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An integrated platform for hip joint osteoarthritis analysis: design, implementation and results

Charbonnier, Caecilia ; Magnenat-Thalmann, Nadia ; Becker, Christoph ; Hoffmeyer, Pierre ; Menetrey, Jacques

In: International Journal of Computer Assisted Radiology and Surgery, 2010, vol. 5, no. 4, p. 351-358

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    Title
    • An integrated platform for hip joint osteoarthritis analysis: design, implementation and results
    Author
    • Charbonnier, Caecilia. MIRALab, University of Geneva, 7, route de Drize, 1227, Carouge, Switzerland
    • Magnenat-Thalmann, Nadia. MIRALab, University of Geneva, 7, route de Drize, 1227, Carouge, Switzerland
    • Becker, Christoph. Department of Radiology, University Hospital of Geneva, Geneva, Switzerland
    • Hoffmeyer, Pierre. Department of Orthopedic Surgery, University Hospital of Geneva, Geneva, Switzerland
    • Menetrey, Jacques. Department of Orthopedic Surgery, University Hospital of Geneva, Geneva, Switzerland
    Document Type
    • Postprint
    Language
    • English
    Published in
    • International Journal of Computer Assisted Radiology and Surgery, 2010, vol. 5, no. 4, p. 351-358. Springer-Verlag
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:320787
    Summary
    Purpose: We present a software designed to improve hip joint osteoarthritis (OA) understanding using 3D anatomical models, magnetic resonance imaging (MRI) and motion capture. Methods: In addition to a standard static clinical evaluation (anamnesis, medical images examination), the software provides a dynamic assessment of the hip joint. The operator can compute automatically and in real-time the hip joint kinematics from optical motion capture data. From the estimated motion, the software allows for the calculation of the active range of motion, the congruency and the center of rotation of the hip joint and the detection and localization of the femoroacetabular impingement region. All these measurements cannot be performed clinically. Moreover, to improve the subjective reading of medical images, the software provides a set of 3D measurement tools based on MRI and 3D anatomical models to assist and improve the analysis of hip morphological abnormalities. Finally, the software is driven by a medical ontology to support data storage, processing and analysis. Results: We performed an in vivo assessment of the software in a clinical study conducted with 30 professional ballet dancers, a population who are at high risk of developing OA. We studied the causes of OA in this selected population. Our results show that extreme motion exposes the morphologically "normal” dancer's hip to recurrent superior or posterosuperior FAI and to joint subluxation. Conclusion: Our new hip software includes all the required materials and knowledge (images data, 3D models, motion, morphological measurements, etc.) to improve orthopedists' performances in hip joint OA analysis