Intra-Articular Ultrasonography Probe for Minimally Invasive Upper Extremity Arthroscopic Surgery: A Phantom Study
Background: Upper extremity arthroscopic surgery is a highly technique-dependent procedure that requires the surgeon to assess difficult cartilage conditions and manage the risk of iatrogenic damage to nerves and vessels adjacent to the joint capsule in a confined joint space, and a device that can...
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| Veröffentlicht in: | Journal of clinical medicine 2023-09, Vol.12 (17), p.5727 |
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| creator | Oyama, Shintaro Niimi, Nobuo Mori, Masato Hirata, Hitoshi |
| description | Background: Upper extremity arthroscopic surgery is a highly technique-dependent procedure that requires the surgeon to assess difficult cartilage conditions and manage the risk of iatrogenic damage to nerves and vessels adjacent to the joint capsule in a confined joint space, and a device that can safely assist in this procedure has been in demand. Methods: In this study, we developed a small intra-articular ultrasound (AUS) probe for upper extremity joint surgery, evaluated its safety using underwater sound field measurement, and tested its visualization with a phantom in which nerves and blood vessels were embedded. Results: Sound field measurement experiments confirmed the biological safety of the AUS probe’s output, while confirming that sufficient output power level performance was obtained as an ultrasound measurement probe. In addition, images of blood vessels and nerves were reconstructed discriminatively using A-mode imaging of the agar phantom. Conclusions: This study provides proof-of-concept of the AUS probe in upper extremity surgery. Further studies are needed to obtain approval for use in future medical devices. |
| doi_str_mv | 10.3390/jcm12175727 |
| format | Article |
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Methods: In this study, we developed a small intra-articular ultrasound (AUS) probe for upper extremity joint surgery, evaluated its safety using underwater sound field measurement, and tested its visualization with a phantom in which nerves and blood vessels were embedded. Results: Sound field measurement experiments confirmed the biological safety of the AUS probe’s output, while confirming that sufficient output power level performance was obtained as an ultrasound measurement probe. In addition, images of blood vessels and nerves were reconstructed discriminatively using A-mode imaging of the agar phantom. Conclusions: This study provides proof-of-concept of the AUS probe in upper extremity surgery. Further studies are needed to obtain approval for use in future medical devices.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm12175727</identifier><identifier>PMID: 37685794</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Acoustics ; Arm ; Arthritis ; Arthroscopy ; Care and treatment ; Cartilage ; Catheters ; Cavitation ; Clinical medicine ; Digitization ; Endoscopic surgery ; Extremities, Upper ; Injuries ; Joints ; Microprobe analysis ; Operative ultrasonography ; Quality management ; Surgery ; Ultrasonic imaging ; Ultrasonics in surgery ; Ultrasound imaging</subject><ispartof>Journal of clinical medicine, 2023-09, Vol.12 (17), p.5727</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Methods: In this study, we developed a small intra-articular ultrasound (AUS) probe for upper extremity joint surgery, evaluated its safety using underwater sound field measurement, and tested its visualization with a phantom in which nerves and blood vessels were embedded. Results: Sound field measurement experiments confirmed the biological safety of the AUS probe’s output, while confirming that sufficient output power level performance was obtained as an ultrasound measurement probe. In addition, images of blood vessels and nerves were reconstructed discriminatively using A-mode imaging of the agar phantom. Conclusions: This study provides proof-of-concept of the AUS probe in upper extremity surgery. Further studies are needed to obtain approval for use in future medical devices.</description><subject>Acoustics</subject><subject>Arm</subject><subject>Arthritis</subject><subject>Arthroscopy</subject><subject>Care and treatment</subject><subject>Cartilage</subject><subject>Catheters</subject><subject>Cavitation</subject><subject>Clinical medicine</subject><subject>Digitization</subject><subject>Endoscopic surgery</subject><subject>Extremities, Upper</subject><subject>Injuries</subject><subject>Joints</subject><subject>Microprobe analysis</subject><subject>Operative ultrasonography</subject><subject>Quality management</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonics in surgery</subject><subject>Ultrasound imaging</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkl1rFDEUhoMottRe-QcC3ggyNZ-TjDeylNouVCzUvQ7ZTGY3SyYZk5ml8-_N0KKtmFzk6znvyXs4ALzH6ILSBn0-mB4TLLgg4hU4JUiIClFJXz_bn4DznA-oDClZYd-CEypqyUXDTkFahzHpapVGZyavE9z4cs4xxF3Sw36GdyluLexigt9dcL32fobrcNTZHS3cDINN8OphTLZ34wyLzD7FbOLgDLyf0s6m-Qtcwbu9DmPs4f04tfM78KbTPtvzp_UMbL5d_by8qW5_XK8vV7eVYZiMlRW4awXRQnYSM9Yiwxva8g5jZlpsu20jzLZAiGNCOdNINoK3qEUccYGtpWfg66PuMG172xq7OPVqSMVFmlXUTr18CW6vdvGoMGJSNogXhY9PCin-mmweVe-ysd7rYOOUFZE1JY1kCBf0wz_oIU4pFH8LRWpcPi_-UjvtrXKhiyWxWUTVStSM1HVDl7QX_6HKbEuVTQy2c-X-RcCnxwBTip-T7f6YxEgtbaKetQn9DWvGrj0</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Oyama, Shintaro</creator><creator>Niimi, Nobuo</creator><creator>Mori, Masato</creator><creator>Hirata, Hitoshi</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3977-712X</orcidid></search><sort><creationdate>20230901</creationdate><title>Intra-Articular Ultrasonography Probe for Minimally Invasive Upper Extremity Arthroscopic Surgery: A Phantom Study</title><author>Oyama, Shintaro ; Niimi, Nobuo ; Mori, Masato ; Hirata, Hitoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-e71fd72a78f8144d0c593d5f114cd1efb97cbe710512354a08975d0d050571ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acoustics</topic><topic>Arm</topic><topic>Arthritis</topic><topic>Arthroscopy</topic><topic>Care and treatment</topic><topic>Cartilage</topic><topic>Catheters</topic><topic>Cavitation</topic><topic>Clinical medicine</topic><topic>Digitization</topic><topic>Endoscopic surgery</topic><topic>Extremities, Upper</topic><topic>Injuries</topic><topic>Joints</topic><topic>Microprobe analysis</topic><topic>Operative ultrasonography</topic><topic>Quality management</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonics in surgery</topic><topic>Ultrasound imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oyama, Shintaro</creatorcontrib><creatorcontrib>Niimi, Nobuo</creatorcontrib><creatorcontrib>Mori, Masato</creatorcontrib><creatorcontrib>Hirata, Hitoshi</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oyama, Shintaro</au><au>Niimi, Nobuo</au><au>Mori, Masato</au><au>Hirata, Hitoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra-Articular Ultrasonography Probe for Minimally Invasive Upper Extremity Arthroscopic Surgery: A Phantom Study</atitle><jtitle>Journal of clinical medicine</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>12</volume><issue>17</issue><spage>5727</spage><pages>5727-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Background: Upper extremity arthroscopic surgery is a highly technique-dependent procedure that requires the surgeon to assess difficult cartilage conditions and manage the risk of iatrogenic damage to nerves and vessels adjacent to the joint capsule in a confined joint space, and a device that can safely assist in this procedure has been in demand. 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| subjects | Acoustics Arm Arthritis Arthroscopy Care and treatment Cartilage Catheters Cavitation Clinical medicine Digitization Endoscopic surgery Extremities, Upper Injuries Joints Microprobe analysis Operative ultrasonography Quality management Surgery Ultrasonic imaging Ultrasonics in surgery Ultrasound imaging |
| title | Intra-Articular Ultrasonography Probe for Minimally Invasive Upper Extremity Arthroscopic Surgery: A Phantom Study |
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