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Re: BIOMCH-L Digest - 12 Dec 1995 to 13 Dec 1995

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  • Re: BIOMCH-L Digest - 12 Dec 1995 to 13 Dec 1995

    >Date: Wed, 13 Dec 1995 10:06:56 -0700
    >From: SMITH CLIFFORD
    >Subject: Stereometric Radiography
    >
    >Dear Subscribers of BIOMCH-L,
    >
    >Having read the recent thread regarding marker placement in
    >stereophotogrammetry systems, I was wondering if there has been any
    >recent research in the area that I am working in.
    >
    >Let me introduce myself. I am a mechanical engineer working at a
    >chiropractic college. One of the projects I'm currently pursuing is in
    >developing a three-dimensional x-ray analysis technique of the spine for
    >chiropractors to use in their practice. In practice, chiropractors will
    >utilize a single x-ray machine to take views of the spine to do
    >two-dimensional analysis. I am trying to use these same views to reconstruct
    >three-dimensional point location and positional information of the
    >vertebrae, over say six months of chiropractic care.
    >
    >The photogrammetry theory that I am using is the same as in
    >other fields, but obviously surface markers can not be placed on the
    >patient's vertebrae. So one resorts to trying to find anatomical
    >landmarks that can be used as identification points on the vertebrae.
    >The problem is in finding points which are sufficiently enough distinct to
    >find in different views. This as you can imagine is very difficult. There are
    >papers in the literature on this topic from the 70's and early 80's such as



    >but I haven't found anything recent (from the past 15 years or so).
    >
    >I was wondering if anyone is still doing research in this area, or in an area
    >where a similar problem occurs, and how you are dealing with it.
    >
    >Cliff Smith
    >Research Faculty
    >Life College

    Look harder! This has been done, and well, by Jean Dansereau as his
    Masters/PhD under Ian Stokes at University of Vermont, maybe 5-6 years ago.
    Dansereau is at Ecole Polytechnique (I think) in Montreal now. Suggest you
    find Med-Line CD-ROM and do a search that way, using the either above name.
    Try stereo-photogrammetry and scoliosis as keywords too. Lots of work in
    this field associated with scoliosis, getting the proceedings from the
    Scol.Rsch.Soc. (SRS) annual conf. would help too. Look for a more recent
    paper by CFSmall/JTBryant out of CMG/Kingston, Ontario on optimal angles for
    stereo X-ray reconstruction for the hand, the angle is NOT 90 deg.
    I should point out that many people actually like to reduce the
    amount of Xray exposure given to their patients. Using 3D reconstruction
    from multiple Xrays as a way of tracking progress under chiropractic
    management is unlikely to provide any significant or meaningful data. Check
    on the accuracy/reliability of Cobb angle determination from Xrays for more
    info. You are not talking surgical intervention and drastic changes in
    vertebral alignment. Providing a potentially dangerous and/or useless
    diagnostic tool to a medical practioner is something that raises some
    ethical questions in my mind.

    Tim Smith

    I seem to remember being able to Xray my feet in the shoe store when I was a
    kid, first shoe salesmen with Xrays, now chiropractors! flames ho!
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