nach oben

European Spine Journal

Erschienen in:

03.03.2016 | Original Article

Stereoradiography imaging motion artifact: does it affect radiographic measures after spinal instrumentation?

verfasst von: Anne-Laure Simon, Emmanuelle Ferrero, A. N. Larson, Kenton R. Kaufman

Erschienen in: European Spine Journal | Ausgabe 5/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Stereoradiography imaging (SRI) is an accurate and reliable low-dose radiographic method. However, patients must remain motionless during image acquisition. Motion artifacts are frequently noted. The aims of the study were to determine the incidence of the SRI motion artifact and assess if motion during SRI acquisition affects radiographic measurements.

Methods

In this retrospective study, 198 patients with spinal instrumentation had biplanar SRI radiographs performed, of whom 39 had concomitant conventional radiographs. Eight coronal and sagittal spinal parameters were independently measured on SRI and conventional radiographs for the 39 patients by 2 observers. Inclusion criteria were: presence of spinal instrumentation of more than six levels and an SRI motion artifact identified on the coronal and/or the sagittal views on either the spinal rods or on the limbs. Means were compared between both types of radiographs using the Student’s t test; intraclass correlation coefficients (ICCs) were used for intraobserver reproducibility and interrater reliability.

Results

A motion artifact was identified in 19.7 % (n = 39, mean age 19.5 ± 1.7 years) of the cases. There were no differences in any of the coronal or sagittal plane measurements between SRI and X-rays. Intraobserver reliability and interrater reproducibility was high (range 0.81–0.98).

Conclusions

Motion artifact during full-spine stereoradiography imaging acquisition is frequent, but does not affect spinal measurements. SRI with a motion artifact can be used to produce reliable measurements of the sagittal and coronal parameters. Some SRI images with a motion artifact may suggest loss of fixation or bending of the rods. However, after becoming familiar with the appearance of the motion artifact, repeat radiographs are rarely indicated.

IRB number

14-004872.

Level of evidence

Level IV.

Dubousset J, Charpak G, Dorion I et al (2005) A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system. Bull Académie Natl Méd 189(2):287–297

Deschênes S, Charron G, Beaudoin G et al (2010) Diagnostic imaging of spinal deformities: reducing patients radiation dose with a new slot-scanning X-ray imager. Spine 35(9):989–994CrossRefPubMed

Dietrich TJ, Pfirrmann CWA, Schwab A et al (2013) Comparison of radiation dose, workflow, patient comfort and financial break-even of standard digital radiography and a novel biplanar low-dose X-ray system for upright full-length lower limb and whole spine radiography. Skeletal Radiol 42(7):959–967CrossRefPubMed

Ilharreborde B, Steffen JS, Nectoux E et al (2011) Angle measurement reproducibility using EOS three-dimensional reconstructions in adolescent idiopathic scoliosis treated by posterior instrumentation. Spine 36(20):E1306–E1313CrossRefPubMed

Illés T, Somoskeöy S (2012) The EOS™ imaging system and its uses in daily orthopaedic practice. Int Orthop 36(7):1325–1331CrossRefPubMedPubMedCentral

Krug KB, Weber C, Schwabe H et al (2014) Comparison of image quality using a X-ray stereotactical whole-body system and a direct flat-panel X-ray device in examinations of the pelvis and knee. Rofo 186(1):67–76PubMed

Morvan G, Mathieu P, Vuillemin V et al (2011) Standardized way for imaging of the sagittal spinal balance. Eur Spine J 20(Suppl 5):602–608CrossRefPubMedPubMedCentral

Somoskeöy S, Tunyogi-Csapó M et al (2012) Accuracy and reliability of coronal and sagittal spinal curvature data based on patient-specific three-dimensional models created by the EOS 2D/3D imaging system. Spine J 12(11):1052–1059CrossRefPubMed

Wybier M, Bossard P (2013) Musculoskeletal imaging in progress: The EOS imaging system. Joint Bone Spine 80(3):238–243CrossRefPubMed

10.

Blumer SL, Dinan D, Grissom LE (2014) Benefits and unexpected artifacts of biplanar digital slot-scanning imaging in children. Pediatr Radiol 44(7):871–882CrossRefPubMed

11.

Gille O, Champain N, Benchikh-El-Fegoun A et al (2007) Reliability of 3D reconstruction of the spine of mild scoliotic patients. Spine 32(5):568–573CrossRefPubMed

12.

Lafage R, Ferrero E, Henry JK et al (2015) Validation of a new computer-assisted tool to measure spino-pelvic parameters. Spine J 15(12):2493–2502CrossRefPubMed

13.

Legaye J, Saunier P, Dumas R et al (2009) Correction for patient sway in radiographic biplanar imaging for three-dimensional reconstruction of the spine: in vitro study of a new method. Acta Radiol 50(7):781–790CrossRefPubMed

14.

Hong J-Y, Suh S-W, Easwar TR et al (2011) Evaluation of the three-dimensional deformities in scoliosis surgery with computed tomography: efficacy and relationship with clinical outcomes. Spine 36(19):E1259–E1265CrossRefPubMed

15.

Humbert L, De Guise JA, Aubert B et al (2009) 3D reconstruction of the spine from biplanar X-rays using parametric models based on transversal and longitudinal inferences. Med Eng Phys 31(6):681–687CrossRefPubMed

16.

Labelle H, Aubin C-E, Jackson R et al (2011) Seeing the spine in 3D: how will it change what we do? J Pediatr Orthop 31(1 Suppl):S37–S45CrossRefPubMed

17.

Sangole A, Aubin C-E, Labelle H et al (2010) The central hip vertical axis: a reference axis for the Scoliosis Research Society three-dimensional classification of idiopathic scoliosis. Spine 35(12):E530–E534CrossRefPubMed

18.

Ilharreborde B, Dubousset J, Le Huec J-C (2014) Use of EOS imaging for the assessment of scoliosis deformities: application to postoperative 3D quantitative analysis of the trunk. Eur Spine J 23(Suppl 4):S397–S405PubMed

19.

Morrissy RT, Goldsmith GS, Hall EC et al (1990) Measurement of the Cobb angle on radiographs of patients who have scoliosis. Evaluation of intrinsic error. J Bone Joint Surg Am 72(3):320–327CrossRefPubMed

20.

Rillardon L, Levassor N, Guigui P et al (2003) Validation of a tool to measure pelvic and spinal parameters of sagittal balance. Rev Chir Orthopédique Réparatrice Appar Mot 89(3):218–227

21.

Shea KG, Stevens PM, Nelson M et al (1998) A comparison of manual versus computer-assisted radiographic measurement. Intraobserver measurement variability for Cobb angles. Spine 23(5):551–555CrossRefPubMed

22.

Marks MC, Stanford CF, Mahar AT et al (2003) Standing lateral radiographic positioning does not represent customary standing balance. Spine 28(11):1176–1182PubMed

23.

Steffen J-S, Obeid I, Aurouer N et al (2010) 3D postural balance with regard to gravity line: an evaluation in the transversal plane on 93 patients and 23 asymptomatic volunteers. Eur Spine J 19(5):760–767CrossRefPubMed

24.

Vedantam R, Lenke LG, Bridwell KH et al (2000) The effect of variation in arm position on sagittal spinal alignment. Spine 25(17):2204–2209CrossRefPubMed

Titel: Stereoradiography imaging motion artifact: does it affect radiographic measures after spinal instrumentation?
verfasst von: Anne-Laure Simon
Emmanuelle Ferrero
A. N. Larson
Kenton R. Kaufman
Publikationsdatum: 03.03.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 5/2018
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4462-z

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

IRB number

Level of evidence

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2018

Diagnostic accuracy of MR imaging for direct visualization of lumbar pars defect in children and young adults: a systematic review and meta-analysis

The prevalence of lumbar spondylolysis in young children: a retrospective analysis using CT

Is L5–S1 motion segment different from the rest? A radiographic kinematic assessment of 72 patients with chronic low back pain

Letter to the Editor concerning “Relationship between preoperative serum rapid turnover proteins and early-stage surgical wound infection after spine surgery” by D. Kudo et al. (Eur Spine J; 2016: DOI 10.1007/s00586-016-4855-z)

A method to quantify the “cone of economy”

MRI kinematic analysis of T1 sagittal motion between cervical flexion and extension positions in 145 patients