3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.

<h4>Background</h4>Severe and complex angular limb deformities in dogs require accurate morphological assessment using diagnostic imaging to achieve successful orthopedic surgery. Computed tomography (CT) is commonly used to overcome projection errors in two-dimensional angular measureme...

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Main Authors: Juliette Burg-Personnaz, Martin Zöllner, Sven Reese, Andrea Meyer-Lindenberg, Andreas Brühschwein
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0283823&type=printable
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author Juliette Burg-Personnaz
Martin Zöllner
Sven Reese
Andrea Meyer-Lindenberg
Andreas Brühschwein
author_facet Juliette Burg-Personnaz
Martin Zöllner
Sven Reese
Andrea Meyer-Lindenberg
Andreas Brühschwein
author_sort Juliette Burg-Personnaz
collection DOAJ
description <h4>Background</h4>Severe and complex angular limb deformities in dogs require accurate morphological assessment using diagnostic imaging to achieve successful orthopedic surgery. Computed tomography (CT) is commonly used to overcome projection errors in two-dimensional angular measurements of dog hindlimb alignment. Three-dimensional volume rendering (VR) techniques permit virtual positioning and variable projection, but the final CT-image that defines the projection plane for angular measurements remains two-dimensional.<h4>Objective</h4>We wanted to develop a true three-dimensional open-source technique to measure the alignments of the hind limbs of dogs in CT scanners.<h4>Methods</h4>We developed an open-source 3D Slicer plug-in, to perform angular measurements using vector calculations in three-dimensional space. In 113 CT-scans of canine pelvic limbs, femoral torsion, femoral varus, femorotibial rotation, tibial torsion, tibial varus and tibiotalar rotation angles were calculated and compared to an already validated technique using VoXim®.<h4>Results</h4>Reference points were identified and measurements were possible in the 113 acquisitions. The greatest difference between the two techniques was 1.4° at only one tibial torsion angle. Mean values for all Bland-Altman plots did not show significant differences and were less than 0.07° for all comparisons.<h4>Discussion</h4>Based on these results we considered angular measurements of canine hind limb alignment in CT scans using the 3D Slicer extension program sufficiently accurate for clinical orthopedic and surgical purposes in veterinary medicine.<h4>Conclusion</h4>With our open-source 3D Slicer extension software, we provide a free accessible tool for veterinary orthopedic surgeons and thus we hope to improve angular measurements in CT-scans of canine hind limb deformities through true three-dimensionality.
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spelling doaj.art-c4462ec67346448896522d9c6e4554d52024-04-04T05:34:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01193e028382310.1371/journal.pone.02838233D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.Juliette Burg-PersonnazMartin ZöllnerSven ReeseAndrea Meyer-LindenbergAndreas Brühschwein<h4>Background</h4>Severe and complex angular limb deformities in dogs require accurate morphological assessment using diagnostic imaging to achieve successful orthopedic surgery. Computed tomography (CT) is commonly used to overcome projection errors in two-dimensional angular measurements of dog hindlimb alignment. Three-dimensional volume rendering (VR) techniques permit virtual positioning and variable projection, but the final CT-image that defines the projection plane for angular measurements remains two-dimensional.<h4>Objective</h4>We wanted to develop a true three-dimensional open-source technique to measure the alignments of the hind limbs of dogs in CT scanners.<h4>Methods</h4>We developed an open-source 3D Slicer plug-in, to perform angular measurements using vector calculations in three-dimensional space. In 113 CT-scans of canine pelvic limbs, femoral torsion, femoral varus, femorotibial rotation, tibial torsion, tibial varus and tibiotalar rotation angles were calculated and compared to an already validated technique using VoXim®.<h4>Results</h4>Reference points were identified and measurements were possible in the 113 acquisitions. The greatest difference between the two techniques was 1.4° at only one tibial torsion angle. Mean values for all Bland-Altman plots did not show significant differences and were less than 0.07° for all comparisons.<h4>Discussion</h4>Based on these results we considered angular measurements of canine hind limb alignment in CT scans using the 3D Slicer extension program sufficiently accurate for clinical orthopedic and surgical purposes in veterinary medicine.<h4>Conclusion</h4>With our open-source 3D Slicer extension software, we provide a free accessible tool for veterinary orthopedic surgeons and thus we hope to improve angular measurements in CT-scans of canine hind limb deformities through true three-dimensionality.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0283823&type=printable
spellingShingle Juliette Burg-Personnaz
Martin Zöllner
Sven Reese
Andrea Meyer-Lindenberg
Andreas Brühschwein
3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.
PLoS ONE
title 3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.
title_full 3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.
title_fullStr 3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.
title_full_unstemmed 3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.
title_short 3D Slicer open-source software plug-in for vector-based angle calculation of canine hind limb alignment in computed tomographic images.
title_sort 3d slicer open source software plug in for vector based angle calculation of canine hind limb alignment in computed tomographic images
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0283823&type=printable
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AT svenreese 3dsliceropensourcesoftwarepluginforvectorbasedanglecalculationofcaninehindlimbalignmentincomputedtomographicimages
AT andreameyerlindenberg 3dsliceropensourcesoftwarepluginforvectorbasedanglecalculationofcaninehindlimbalignmentincomputedtomographicimages
AT andreasbruhschwein 3dsliceropensourcesoftwarepluginforvectorbasedanglecalculationofcaninehindlimbalignmentincomputedtomographicimages