Biomedical subjects

D Perie

Publications and source records attributed to D Perie.

2 recordsLinked to original sources

PubMed2002

CTM brace effect on scoliotic intervertebral discs using MRI method.

MRI has been clinically only used for investigation of intervertebral disc disorders. In this study, MR images were used and a new 3D modelling of the intervertebral discs was proposed. MRI examination had been performed on fourteen girls presenting an idiopathic scoliosis and wearing a first CTM brace. Using an in-house image processing software and the pre-post processing software Patran, geometrical models were obtained with and without brace for each patient. These models included the outline of the intervertebral high intensity zone, composed of the nucleus and a part of the annulus. The shift forward between disc high intensity zone centres and body centres was found to be varying from 0 to 8mm. The sagittal and coronal shifts forward appeared in the curvature convexity and were maximum at the curvature apex. The intervertebral disc wedging was found to be varying from -10 degrees to +10 degrees. On these fourteen analysed patients, the CTM brace decreased the coronal shift forward between disc high intensity zone centres and body centres, and increased the sagittal intervertebral wedging. The intervertebral disc informations obtained represented new data in the scoliotic deformation description. But this method was not adapted for a clinical use. The qualitative and quantitative data obtained will help the orthopaedist in the brace design and also the clinician in the scoliosis comprehension.

Adolescent↗

PubMed2002

In vivo quantitative analysis of scoliotic vertebrae.

An in vivo method based on CT images and finite element meshing had been developed to quantify and visualize the bone density distribution of scoliotic vertebrae. CT examination (axial acquisition of the apical, superior and inferior adjacent vertebral bodies) had been performed on seven girls presenting an idiopathic scoliosis. Using an in-house image processing software and the pre-post processor Patran, a surfacic finite element mesh of each body slice was proposed allowing an automatic mapping of the cancellous bone slices and a volumic mesh for the bone density distribution visualization. In the coronal plane, compared to the body geometrical centre, the body mechanical centre was shifted forward in the concavity of the curvature for six patients and in the convexity for one patient. For each patient, this shift forward was made in a same way for the three vertebrae. In the sagittal plane, the body mechanical inertia centre was shifted forward in the posterior side for 12 vertebrae, in the anterior side for 3 vertebrae and was not shifted forward for 6 vertebrae. This shift forward was made in the anterior side for the inferior adjacent vertebra. The shift forward by slice was made in a same way for each slice, excepted at the end plates. Besides, one can observe that the scoliotic deformation evolution seemed to modify the mechanical property distribution. The results may also suggest predictive criteria of evolution of the scoliotic deformities.

Adolescent↗