Medical phantom of the knee joint for computed tomography studies

Мұқаба


Дәйексөз келтіру

Толық мәтін

Аннотация

BACKGROUND: The knee joint is a frequently visualized anatomical region in clinical practice. Accurate interpretation of CT scans necessitates a comprehensive understanding of anatomy and a sound grasp of fundamental technical principles and imaging protocols. To safeguard the patient's well-being, it is of paramount importance to prevent erroneous studies resulting from suboptimal equipment quality, setup issues, and patient positioning. These difficulties can be circumvented by the use of phantoms to pre-adjust the equipment and the provision of training to medical staff in scanning techniques.

AIM: The aim of the study was to develop a technique for creating an anthropomorphic medical phantom of the knee joint that would accurately reflect the X-ray density of the corresponding human tissues, thus enabling the use of computed tomography studies.

MATERIALS AND METHODS: The knee joint phantom comprises a series of models representing the femur, tibia, fibula, patella, collateral ligaments, lateral and medial menisci, tendon of the quadriceps femoris muscle, anterior and posterior cruciate ligaments, and patellar ligament. Ligament models were 3D-printed from resin, bones were cast from silicone, soft tissues were modeled with a homogeneous structure of silicone-like materials and made by casting into silicone molds. The skin was similarly modeled. In the study, the anode voltage range of the CT scanner varied from 80 to 140 kV, and the slice thickness was equal to 1.25 mm.

RESULTS: The developed anthropomorphic knee joint phantom demonstrated the X-ray density of the modeled anatomical structures, with ligaments exhibiting a range of 80–120 units on the Hausfield scale, bones exhibiting a range of 320–370 units, and soft tissues and skin exhibiting a range of 20–60 units. The use of additive technologies made it possible to achieve a high degree of similarity between the phantom forms and the knee joint. Further research may be directed towards the creation of a more complex model of bone tissue, comprising a separate cortical layer and spongy substance.

CONCLUSIONS: The use of an anthropomorphic knee phantom allows for the acquisition of high-quality CT images without the need for prior scanning of patients.

Негізгі сөздер

Толық мәтін

BACKGROUND: The knee joint is a frequently visualized anatomical region in clinical practice. Accurate interpretation of CT scans necessitates a comprehensive understanding of anatomy and a sound grasp of fundamental technical principles and imaging protocols. To safeguard the patient's well-being, it is of paramount importance to prevent erroneous studies resulting from suboptimal equipment quality, setup issues, and patient positioning. These difficulties can be circumvented by the use of phantoms to pre-adjust the equipment and the provision of training to medical staff in scanning techniques.

AIM: The aim of the study was to develop a technique for creating an anthropomorphic medical phantom of the knee joint that would accurately reflect the X-ray density of the corresponding human tissues, thus enabling the use of computed tomography studies.

MATERIALS AND METHODS: The knee joint phantom comprises a series of models representing the femur, tibia, fibula, patella, collateral ligaments, lateral and medial menisci, tendon of the quadriceps femoris muscle, anterior and posterior cruciate ligaments, and patellar ligament. Ligament models were 3D-printed from resin, bones were cast from silicone, soft tissues were modeled with a homogeneous structure of silicone-like materials and made by casting into silicone molds. The skin was similarly modeled. In the study, the anode voltage range of the CT scanner varied from 80 to 140 kV, and the slice thickness was equal to 1.25 mm.

RESULTS: The developed anthropomorphic knee joint phantom demonstrated the X-ray density of the modeled anatomical structures, with ligaments exhibiting a range of 80–120 units on the Hausfield scale, bones exhibiting a range of 320–370 units, and soft tissues and skin exhibiting a range of 20–60 units. The use of additive technologies made it possible to achieve a high degree of similarity between the phantom forms and the knee joint. Further research may be directed towards the creation of a more complex model of bone tissue, comprising a separate cortical layer and spongy substance.

CONCLUSIONS: The use of an anthropomorphic knee phantom allows for the acquisition of high-quality CT images without the need for prior scanning of patients.

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Авторлар туралы

Ekaterina Belyakova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: belyakova_e_d@student.sechenov.ru
ORCID iD: 0009-0009-0316-0628
Ресей, Moscow

Anastasia Nasibullina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: NasibullinaAA@zdrav.mos.ru
ORCID iD: 0000-0003-1695-7731
SPIN-код: 2482-3372
Ресей, Moscow

Julia Bulgakova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: BulgakovaYV@zdrav.mos.ru
ORCID iD: 0000-0002-1627-6568
SPIN-код: 8945-6205
Ресей, Moscow

Olga Vlasova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Хат алмасуға жауапты Автор.
Email: VlasovaOV10@zdrav.mos.ru
ORCID iD: 0000-0002-4211-9566
SPIN-код: 4492-3864
Ресей, Moscow

Veronika Grebennikova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: GrebennikovaVV@zdrav.mos.ru
ORCID iD: 0009-0003-6041-132X
SPIN-код: 4949-1057
Ресей, Moscow

Olga Omelyanskaya

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: OmelyanskayaOV@zdrav.mos.ru
ORCID iD: 0000-0002-0245-4431
SPIN-код: 8948-6152
Ресей, Moscow

Alexey Petraikin

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: alexeypetraikin@gmail.com
ORCID iD: 0000-0003-1694-4682
SPIN-код: 6193-1656

MD, Dr. Sci. (Med.)

Ресей, Moscow

Denis Leonov

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: LeonovDV2@zdrav.mos.ru
ORCID iD: 0000-0003-0916-6552
SPIN-код: 5510-4075

Cand. Sci. (Tech.)

Ресей, Moscow

Әдебиет тізімі

  1. Kapisiz A, Kaya C, Eryilmaz S, et al. Letter to the Editor in Response to: Reducing Unnecessary Computed Tomography Scan. Journal of pediatric surgery. 2023;58(7):1402. doi: 10.1016/j.jpedsurg.2023.02.048
  2. Hernandez AM, Bayne CO, Bateni C, et al. Extremity radiographs derived from low-dose ultra-high-resolution CT: a phantom study. Skeletal Radiol. 2024. doi: 10.1007/s00256-024-04600-y
  3. Leonov D, Venidiktova D, Costa-Júnior JFS, et al. Development of an anatomical breast phantom from polyvinyl chloride plastisol with lesions of various shape, elasticity and echogenicity for teaching ultrasound examination. Int J CARS. 2023;19:151–161. doi: 10.1007/s11548-023-02911-4
  4. Leonov D, Kodenko M, Leichenco D, Nasibullina A, Kulberg N. Design and validation of a phantom for transcranial ultrasonography. Int J Comput Assist Radiol Surg. 2022;17:1579–1588. doi: 10.1007/s11548-022-02614-2

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