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Four-dimensional computed tomographic imaging in the wrist: proof of feasibility in a cadaveric model

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Abstract

Objective

High-resolution real-time three-dimensional (3D) imaging of the moving wrist may provide novel insights into the pathophysiology of joint instability. The purpose of this work was to assess the feasibility of using retrospectively gated spiral computed tomography (CT) to perform four-dimensional (4D) imaging of the moving wrist joint.

Materials and methods

A cadaver forearm from below the elbow was mounted on a motion simulator which performed radioulnar deviation of the wrist at 30 cycles per minute. An electronic trigger from the simulator provided the “electrocardiogram” (ECG) signal required for gated reconstructions. Four-dimensional and 3D images were compared by a blinded observer for image quality and presence of artifacts.

Results

Image quality of 4D images was found to be excellent at the extremes of radial and ulnar deviation (end-motion phases). Some artifacts were seen in mid-motion phases.

Conclusion

4D CT musculoskeletal imaging is feasible. Four-dimensional CT may allow clinicians to assess functional (dynamic) instabilities of the wrist joint.

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Acknowledgments

Dr. Tay wishes to acknowledge financial support from Mayo Foundation, Rochester, MN, USA and National Medical Research Council, Singapore. The authors would like to thank Mr. Larry Berglund for the construction of the motion simulator and Ms Kristina Nunez for assistance with manuscript preparation.

Author information

Authors and Affiliations

  1. Orthopedics Biomechanics Laboratory, Mayo Clinic College of Medicine, Rochester, MN, USA

    Shian-Chao Tay & Richard A. Berger

  2. Department of Radiology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN, 55905, USA

    Andrew N. Primak, Joel G. Fletcher, Kimberly K. Amrami & Cynthia H. McCollough

  3. CT Innovation Center, Mayo Clinic College of Medicine, Rochester, MN, USA

    Joel G. Fletcher & Cynthia H. McCollough

  4. Siemens Medical Solutions, Forchheim, Germany

    Bernhard Schmidt

Authors
  1. Shian-Chao Tay
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  2. Andrew N. Primak
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  3. Joel G. Fletcher
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  5. Kimberly K. Amrami
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  7. Cynthia H. McCollough
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Correspondence to Cynthia H. McCollough.

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Tay, SC., Primak, A.N., Fletcher, J.G. et al. Four-dimensional computed tomographic imaging in the wrist: proof of feasibility in a cadaveric model. Skeletal Radiol 36, 1163–1169 (2007). https://doi.org/10.1007/s00256-007-0374-7

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  • DOI: https://doi.org/10.1007/s00256-007-0374-7

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