Relative motions within normal and pathological joints of the human body can occur on the sub-millimeter and sub-degree scale. Dynamic radiography can be used to create a rapid sequence of images from which measurements of bone motion can be extracted, but available systems have limited speed and accuracy, limit normal subject movement, and do not easily integrate into existing traditional motion capture laboratories. A high-speed stereo radiography (HSSR) system is described that addresses these limitations. The custom radiography system was placed on a standalone reconfigurable gantry structure designed to allow freedom of subject movement while integrating into an existing motion capture laboratory. Validation of the system and measurement of knee kinematics of subjects during gait confirmed the ability to record joint motion with high accuracy and high-speed.

References

1.
Andriacchi
,
T. P.
,
Mundermann
,
A.
,
Smith
,
R. L.
,
Alexander
,
E. J.
,
Dyrby
,
C. O.
, and
Koo
,
S.
,
2004
, “
A Framework for the In Vivo Pathomechanics of Osteoarthritis at the Knee
,”
Ann. Biomed. Eng.
,
32
(
3
), pp.
447
457
.
2.
Giphart
,
J. E.
,
Brunkhorst
,
J. P.
,
Horn
,
N. H.
,
Shelburne
,
K. B.
,
Torry
,
M. R.
, and
Millett
,
P. J.
,
2013
, “
Effect of Plane of Arm Elevation on Glenohumeral Kinematics: A Normative Biplane Fluoroscopy Study
,”
J. Bone Jt. Surg. Am.
,
95
(
3
), pp.
238
245
.
3.
Miranda
,
D. L.
,
Fadale
,
P. D.
,
Hulstyn
,
M. J.
,
Shalvoy
,
R. M.
,
Machan
,
J. T.
, and
Fleming
,
B. C.
,
2013
, “
Knee Biomechanics During a Jump-Cut Maneuver: Effects of Sex and ACL Surgery
,”
Med. Sci. Sports Exercise
,
45
(
5
), pp.
942
951
.
4.
Van de Velde
,
S. K.
,
Gill
,
T. J.
, and
Li
,
G.
,
2009
, “
Dual Fluoroscopic Analysis of the Posterior Cruciate Ligament-Deficient Patellofemoral Joint During Lunge
,”
Med Sci Sports Exercise
,
41
(
6
), pp.
1198
1205
.
5.
Stagni
,
R.
,
Fantozzi
,
S.
,
Cappello
,
A.
, and
Leardini
,
A.
,
2005
, “
Quantification of Soft Tissue Artefact in Motion Analysis by Combining 3D Fluoroscopy and Stereophotogrammetry: A Study on Two Subjects
,”
Clin Biomech.
20
(
3
), pp.
320
339
.
6.
Li
,
K.
,
Zheng
,
L.
,
Tashman
,
S.
, and
Zhang
,
X.
,
2012
, “
The Inaccuracy of Surface-Measured Model-Derived Tibiofemoral Kinematics
,”
J. Biomech.
,
45
(
15
), pp.
2719
2723
.
7.
Torry
,
M. R.
,
Shelburne
,
K. B.
,
Myers
,
C.
,
Giphart
,
J. E.
,
Pennington
,
W. W.
,
Krong
,
J. P.
,
Peterson
,
D. S.
,
Steadman
,
J. R.
, and
Woo
,
S. L.
,
2013
, “
High Knee Valgus in Female Subjects Does Not Yield Higher Knee Translations During Drop Landings: A Biplane Fluoroscopic Study
,”
J. Orthop. Res.
,
31
(
2
), pp.
257
267
.
8.
Stiehl
,
J. B.
,
Komistek
,
R. D.
,
Dennis
,
D. A.
,
Paxson
,
R. D.
, and
Hoff
,
W. A.
,
1995
, “
Fluoroscopic Analysis of Kinematics After Posterior-Cruciate-Retaining Knee Arthroplasty
,”
J. Bone Jt. Surg. Br.
,
77
(
6
), pp.
884
889
.
9.
Banks
,
S. A.
, and
Hodge
,
W. A.
,
1996
, “
Accurate Measurement of Three-Dimensional Knee Replacement Kinematics Using Single-Plane Fluoroscopy
,”
IEEE Trans. Biomed. Eng.
,
43
(
6
), pp.
638
649
.
10.
Hoff
,
W. A.
,
Komistek
,
R. D.
,
Dennis
,
D. A.
,
Gabriel
,
S. M.
, and
Walker
,
S. A.
,
1998
, “
Three-Dimensional Determination of Femoral-Tibial Contact Positions Under In Vivo Conditions Using Fluoroscopy
,”
Clin. Biomech.
13
(
7
), pp.
455
472
.
11.
Hardy
,
W. N.
,
Foster
,
C. D.
,
Mason
,
M. J.
,
Yang
,
K. H.
,
King
,
A. I.
, and
Tashman
,
S.
,
2001
, “
Investigation of Head Injury Mechanisms Using Neutral Density Technology and High-Speed Biplanar X-Ray
,”
Stapp Car Crash J.
,
45
, pp.
337
368
.
12.
You
,
B. M.
,
Siy
,
P.
,
Anderst
,
W.
, and
Tashman
,
S.
,
2001
, “
In Vivo Measurement of 3-D Skeletal Kinematics From Sequences of Biplane Radiographs: Application to Knee Kinematics
,”
IEEE Trans. Med. Imaging
,
20
(
6
), pp.
514
525
.
13.
Tashman
,
S.
, and
Anderst
,
W.
,
2003
, “
In-Vivo Measurement of Dynamic Joint Motion Using High Speed Biplane Radiography and CT: Application to Canine ACL Deficiency
,”
ASME J. Biomech. Eng.
,
125
(
2
), pp.
238
245
.
14.
Li
,
G.
,
Wuerz
,
T. H.
, and
DeFrate
,
L. E.
,
2004
, “
Feasibility of Using Orthogonal Fluoroscopic Images to Measure In Vivo Joint Kinematics
,”
ASME J. Biomech. Eng.
,
126
(
2
), pp.
313
318
.
15.
Bey
,
M. J.
,
Zauel
,
R.
,
Brock
,
S. K.
, and
Tashman
,
S.
,
2006
, “
Validation of a New Model-Based Tracking Technique for Measuring Three-Dimensional, In Vivo Glenohumeral Joint Kinematics
,”
ASME J. Biomech. Eng.
,
128
(
4
), pp.
604
609
.
16.
Banks
,
S. A.
,
Markovich
,
G. D.
, and
Hodge
,
W. A.
,
1997
, “
In Vivo Kinematics of Cruciate-Retaining and -Substituting Knee Arthroplasties
,”
J. Arthroplasty
,
12
(
3
), pp.
297
304
.
17.
Jones
,
S. C.
,
Kim
,
S. E.
,
Banks
,
S. A.
,
Conrad
,
B. P.
,
Abbasi
,
A. Z.
,
Tremolada
,
G.
,
Lewis
,
D. D.
, and
Pozzi
,
A.
,
2014
, “
Accuracy of Noninvasive, Single-Plane Fluoroscopic Analysis for Measurement of Three-Dimensional Femorotibial Joint Poses in Dogs Treated by Tibial Plateau Leveling Osteotomy
,”
Am. J. Vet Res.
,
75
(
5
), pp.
486
493
.
18.
List
,
R.
,
Foresti
,
M.
,
Gerber
,
H.
,
Goldhahn
,
J.
,
Rippstein
,
P.
, and
Stussi
,
E.
,
2012
, “
Three-Dimensional Kinematics of an Unconstrained Ankle Arthroplasty: A Preliminary In Vivo Videofluoroscopic Feasibility Study
,”
Foot Ankle Int.
,
33
(
10
), pp.
883
892
.
19.
Zhu
,
Z.
,
Massimini
,
D. F.
,
Wang
,
G.
,
Warner
,
J. J.
, and
Li
,
G.
,
2012
, “
The Accuracy and Repeatability of an Automatic 2D–3D Fluoroscopic Image-Model Registration Technique for Determining Shoulder Joint Kinematics
,”
Med. Eng. Phys.
,
34
(
9
), pp.
1303
1309
.
20.
Brainerd
,
E. L.
,
Baier
,
D. B.
,
Gatesy
,
S. M.
,
Hedrick
,
T. L.
,
Metzger
,
K. A.
,
Gilbert
,
S. L.
, and
Crisco
,
J. J.
,
2010
, “
X-Ray Reconstruction of Moving Morphology (XROMM): Precision, Accuracy and Applications in Comparative Biomechanics Research
,”
J. Exp. Zool. Part A
,
313
(
5
), pp.
262
279
.
21.
Myers
,
C. A.
,
Torry
,
M. R.
,
Shelburne
,
K. B.
,
Giphart
,
J. E.
,
LaPrade
,
R. F.
,
Woo
,
S. L.
, and
Steadman
,
J. R.
,
2012
, “
In Vivo Tibiofemoral Kinematics During 4 Functional Tasks of Increasing Demand Using Biplane Fluoroscopy
,”
Am. J. Sports Med.
,
40
(
1
), pp.
170
178
.
22.
Kapron
,
A. L.
,
Aoki
,
S. K.
,
Peters
,
C. L.
,
Maas
,
S. A.
,
Bey
,
M. J.
,
Zauel
,
R.
, and
Anderson
,
A. E.
,
2014
, “
Accuracy and Feasibility of Dual Fluoroscopy and Model-Based Tracking to Quantify In Vivo Hip Kinematics During Clinical Exams
,”
J. Appl. Biomech.
,
30
(
3
), pp.
461
470
.
23.
Giphart
,
J. E.
,
Elser
,
F.
,
Dewing
,
C. B.
,
Torry
,
M. R.
, and
Millett
,
P. J.
,
2012
, “
The Long Head of the Biceps Tendon Has Minimal Effect on In Vivo Glenohumeral Kinematics: A Biplane Fluoroscopy Study
,”
Am. J. Sports Med.
,
40
(
1
), pp.
202
212
.
24.
Torry
,
M. R.
,
Shelburne
,
K. B.
,
Peterson
,
D. S.
,
Giphart
,
J. E.
,
Krong
,
J. P.
,
Myers
,
C.
,
Steadman
,
J. R.
, and
Woo
,
S. L.
,
2011
, “
Knee Kinematic Profiles During Drop Landings: A Biplane Fluoroscopy Study
,”
Med. Sci. Sports Exercise
,
43
(
3
), pp.
533
541
.
25.
Iaquinto
,
J. M.
,
Tsai
,
R.
,
Haynor
,
D. R.
,
Fassbind
,
M. J.
,
Sangeorzan
,
B. J.
, and
Ledoux
,
W. R.
,
2014
, “
Marker-Based Validation of a Biplane Fluoroscopy System for Quantifying Foot Kinematics
,”
Med. Eng. Phys.
,
36
(
3
), pp.
391
396
.
26.
Code of Federal Regulations,
2014
, “
Standards for Protection Against Radiation: Definitions
,”
United States Nuclear Regulatory Commission
,
Washington, DC
, Section No. 10 CFR 20.1003.
27.
Ivester
,
J. C.
,
2014
, “
Design of the High Speed Stereo Radiography System
”, M.S. thesis,
Mechanical and Materials Engineering, University of Denver
,
Denver, CO
.
28.
Torry
,
M. R.
,
Myers
,
C.
,
Shelburne
,
K. B.
,
Peterson
,
D.
,
Giphart
,
J. E.
,
Pennington
,
W. W.
,
Krong
,
J. P.
,
Woo
,
S. L.
, and
Steadman
,
J. R.
,
2011
, “
Relationship of Knee Shear Force and Extensor Moment on Knee Translations in Females Performing Drop Landings: A Biplane Fluoroscopy Study
,”
Clin. Biomech.
26
(
10
), pp.
1019
1024
.
29.
Kaptein
,
B. L.
,
Shelburne
,
K. B.
,
Torry
,
M. R.
, and
Giphart
,
J. E.
,
2011
, “
A Comparison of Calibration Methods for Stereo Fluoroscopic Imaging Systems
,”
J. Biomech.
,
44
(
13
), pp.
2511
2515
.
30.
Grood
,
E. S.
, and
Suntay
,
W. J.
,
1983
, “
A Joint Coordinate System for the Clinical Description of Three-Dimensional Motions: Application to the Knee
,”
ASME J. Biomech. Eng.
,
105
(
2
), pp.
136
144
.
31.
Myers
,
C. A.
,
Torry
,
M. R.
,
Peterson
,
D. S.
,
Shelburne
,
K. B.
,
Giphart
,
J. E.
,
Krong
,
J. P.
,
Woo
,
S. L.
, and
Steadman
,
J. R.
,
2011
, “
Measurements of Tibiofemoral Kinematics During Soft and Stiff Drop Landings Using Biplane Fluoroscopy
,”
Am. J. Sports Med.
,
39
(
8
), pp.
1714
1722
.
32.
Kozanek
,
M.
,
Hosseini
,
A.
,
Liu
,
F.
,
Van de Velde
,
S. K.
,
Gill
,
T. J.
,
Rubash
,
H. E.
, and
Li
,
G.
,
2009
, “
Tibiofemoral Kinematics and Condylar Motion During the Stance Phase of Gait
,”
J. Biomech.
,
42
(
12
), pp.
1877
1884
.
You do not currently have access to this content.