaodong
Luo, Beier
Chen, Xiao
Li, Chao
Yang, Mingyuan
Xu, Kailiang
Liu, Chengcheng
Wang, Chuanfeng
Zhao, Yingchuan
Wei, Xianzhao
Chen, Kai
Yang, Wu
Ta, Dean
Li, Ming
description The purpose of this study was to understand the acoustic properties of human vertebral cancellous bone and to study the feasibility of ultrasound-based navigation for posterior pedicle screw fixation in spinal fusion surgery. Fourteen human vertebral specimens were disarticulated from seven un-embalmed cadavers (four males, three females, 73.14 ± 9.87 years, two specimens from each cadaver). Seven specimens were used to measure the transmission, including tests of attenuation and phase velocity, while the other seven specimens were used for backscattered measurements to inspect the depth of penetration and A-Mode signals. Five pairs of unfocused broadband ultrasonic transducers were used for the detection, with center frequencies of 0.5 MHz, 1 MHz, 1.5 MHz, 2.25 MHz, and 3.5 MHz. As a result, good and stable results were documented. With increased frequency, the attenuation increased (P
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Fourteen human vertebral specimens were disarticulated from seven un-embalmed cadavers (four males, three females, 73.14 ± 9.87 years, two specimens from each cadaver). Seven specimens were used to measure the transmission, including tests of attenuation and phase velocity, while the other seven specimens were used for backscattered measurements to inspect the depth of penetration and A-Mode signals. Five pairs of unfocused broadband ultrasonic transducers were used for the detection, with center frequencies of 0.5 MHz, 1 MHz, 1.5 MHz, 2.25 MHz, and 3.5 MHz. As a result, good and stable results were documented. With increased frequency, the attenuation increased (P&lt;0.05), stability of the speed of sound improved (P&lt;0.05), and penetration distance decreased (P&gt;0.05). At about 0.6 cm away from the cortical bone, warning signals were easily observed from the backscattered measurements. In conclusion, the ultrasonic system proved to be an effective, moveable, and real-time imaging navigation system. However, how ultrasonic navigation will benefit pedicle screw insertion in spinal surgery needs to be determined. Therefore, ultrasound-guided pedicle screw implantation is theoretically effective and promising.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0122392</identifier><identifier>PMID: 25861053</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acoustic properties ; Acoustics ; Attenuation ; Backscattering ; Bone (cancellous) ; Bone (cortical) ; Bone implants ; Broadband ; Cadavers ; Cancellous bone ; CAS ; Computer assisted surgery ; Cortical bone ; Feasibility studies ; Females ; Frequency stability ; Hospitals ; Humans ; Implantation ; Insertion ; Males ; Methods ; Navigation systems ; Orthopedics ; Pedicle Screws ; Penetration ; Phase velocity ; Propagation ; Scoliosis ; Spinal Fusion - methods ; Spinal surgery ; Surgery ; Transducers ; Ultrasonic imaging ; Ultrasonic Waves ; Ultrasound ; Ultrasound imaging ; Vertebrae</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0122392-e0122392</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Chen et al. 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Wu, Bing ; Zhai, Xiao ; Bai, Yushu ; Zhu, Xiaodong ; Luo, Beier ; Chen, Xiao ; Li, Chao ; Yang, Mingyuan ; Xu, Kailiang ; Liu, Chengcheng ; Wang, Chuanfeng ; Zhao, Yingchuan ; Wei, Xianzhao ; Chen, Kai ; Yang, Wu ; Ta, Dean ; Li, Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c653t-5849d554f2c95aa66c8918fcf500afd74478a64bee45e590773e7b7f8569b9863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acoustic properties</topic><topic>Acoustics</topic><topic>Attenuation</topic><topic>Backscattering</topic><topic>Bone (cancellous)</topic><topic>Bone (cortical)</topic><topic>Bone implants</topic><topic>Broadband</topic><topic>Cadavers</topic><topic>Cancellous bone</topic><topic>CAS</topic><topic>Computer assisted surgery</topic><topic>Cortical bone</topic><topic>Feasibility studies</topic><topic>Females</topic><topic>Frequency stability</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Implantation</topic><topic>Insertion</topic><topic>Males</topic><topic>Methods</topic><topic>Navigation systems</topic><topic>Orthopedics</topic><topic>Pedicle Screws</topic><topic>Penetration</topic><topic>Phase velocity</topic><topic>Propagation</topic><topic>Scoliosis</topic><topic>Spinal Fusion - methods</topic><topic>Spinal surgery</topic><topic>Surgery</topic><topic>Transducers</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic Waves</topic><topic>Ultrasound</topic><topic>Ultrasound imaging</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Ziqiang</creatorcontrib><creatorcontrib>Wu, Bing</creatorcontrib><creatorcontrib>Zhai, Xiao</creatorcontrib><creatorcontrib>Bai, Yushu</creatorcontrib><creatorcontrib>Zhu, Xiaodong</creatorcontrib><creatorcontrib>Luo, Beier</creatorcontrib><creatorcontrib>Chen, Xiao</creatorcontrib><creatorcontrib>Li, Chao</creatorcontrib><creatorcontrib>Yang, Mingyuan</creatorcontrib><creatorcontrib>Xu, Kailiang</creatorcontrib><creatorcontrib>Liu, Chengcheng</creatorcontrib><creatorcontrib>Wang, Chuanfeng</creatorcontrib><creatorcontrib>Zhao, Yingchuan</creatorcontrib><creatorcontrib>Wei, Xianzhao</creatorcontrib><creatorcontrib>Chen, Kai</creatorcontrib><creatorcontrib>Yang, Wu</creatorcontrib><creatorcontrib>Ta, Dean</creatorcontrib><creatorcontrib>Li, Ming</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints Resource Center</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; 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Fourteen human vertebral specimens were disarticulated from seven un-embalmed cadavers (four males, three females, 73.14 ± 9.87 years, two specimens from each cadaver). Seven specimens were used to measure the transmission, including tests of attenuation and phase velocity, while the other seven specimens were used for backscattered measurements to inspect the depth of penetration and A-Mode signals. Five pairs of unfocused broadband ultrasonic transducers were used for the detection, with center frequencies of 0.5 MHz, 1 MHz, 1.5 MHz, 2.25 MHz, and 3.5 MHz. As a result, good and stable results were documented. With increased frequency, the attenuation increased (P&lt;0.05), stability of the speed of sound improved (P&lt;0.05), and penetration distance decreased (P&gt;0.05). At about 0.6 cm away from the cortical bone, warning signals were easily observed from the backscattered measurements. In conclusion, the ultrasonic system proved to be an effective, moveable, and real-time imaging navigation system. However, how ultrasonic navigation will benefit pedicle screw insertion in spinal surgery needs to be determined. Therefore, ultrasound-guided pedicle screw implantation is theoretically effective and promising.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25861053</pmid><doi>10.1371/journal.pone.0122392</doi><oa>free_for_read</oa></addata></record>
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subjects Acoustic properties
Acoustics
Attenuation
Backscattering
Bone (cancellous)
Bone (cortical)
Bone implants
Broadband
Cadavers
Cancellous bone
CAS
Computer assisted surgery
Cortical bone
Feasibility studies
Females
Frequency stability
Hospitals
Humans
Implantation
Insertion
Males
Methods
Navigation systems
Orthopedics
Pedicle Screws
Penetration
Phase velocity
Propagation
Scoliosis
Spinal Fusion - methods
Spinal surgery
Surgery
Transducers
Ultrasonic imaging
Ultrasonic Waves
Ultrasound
Ultrasound imaging
Vertebrae
title Basic study for ultrasound-based navigation for pedicle screw insertion using transmission and backscattered methods
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