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Reliability Analysis of 16-MDCT in Preoperative Evaluation of Total Knee Arthroplasty and Comparison With Intraoperative Measurements

In Sook Lee1,2,3, Jung-Ah Choi1,2, Tae Kyun Kim4, Ilkyu Han4, Joon Woo Lee1,2 and Heung Sik Kang1,2

1 Department of Radiology, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Gyeongi-do 463-707, Korea.
2 Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, Seoul, Korea.
4 Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul, Korea.


Figure 1
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Fig. 1A —Methods of femoral sizing on a CT workstation. All measurements were done using multiplanar reconstruction and 3D volume-rendered images. Dot cursors for measuring on 3D volume-rendered image were placed in identical portions on corresponding axial, coronal, and sagittal images. Transepicondylar distance was measured as distance between most medial and most lateral prominences of epicondyles.

 

Figure 2
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Fig. 1B —Methods of femoral sizing on a CT workstation. All measurements were done using multiplanar reconstruction and 3D volume-rendered images. Dot cursors for measuring on 3D volume-rendered image were placed in identical portions on corresponding axial, coronal, and sagittal images. Maximum anteroposterior dimension of medial femoral condyle was measured at most anterior and most posterior projections.

 

Figure 3
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Fig. 1C —Methods of femoral sizing on a CT workstation. All measurements were done using multiplanar reconstruction and 3D volume-rendered images. Dot cursors for measuring on 3D volume-rendered image were placed in identical portions on corresponding axial, coronal, and sagittal images. Maximum anteroposterior dimension of lateral femoral condyle was measured at most anterior and most posterior projections.

 

Figure 4
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Fig. 1D —Methods of femoral sizing on a CT workstation. All measurements were done using multiplanar reconstruction and 3D volume-rendered images. Dot cursors for measuring on 3D volume-rendered image were placed in identical portions on corresponding axial, coronal, and sagittal images. Trochlear width was determined as distance between most anterior projections of medial and lateral condyles.

 

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