APPLICATION OF THE CONE BEAM COMPUTED TOMOGRAPHY (CBCT) MODALITY WITH WEIGHT BEARING TECHNIQUE TO IDENTIFY OSTEOARTHRITIS (OA) IN THE KNEE JOINT

IM Dwitya Surya Wrddhi Putra, Sudiyono Sudiyono, Kasimin Kasimin

Abstract


ABSTRACT

Background : Osteoarthritis (OA) is a degenerative joint disease that causes inflammation of the cartilage due to the load that is often received by the joints. The knee joint is a part that is often affected by OA. Radiographic and CT examinations can be used to check for OA of the knee. Radiographic examination has the advantage of optimally displaying OA because the examination is carried out under weight bearing conditions, and CT is superior in displaying anatomical details due to cross sectional and 3D reconstruction. Technological developments present Cone Beam CT (CBCT) weight bearings that combine the advantages of radiographic and CT examinations. The purpose of this study is to determine the role and benefits of CBCT weight bearing on knee joint image information in cases of OA.

Method This type of research is literature review research with a narrative review approach. The databases used in the review articles include Science Direct, ProQuest, PubMed, DOAJ, Google Scholar, Wiley Online Library, ISI Web of Knowledge, and the Oxford Journal. The articles that have been obtained will be processed in tabulated form for later extraction.

Result : The results of this study indicate that weight bearing is able to assess degeneration causing internal rotation in the range of +/- 2.8-3.1o, lateral patellar shift up to +/- 0.4 mm, joint space width (JSW) up to +/- 0.5 mm, meniscal extrusion (ME) up to +/- 10.2 mm. 

Conclusion : CBCT is used to obtain volumetric and cross sectional 3D knee images, in order to obtain images with high spatial resolution with low doses, detailed bone structure images, short scan times, visualization of narrowing and progression of OA in JSW clearly, visualization of OA in the menisci, as well as visualizing the complexity of the joint and soft tissue images so that OA is easily identified.


Keywords


Weight Bearing; Lower Extremity; Knee; Cone Beam

Full Text:

PDF

References


Berger, M., Müller, K., Aichert, A., Unberath, M., Thies, J., Choi, J. H., Fahrig, R., & Maier, A. (2016). Marker-free motion correction in weight-bearing cone-beam CT of the knee joint. Medical Physics, 43(3), 1235–1248. https://doi.org/10.1118/1.4941012

Choi, J.-H., Muller, K., Hsieh, S., Maier, A., Gold, G., Levenston, M., & Fahrig, R. (2016). Over-exposure correction in knee cone-beam CT imaging with automatic exposure control using a partial low dose scan. Medical Imaging 2016: Physics of Medical Imaging, 9783, 97830L. https://doi.org/10.1117/12.2217347

Collins, N. J., Misra, D., Felson, D. T., Crossley, K. M., & Roos, E. M. (2011). Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Ou. Arthritis Care and Research, 63(SUPPL. 11), 208–228. https://doi.org/10.1002/acr.20632

Demehri, S., Muhit, A., Zbijewski, W., Stayman, J. W., Yorkston, J., Packard, N., Senn, R., Yang, D., Foos, D., Thawait, G. K., Fayad, L. M., Chhabra, A., Carrino, J. A., & Siewerdsen, J. H. (2015). Assessment of image quality in soft tissue and bone visualization tasks for a dedicated extremity cone-beam CT system. European Radiology, 25(6), 1742–1751. https://doi.org/10.1007/s00330-014-3546-6

Doherty, M., Bijlsma, J., Arden, N., Hunter, D., & Dalbeth, N. (2016). Osteoarthritis and Crystal Arthropathy. 529.

Frank, E. D., Long, B. W., & Smith, B. J. (2013). Merrill’s Atlas of Radiographic Positioning & Procedures, 12th Edition, 1 Volume. Elsevier.

Hendee, W. R. (2014). Cone Beam Computed Tomography. In Biomedical Instrumentation and Technology (Vol. 36, Issue 1). CRC Press. https://doi.org/10.2345/0899-8205(2002)36[53:TFOT]2.0.CO;2

Hirschmann, A., Buck, F. M., Fucentese, S. F., & Pfirrmann, C. W. A. (2015). Upright CT of the knee: the effect of weight-bearing on joint alignment. European Radiology, 25(11), 3398–3404. https://doi.org/10.1007/s00330-015-3756-6

Hirschmann, A., Pfirrmann, C. W. A., Klammer, G., Espinosa, N., & Buck, F. M. (2014). Upright Cone CT of the hindfoot: Comparison of the non-weight-bearing with the upright weight-bearing position. European Radiology, 24(3), 553–558. https://doi.org/10.1007/s00330-013-3028-2

Kapoor, M., Mahomed, N. N., & Medicine, P. (2015). Osteoarthritis. Springer.

Kothari, M. D., Rabe, K. G., Anderson, D. D., Nevitt, M. C., Lynch, J. A., Franz, H., & A. Segal, N. (2020). The relationship of three-dimensional joint space width on weight-bearing CT with pain and physical function. Journal of Orthopaedic Research, 38(6), 1333–1339. https://doi.org/10.1002/jor.24566

Lintz, F., Netto, C. de C., Barg, A., Burssens, A., & Richter, M. (2018). Weight-bearing cone beam CT scans in the foot and ankle. EFORT Open Reviews, 3(5), 278–286. https://doi.org/10.1302/2058-5241.3.170066

Maier, J., Black, M., Bonaretti, S., Bier, B., Eskofier, B., Choi, J. H., Levenston, M., Gold, G., Fahrig, R., & Maier, A. (2017). Comparison of Different Approaches for Measuring Tibial Cartilage Thickness. Journal of Integrative Bioinformatics, 14(2), 1–10. https://doi.org/10.1515/jib-2017-0015

Maier, J., Nitschke, M., Choi, J. H., Gold, G., Fahrig, R., Eskofier, B. M., & Maier, A. (2020). Inertial Measurements for Motion Compensation in Weight-Bearing Cone-Beam CT of the Knee. Lecture Notes in Computer Science (Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 12263 LNCS, 14–23. https://doi.org/10.1007/978-3-030-59716-0_2

Malhotra, K., Welck, M., Cullen, N., Singh, D., & Goldberg, A. J. (2019). The effects of weight bearing on the distal tibiofibular syndesmosis: A study comparing weight bearing-CT with conventional CT. Foot and Ankle Surgery, 25(4), 511–516. https://doi.org/10.1016/j.fas.2018.03.006

Mann, R. W. (2012). Photograpic Regional Atlas of Bone Disease. (third edit, Vol. 66). Charles C Thomas.

Marieb, E., Wilhem, P., & Mallat, J. (2012). Marieb Hoehn Anatomy Physiology 6th Edition Pearson. In Human Anatomy.

Mezlini-Gharsallah, H., Youssef, R., Uk, S., Laredo, J. D., & Chappard, C. (2018). Three-dimensional mapping of the joint space for the diagnosis of knee osteoarthritis based on high resolution computed tomography: Comparison with radiographic, outerbridge, and meniscal classifications. Journal of Orthopaedic Research, 36(9), 2380–2391. https://doi.org/10.1002/jor.24015

Qian, C., Alejandro, S., Michael, B., Webster, S. J., John, Y., H., S. J., & Wojciech, Z. (2017). Modeling and Evaluation of a High-Resolution CMOS Detector for Cone-Beam CT of the Extremities. International Journal of Laboratory Hematology, 38(1), 42–49. https://doi.org/10.1111/ijlh.12426

Richter, M., Lintz, F., de Cesar Netto, C., Barg, A., Burssens, A., & Ellis, S. (2020). Weight Bearing Cone Beam Computed Tomography (WBCT) in the Foot and Ankle. In Weight Bearing Cone Beam Computed Tomography (WBCT) in the Foot and Ankle. https://doi.org/10.1007/978-3-030-31949-6

Romans, L. E. (2018). Computed tomography for technologists: A comprehensive text, second edition. In Computed Tomography for Technologists: A Comprehensive Text (pp. 1–440).

Segal, N. A., Frick, E., Duryea, J., Nevitt, M. C., Niu, J., Torner, J. C., Felson, D. T., & Anderson, D. D. (2017). Comparison of tibiofemoral joint space width measurements from standing CT and fixed flexion radiography. Journal of Orthopaedic Research, 35(7), 1388–1395. https://doi.org/10.1002/jor.23387

Sisniega, A., Stayman, J. W., Cao, Q., Yorkston, J., Siewerdsen, J. H., & Zbijewski, W. (2016). Image-based motion compensation for high-resolution extremities cone-beam CT. Medical Imaging 2016: Physics of Medical Imaging, 9783, 97830K. https://doi.org/10.1117/12.2217243

Thawait, G. K., Demehri, S., Almuhit, A., Zbijweski, W., Yorkston, J., Del Grande, F., Zikria, B., Carrino, J. A., & Siewerdsen, J. H. (2015). Extremity cone-beam CT for evaluation of medial tibiofemoral osteoarthritis: Initial experience in imaging of the weight-bearing and non-weight-bearing knee. European Journal of Radiology, 84(12), 2564–2570. https://doi.org/10.1016/j.ejrad.2015.09.003

Tuominen, E. K. J., Kankare, J., Koskinen, S. K., & Mattila, K. T. (2013). Weight-bearing CT imaging of the lower extremity. American Journal of Roentgenology, 200(1), 146–148. https://doi.org/10.2214/AJR.12.8481




DOI: https://doi.org/10.31983/jahmt.v4i1.8237

Article Metrics

Abstract view : 370
Download PDF : 177

Refbacks

  • There are currently no refbacks.


Journal of Applied Health Management and Technology (p-ISSN: 2715-3061  e-ISSN: 2715-307X , Postgraduate Program, Poltekkes Kemenkes Semarang.
St. Tirto Agung, Pedalangan, Banyumanik, Semarang City, Central Java, Indonesia, Postal code 50268 Telp./Fax: (024)76479189

https://jurnal.usk.ac.id/lib/pkp/gacor4d/https://htn.parahikma.ac.id/sbotop/https://jurnal.usk.ac.id/lib/pkp/slotraffi/https://kemahasiswaan.mercubaktijaya.ac.id/sistem/