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Biomedical subjects

Alberto Leardini

Publications and source records attributed to Alberto Leardini.

24 records · Page 2Linked to original sources

A global method based on thin-plate splines for correction of geometric distortion: an application to fluoroscopic images.

Quantitative analysis of biomedical images needs a careful correction of geometric distortion. To avoid the discontinuities of the local correction techniques and achieve good accuracy in the presence of global and local distortion, a novel global correction technique based on thin-plate splines is proposed. The technique approximates the grid points by a thin plate minimizing the weighted sum of the bending energy and the mean squared residual errors. The method proposed is compared with three traditional correction techniques: two local and one global. One local technique is linear and takes into account translation, rotation, and scaling, the other is nonlinear and includes skewing. The global technique is based on a two-dimensional polynomial model. Computer-based simulations and experimental tests on fluoroscopic images were carried out. The local techniques were sensitive to both sigmoidal and radial distortion. The polynomial and thin-plate splines global techniques were found sensitive only to sigmoidal distortion and to radial distortion, respectively. The two global techniques showed better performances with respect to any local on synthetic and real images. Where the distortion is predominantly radial or high computational efficiency is required, the polynomial global correction technique should be preferred. Where the distortion has a local nature or is predominantly sigmoidal, the thin-plate splines global correction technique should be chosen.

Algorithms↗

Role of passive structures in the mobility and stability of the human subtalar joint: a literature review.

The subtalar joint plays a fundamental role in the transmission of loads between the leg and the foot. Although anatomical structures of this joint have been described extensively, much ambiguity about their location, shape, and function still persists. There is also disagreement regarding mobility, for example, whether the joint can be considered a hinge, screw-like, or a multiaxial joint. The most relevant studies from the literature are reported and the main experimental observations discussed. Recent studies have described the subtalar joint as a structure with no degrees of unresisted freedom, i.e., motion from the single neutral position is attained only by deformation of the ligaments and of the articular surfaces.

Biomechanical Phenomena↗

ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion--part I: ankle, hip, and spine. International Society of Biomechanics.

The Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) proposes a general reporting standard for joint kinematics based on the Joint Coordinate System (JCS), first proposed by Grood and Suntay for the knee joint in 1983 (J. Biomech. Eng. 105 (1983) 136). There is currently a lack of standard for reporting joint motion in the field of biomechanics for human movement, and the JCS as proposed by Grood and Suntay has the advantage of reporting joint motions in clinically relevant terms. In this communication, the STC proposes definitions of JCS for the ankle, hip, and spine. Definitions for other joints (such as shoulder, elbow, hand and wrist, temporomandibular joint (TMJ), and whole body) will be reported in later parts of the series. The STC is publishing these recommendations so as to encourage their use, to stimulate feedback and discussion, and to facilitate further revisions. For each joint, a standard for the local axis system in each articulating bone is generated. These axes then standardize the JCS. Adopting these standards will lead to better communication among researchers and clinicians.

Biomechanical Phenomena↗

Computer-assisted preoperative planning of a novel design of total ankle replacement.

Computer-assisted preoperative planning are particularly sought for enhancing surgical implantation and improving clinical outcome of ankle joint replacement arthroplasty. A planning tool was designed to enhance the surgical implantation of a novel ligament-compatible three-component prosthesis. The tool includes a geometric and mechanical model of the ankle complex. The geometry of the articular surfaces and of main ligaments is defined from digitisation on a scanned lateral radiographs of the joint. From the expected movement arc and from component dimensions, a mechanical model of the ligaments is used to select the optimal size and the position the three prosthesis components. The planning is based on the minimisation of ligament change in length and of bone stock to be removed. The main output report is a detailed picture of the replaced ankle with indications of component locations and quantitative measure of bone cuts. An advanced report also superimposes the resulting prediction of prosthesis component kinematics at the replaced joint to the original radiographs.

Ankle↗

A model for lever-arm length calculation of the flexor and extensor muscles at the ankle.

A sagittal-plane mathematical model of joint mobility, including the mechanical effect of the extensor retinacula, was used to predict the lever arm lengths of the main flexor and extensor muscles of the human ankle over the range of movement. In plantarflexion, the centre of rotation lies posteriorly and distally, maximising the lever arm of the tibialis anterior. The action of the gastrocnemius and soleus is maximised in dorsiflexion. Traditional calculation of ankle joint moment based on a fixed centre of rotation is acceptable only in exercises such as level walking with a limited range of motion about the neutral position. The present model with a moving centre is particularly advised in exercises which take the joint nearer to the extremes of sagittal motion.

Ankle Joint↗

Gait analysis with an integrated system for functional assessment of talocalcaneal coalition.

There is little knowledge of the functional performance of patients with talocalcaneal coalition because of the marginal quantitative information accessible using current motion-analysis and plantar pressure-measurement techniques. A novel system was developed for comprehensively measuring foot-floor interaction during the stance phase of gait that integrates instrumentation for simultaneously measuring bony segment position, ground reaction force, and plantar pressure with synchronization of spatial and temporal variables. An advanced anatomically based analysis of foot joint rotations was also applied. Tracking of numerous anatomical landmarks allowed accurate selection of three footprint subareas and reliable estimation of relevant local forces and moments. Eight patients (11 feet) with talocalcaneal coalition were analyzed. Major impairment of the rearfoot was found in nonsurgical patients, with an everted attitude, limited plantarflexion, and overloading in all three components of ground reaction force. Surgical patients showed more normal loading patterns in each footprint subarea. This measuring system allowed for accurate inspection of the effects of surgical treatment in the entire foot and at several footprint subareas. Surgical treatment of talocalcaneal coalition seems to be effective in restoring more physiologic subtalar and forefoot motion and loading patterns.

Adult↗