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Open AccessJournal ArticleDOI

Accuracy and repeatability of quantitative fluoroscopy for the measurement of sagittal plane translation and finite centre of rotation in the lumbar spine.

TLDR
Quantitative fluoroscopy was found to have a high level of accuracy and with a few exceptions, moderate to substantial repeatability for the measurement of translation and FCR from fluoroscopic motion sequences.
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This article is published in Medical Engineering & Physics.The article was published on 2016-07-01 and is currently open access. It has received 13 citations till now. The article focuses on the topics: Repeatability.

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Citations
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Journal ArticleDOI

Intrasubject repeatability of in vivo intervertebral motion parameters using quantitative fluoroscopy.

TL;DR: Disc height and IV-RoM measurement using QF could be considered for randomised trials, while laxity, MSI and translation could be consideration for moderators, correlates or mediators of patient-reported outcomes.
Journal ArticleDOI

Aberrant intervertebral motion in patients with treatment-resistant nonspecific low back pain: a retrospective cohort study and control comparison

TL;DR: Patients with treatment-resistant nonspecific back pain have greater MSI values than controls, especially if the former have received spinal surgery, however, excessive laxity, translation and MSV are not more prevalent in these patients.
Journal ArticleDOI

An Automated Three-Dimensional Bone Pose Tracking Method Using Clinical Interleaved Biplane Fluoroscopy Systems: Application to the Knee

TL;DR: An automated model-based interleaved biplane fluoroscopy image tracking scheme (MIBFT) by incorporating information of adjacent image frames was proposed and suggested that the further use of the clinical imaging system is feasible for the noninvasive and precise examination of dynamic joint functions and kinematics in clinical practice and biomechanical research.
Journal ArticleDOI

A model-based approach for estimation of changes in lumbar segmental kinematics associated with alterations in trunk muscle forces.

TL;DR: The kinematics information from imaging, if combined with optimization-based biomechanical models, may provide a unique platform for personalized assessment of trunk muscle forces (TMFs), but such a method is feasible only if differences in lumbar spine kinematic due to differences in TMFs can be captured by the current imaging techniques.
References
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Journal ArticleDOI

The measurement of observer agreement for categorical data

TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
Journal ArticleDOI

Statistical methods for assessing agreement between two methods of clinical measurement.

TL;DR: An alternative approach, based on graphical techniques and simple calculations, is described, together with the relation between this analysis and the assessment of repeatability.
Journal ArticleDOI

Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed.

TL;DR: In this paper, the authors developed guidelines for reporting reliability and agreement studies in interrater and intra-arater reliability and agreements, and proposed 15 issues that should be addressed when reporting such studies.
Journal ArticleDOI

Measurement reliability and agreement in psychiatry

TL;DR: Psychiatric research has benefited from attention to measurement theories of reliability, and reliability/agreement statistics for psychopathology ratings and diagnoses are regularly reported in empirical reports.
Journal ArticleDOI

Roentgen stereophotogrammetry. A method for the study of the kinematics of the skeletal system.

TL;DR: A roentgen stereophotogrammetric method for determination of positions of radiopaque markers in an object and how the degrees of freedom of the plate with control points, which are difficult to control at construction of the test cages, can be determined by specific calibration procedures is described.
Related Papers (5)
Frequently Asked Questions (11)
Q1. What are the contributions in this paper?

In this paper, Wang et al. evaluated the accuracy and repeatability of 2D quantitative fluoroscopy ( QF ) for measuring intervertebral motion in the lumbar spine in individuals. 

It would also be beneficial to explore the effects of spinal geometry and muscle contraction on FCR location, to add coronal plane validation and to confirm whether the FCR locus might be used to assess relationships between structural change and the in vivo biomechanical performance characteristics of discs under load. 

It was driven 77 by an actuator motor and controller (Arduino Software Ltd. UK – resolution 0.01mm) 78 providing anterior to posterior translation across the lower vertebral end-plate during the 79 rotation. 

The central ray of a C-arm digital 82 fluoroscope (Siemens Arcadis Avantic – Siemens GMBH, Germany) was positioned so as to 83 pass through the centre of the disc space. 

For the in vivo studies VBUs were converted to millimetres based on a standard vertebral depth of 35mm and for the specimens by their actual measurement. 

For the fixed centre of rotation specimen, the average discrepancy (RMS) in translation range between reference and image data was 0.004 VBU (0.10mm) (LoA 0.01mm). 

The axis of rotation was then displayed relative to the inferior vertebra in a pair as a function of the four- corner template on the inferior vertebra. 

Bespoke software written in Matlab (V R2007b, The Mathworks Inc.) used a cross-correlation method to obtain automated frame to frame image tracking of the vertebral bodies in subsequent images [20]. 

The best reliability was within observers at L2-3 in flexion ((ICC=0.998 (0.958-0.997)) and the worst within observers at L3-4 in flexion ((ICC=0.533 (0.406-0.849)). 

The method also suffers from the inability to detect 37 the true end-range during motion and lack of standardised measurement methods [6].38 Studies of quantitative fluoroscopy (QF) for measuring lumbar spine intervertebral 39 kinematics using continuous motion tracking began in the 1980s [7]. 

The proportion of vertebral body depth that was translated in the moveable centre specimen as measured by the actuator motor was 0.52 VBU (17.95mm).