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SHAPE CHARACTERIZATION OF MEDIASTINUM IN TUBERCULOSIS CHEST RADIOGRAPHS USING LEVEL SET SEGMENTATION 使用水平集分割的结核胸片纵隔形状表征
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04212
Sukanta Kumar Tulo, Satyavratan Govindarajan, Palaniappan Ramu, R. Swaminathan
Mediastinum is considered as one of the substantial anatomical regions for the gross diagnosis of several chest related pathologies. The geometric variations of the mediastinum in Chest Radiographs (CXRs) could be utilised as potential image markers in the early detection of Tuberculosis (TB). This study attempts to segment mediastinum in CXRs using level sets for the shape characterization of TB conditions. The CXR images for this study are considered from a public database. An edge-based distance regularized level set evolution is employed to segment the lungs followed by a region-based Chan-Vese model that extracts mediastinum region. Features such as mediastinum area and lungs area are extracted from the segmented images. Further, mediastinum to lungs area ratio is calculated. Statistical analysis is performed on the features to differentiate normal and TB images. Results show that the proposed segmentation approach is able to segment the lungs and extract the mediastinum in CXRs. It is found that features namely mediastinum area and mediastinum to lungs area ratio are statistically significant in the differentiation of TB. Larger mediastinum area is observed in TB images as compared to normal. The performance of lung field segmentation is also observed to be in line with the literature. The mediastinum segmentation approach in CXRs obtains to be a novel method as compared to the existing methods. As the proposed approach based on mediastinum image analysis provides better shape characterization, the study could be clinically useful in the differentiation of TB conditions.
纵隔被认为是几种胸部相关病理的主要解剖区域之一。胸部X线片中纵隔的几何变化可作为结核病早期检测的潜在图像标记。这项研究试图使用水平集对CXR中的纵隔进行分割,以表征结核病的形状。本研究的CXR图像来自公共数据库。采用基于边缘的距离正则化水平集进化来分割肺部,然后采用基于区域的Chan-Vese模型来提取纵隔区域。从分割的图像中提取纵隔区域和肺部区域等特征。此外,计算纵隔与肺的面积比。对特征进行统计分析,以区分正常图像和TB图像。结果表明,所提出的分割方法能够在CXR中分割肺部并提取纵隔。发现纵隔面积和纵隔与肺面积的比值在肺结核的鉴别诊断中具有统计学意义。与正常人相比,肺结核影像中纵隔面积更大。肺野分割的性能也被观察到与文献一致。与现有方法相比,CXRs中的纵隔分割方法是一种新的方法。由于所提出的基于纵隔图像分析的方法提供了更好的形状特征,该研究可能在鉴别结核病方面具有临床实用价值。
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引用次数: 1
EMOTION ANALYSIS USING SIGNAL AND IMAGE PROCESSING APPROACH BY IMPLEMENTING DEEP NEURAL NETWORK 情感分析采用信号和图像处理方法,实现深度神经网络
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04313
S. Shuma, T. Bobby, S. Malathi
Emotion recognition is important in human communication and to achieve a complete interaction between humans and machines. In medical applications, emotion recognition is used to assist the children with Autism Spectrum Disorder (ASD to improve their socio-emotional communication, helps doctors with diagnosis of diseases such as depression and dementia and also helps the caretakers of older patients to monitor their well-being. This paper discusses the application of feature level fusion of speech and facial expressions of different emotions such as neutral, happy, sad, angry, surprise, fearful and disgust. Also, to explore how best to build the deep learning networks to classify the emotions independently and jointly from these two modalities. VGG-model is utilized to extract features from facial images, and spectral features are extracted from speech signals. Further, feature level fusion technique is adopted to fuse the features extracted from the two modalities. Principal Component Analysis (PCA is implemented to choose the significant features. The proposed method achieved a maximum score of 90% on training set and 82% on validation set. The recognition rate in case of multimodal data improved greatly when compared to unimodal system. The multimodal system gave an improvement of 9% compared to the performance of the system based on speech. Thus, result shows that the proposed Multimodal Emotion Recognition (MER outperform the unimodal emotion recognition system.
情感识别在人类交流和实现人与机器之间的完整互动中非常重要。在医学应用中,情绪识别用于帮助患有自闭症谱系障碍的儿童(ASD可以改善他们的社会情感交流,帮助医生诊断抑郁症和痴呆症等疾病,也可以帮助老年患者的护理人员监测他们的健康状况。本文讨论了中性、快乐、悲伤、愤怒、惊讶、恐惧和厌恶等不同情绪的言语和面部表情的特征级融合的应用或者如何最好地构建深度学习网络,从这两种模式中独立和联合地对情绪进行分类。利用VGG模型从人脸图像中提取特征,并从语音信号中提取频谱特征。此外,采用特征级融合技术对从两种模态中提取的特征进行融合。主成分分析(主成分分析用于选择显著特征。该方法在训练集上的最高得分为90%,在验证集上的得分为82%。与单模态系统相比,多模态数据的识别率大大提高。与基于语音的系统相比,该多模态系统的性能提高了9%。因此,结果表明模态情感识别(MER)优于单一模态情感识别系统。
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引用次数: 1
FRACTAL ANGLE BASED DIFFERENTIATION OF TERM PREGNANCIES USING UTERINE ELECTROMYOGRAPHIC SIGNALS 基于分形角的子宫肌电信号对足月妊娠的鉴别
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04350
P. Vardhini, Non-Invasive Imaging, S. Ramakrishnan
Uterine Electromyography (uEMG) is a non-invasive technique that provides quantitative measure of uterine activity from the abdominal surface. In this work, an attempt has been made to investigate Term (gestational age > 37 weeks) uEMG signals using Adaptive Fractal Analysis (AFA). For this, the signals obtained in second and third trimesters are considered and subjected to AFA. The fluctuation function is computed and the corresponding linear scaling regions are identified based on Chi-square statistic, standard error of slope, and coefficient of determination. Angle-based features from multiple scaling regions namely, inter-fractal angle and, short- and long-term fractal angles are extracted and are used for further analysis. The obtained results demonstrates that AFA approach can characterize the Term signals during varied gestational ages. All features show significant differences (p < 0.05) in both groups. Feature values suggest that the third trimester signals possess more correlated and smoother fluctuations when compared to second trimester signals. This is attributed to the increased coordination of uterine contractions as delivery approaches. Hence, it appears that the proposed adaptive angle-based fractal features could be potential biomarkers in analyzing the muscle contractions associated with Term pregnancies.
子宫肌电图(uEMG)是一种从腹部表面定量测量子宫活动的非侵入性技术。在这项工作中,试图使用自适应分形分析(AFA)来研究足月(胎龄>37周)uEMG信号。为此,考虑在第二和第三三聚体中获得的信号并进行AFA。基于卡方统计量、斜率标准误差和确定系数,计算波动函数并识别相应的线性标度区域。从多个尺度区域(即分形间角和短期和长期分形角)提取基于角度的特征,并用于进一步分析。所获得的结果表明,AFA方法可以表征不同胎龄的Term信号。两组的所有特征均显示出显著差异(p<0.05)。特征值表明,与妊娠中期信号相比,妊娠晚期信号具有更相关、更平稳的波动。这归因于分娩临近时子宫收缩的协调性增强。因此,所提出的基于自适应角度的分形特征可能是分析与足月妊娠相关的肌肉收缩的潜在生物标志物。
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引用次数: 1
DYNAMICS RESPONSE OF THE HUMAN HEAD DURING DRYWALL IMPACT 干墙撞击时人头的动力学响应
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04136
M. Liebschner, L. Waite
Little experimental data has been reported on the biomechanics of head collisions with drywall sections. The dynamics of head collisions with rigid structures are well documented. However, impacts with compliant, composite structures are more difficult to analyze. The study objective was to correlate the severity of a head impact with damage to the drywall. A human head analog was instrumented with a tri-axial accelerometer and a uniaxial load cell was placed along the cervical spine axis. A randomized block design of drop height and head orientation was utilized. The test results indicated a primarily linear correlation between drop height and peak head acceleration, as well as correlation between drop height and the geometry of the indentation to the drywall. Head posture had little influence on wall damage, however, head extension resulted in a stiffer head-spine complex compared to a flexed posture. A two-factor ANOVA determined a statistically significant correlation between damage severity and impact velocity. The results obtained can be used by accident reconstructionists to approximate the impact severity of a head impacting drywall. The study data are limited to drywall sections of known, similar geometry, and does not apply to scenarios with a support beam directly beneath the drywall. Further studies are needed to investigate additional head postures.
关于头部与干墙截面碰撞的生物力学实验数据报道很少。头部与刚性结构碰撞的动力学有很好的文献记载。然而,柔顺复合结构的冲击更难以分析。研究的目的是将头部撞击的严重程度与石膏板的损伤联系起来。用一个三轴加速度计和一个单轴称重传感器沿颈椎轴放置一个模拟人头。采用跌落高度和头部方向的随机区组设计。试验结果表明,落差高度与峰值水头加速度之间,以及落差高度与石膏板压痕几何形状之间,主要存在线性相关关系。头部姿势对壁面损伤的影响很小,然而,与弯曲的姿势相比,头部伸展会导致更僵硬的头-脊柱复合体。双因素方差分析确定了损伤严重程度和冲击速度之间具有统计学意义的相关性。得到的结果可以被事故再现学家用来估计头部撞击干墙的严重程度。研究数据仅限于已知的、几何形状相似的干墙部分,并不适用于在干墙正下方有支撑梁的情况。需要进一步的研究来调查其他的头部姿势。
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引用次数: 0
VARIATION OF INSTANTANEOUS SPECTRAL CENTROID ACROSS BANDS OF SURFACE ELECTROMYOGRAPHIC SIGNALS 表面肌电信号波段瞬时谱质心的变化
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04356
Divya Bharathi Krishnamani, Non-Invasive Imaging, P. Karthick, R. Swaminathan
Surface electromyography (sEMG) is a technique which noninvasively acquires the electrical activity of muscles and is widely used for muscle fatigue assessment. This study attempts to characterize the dynamic muscle fatiguing contractions with frequency bands of sEMG signals and a geometric feature namely the instantaneous spectral centroid (ISC). The sEMG signals are acquired from biceps brachii muscle of fifty-eight healthy volunteers. The frequency components of the signals are divided into low frequency band (10-45Hz), medium frequency band (55-95Hz) and high frequency band (95-400Hz). The signals associated with these bands are subjected to a Hilbert transform and analytical shape representation is obtained in the complex plane. The ISC feature is extracted from the resultant shape of the three frequency bands. The results show that this feature can differentiate the muscle nonfatigue and fatigue conditions (p<0.05). It is found the values of ISC is lower in fatigue conditions irrespective of frequency bands. It is also observed that the coefficient of variation of ISC in the low frequency band is less and it demonstrates the ability of handling inter-subject variations. Therefore, the proposed geometric feature from the low frequency band of sEMG signals could be considered for detecting muscle fatigue in various neuromuscular conditions.
表面肌电图(sEMG)是一种无创获取肌肉电活动的技术,被广泛用于肌肉疲劳评估。本研究试图用表面肌电信号的频带和瞬时谱质心(ISC)的几何特征来表征动态肌肉疲劳收缩。从58名健康志愿者的肱二头肌获取表面肌电信号。信号的频率成分分为低频(10-45Hz)、中频(55-95Hz)和高频(95-400Hz)。对与这些波段相关的信号进行希尔伯特变换,得到复平面上的解析形状表示。ISC特征是从三个频带的合成形状中提取的。结果表明,该特征可以区分肌肉非疲劳状态和疲劳状态(p<0.05)。结果表明,在不同频带的疲劳状态下,ISC值均较低。ISC在低频段的变异系数较小,显示了处理学科间变异的能力。因此,可以考虑从表面肌电信号的低频波段提取几何特征来检测各种神经肌肉状态下的肌肉疲劳。
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引用次数: 0
NON-HEADER IMPACT EXPOSURE AND KINEMATICS OF MALE YOUTH SOCCER PLAYERS. 男性青少年足球运动员的非头球撞击暴露和运动学。
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04106
Declan A Patton, Colin M Huber, Susan S Margulies, Christina L Master, Kristy B Arbogast

Previous studies have investigated the head impact kinematics of purposeful heading in youth soccer; however, less than a third of all head injuries in youth soccer have been found to involve ball contact. The aim of the current study was to identity the head impact kinematics and exposure not associated with purposeful heading of the ball in male youth soccer. Headband-mounted sensors were used to monitor the head kinematics of male junior varsity and middle school teams during games. Video analysis of sensor-recorded events was used to code impact mechanism, surface and site. Junior varsity players had non-header impact rates of 0.28 per athlete-exposure (AE) and 0.37 per player-hour (PH), whereas middle school players had relatively lower non-header impact rates of 0.16 per AE and 0.25 per PH. Such impact rates fell within the large range of values reported by previous studies, which is likely affected by sensor type and recording trigger threshold. The most common non-header impact mechanism in junior varsity soccer was player contact, whereas ball-to-head was the most common non-header impact mechanism in middle school soccer. Non-header impacts for junior varsity players had median peak kinematics of 31.0 g and 17.4 rad/s. Non-header impacts for middle school players had median peak kinematics of 40.6 g and 16.2 rad/s. For non-header impacts, ball impacts to the rear of the head the highest peak kinematics recorded by the sensor. Such data provide targets for future efforts in injury prevention, such as officiating efforts to control player-to-player contact.

先前的研究调查了青少年足球中有目的头球的头部撞击运动学;然而,在青少年足球比赛中,只有不到三分之一的头部受伤与球接触有关。当前研究的目的是确定男性青少年足球中与有目的的头球无关的头部撞击运动学和暴露。使用头带式传感器监测男子初级大学代表队和中学代表队在比赛期间的头部运动学。对传感器记录的事件进行视频分析,对撞击机理、表面和地点进行编码。初级校队球员的非头球撞击率为0.28 /运动员暴露(AE)和0.37 /球员小时(PH),而中学球员的非头球撞击率相对较低,为0.16 / AE和0.25 / PH。这些撞击率在之前研究报告的大范围内,这可能受到传感器类型和记录触发阈值的影响。青少年足球运动中最常见的非头球撞击机制是球员接触,而中学足球运动中最常见的非头球撞击机制是头球撞击。青年队球员的非头球撞击的中位峰值运动为31.0 g和17.4 rad/s。中学球员的非头球撞击的运动峰值中位数为40.6 g和16.2 rad/s。对于非头球撞击,球撞击到头球后部,传感器记录的最高峰值运动学。这些数据为未来的伤病预防工作提供了目标,比如裁判控制球员之间的接触。
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引用次数: 2
HUMAN FACTORS LEARNING CURVE FOR THUMB-OPERATED TRIGGER RIFLE USING GYROSCOPIC FEEDBACK INSTRUMENTATION 陀螺反馈式拇指操作扳机步枪的人因学习曲线
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04274
David C. Paulus
Researchers interested in evaluating the biomechanics and human factors associated with using a new product recognize that skill development with the novel design is time-dependent. A learning curve is a plot that shows the time to complete a task using the product decreases as the number of training repetitions increases. A novel thumb-operated trigger system (Iron Horse, Blackwater Worldwide™) has been developed for the AR-15 style rifle with the intent to shorten the learning curve. The purpose of this research effort is to quantify the learning curve for the new device and to compare it to that of a standard mil-spec AR-15 trigger system. A previously-trained shooter dry-fire trained with both rifle systems for twenty consecutive days alternating lower receivers each day. The rifles were equipped with a gyroscopic instrument (Mantis X™) that tracked the movement of the firearm during the trigger pull process. The instrument has a timer to record the reaction time to an auditory signal for each shot, records the magnitude and direction of movement of the firearm, and calculates an accuracy score. There was not a significant difference (p>0.05) between the thumb operated and mil-spec triggers’ cycle times. However, the accuracy scores with the thumb operated trigger were significantly higher (p<0.05) than those with the mil-spec trigger.
有兴趣评估与使用新产品相关的生物力学和人为因素的研究人员认识到,新设计的技能发展是与时间相关的。学习曲线是一个曲线图,显示使用乘积完成任务的时间随着训练重复次数的增加而减少。一种新颖的拇指操作扳机系统(铁马,黑水公司™) 已经为AR-15式步枪开发,旨在缩短学习曲线。这项研究的目的是量化新设备的学习曲线,并将其与标准mil-spec AR-15触发系统的学习曲线进行比较。一名先前受过训练的射手,每天交替使用两种步枪系统进行连续20天的射击训练。步枪配备了陀螺仪(Mantis X™) 其在扳机扣动过程中跟踪枪支的运动。该仪器有一个计时器,用于记录每次射击对听觉信号的反应时间,记录枪支的运动幅度和方向,并计算准确度分数。拇指操作和mil-spec触发器的循环时间之间没有显著差异(p>0.05)。然而,拇指操作触发器的准确度得分显著高于mil-spec触发器(p<0.05)。
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引用次数: 1
ROTATIONAL MOMENT SHAPE FEATURE EXTRACTION AND DECISION TREE BASED DISCRIMINATION OF MILD COGNITIVE IMPAIRMENT CONDITIONS USING MR IMAGE PROCESSING 基于Mr图像处理的旋转矩形状特征提取及决策树识别轻度认知障碍
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04228
R. Dadsena, Deboleena Sadukhan, R. Swaminathan
Mild Cognitive Impairment (MCI) is the preclinical, asymptomatic stage for Alzheimer’s condition, which affects a large amount of the aging population around the world. Detection of MCI condition can ensure timely intervention needed for handling the disease severity. Morphological alterations of the Lateral Ventricle (LV) are considered a significant biomarker for diagnosing MCI conditions. This work aims at analyzing the shape alterations of LV from brain Magnetic Resonance (MR) images using Rotational moment shape features and differentiating MCI conditions using Decision Tree (DT) based classification. Trans-axial brain MR images are obtained from a publicly available OASIS database. Segmentation of LV is performed using the Reaction Diffusion level set, and the results are validated against Ground Truth. Rotational moment shape features are extracted from the segmented LV images. DT is implemented for the differentiation of control and MCI subjects. Results show that Rotational moment shape features are able to capture the alterations of LV in control and MCI subjects (p<0.05). The classification model achieves a high detection accuracy of 96.73% and an F-measure of 96.82%. Hence, the proposed method can be used as an automated diagnostic tool to predict and monitor the cognitive decline in MCI subjects and can aid in disease management.
轻度认知障碍(Mild Cognitive Impairment, MCI)是阿尔茨海默病的临床前无症状阶段,影响着世界范围内大量的老年人口。检测MCI状况可以确保及时干预所需的疾病严重程度处理。侧脑室(LV)的形态学改变被认为是诊断MCI病情的重要生物标志物。本研究旨在利用旋转矩形状特征分析脑磁共振(MR)图像中左室的形状变化,并利用基于决策树(DT)的分类方法区分MCI条件。跨轴脑磁共振图像来自一个公开的OASIS数据库。使用反应扩散水平集对LV进行分割,并根据Ground Truth对结果进行验证。从分割后的LV图像中提取旋转矩形状特征。DT用于区分控制和MCI主体。结果表明,旋转矩形状特征能够捕捉到对照组和MCI受试者的LV变化(p<0.05)。该分类模型的检测准确率为96.73%,f值为96.82%。因此,该方法可作为预测和监测MCI受试者认知能力下降的自动诊断工具,有助于疾病管理。
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引用次数: 4
CORTICAL INTEGRATIVE THERAPY EFFECTIVENESS IN THE TREATMENT OF POST-CONCUSSION SYNDROME AND MILD TRAUMATIC BRAIN INJURY 皮质综合疗法治疗脑震荡后综合征及轻度外伤性脑损伤的疗效观察
Pub Date : 2021-04-01 DOI: 10.34107/yhpn942204191
V. M. Pedro, Nicole C H Lim, E. Oggero
Post-Concussion Syndrome (PCS) is a relatively prevalent condition that emerges after sustaining a head injury. Individuals with PCS experience prolonged impairments and distress associated with the injury which can impact the individuals’ quality of life experiences. In this retrospective chart review of refractory adult patients diagnosed with PCS and mild Traumatic Brain Injury (mTBI), the effectiveness of Cortical Integrative Therapy (PedroCIT®) was investigated by comparing measures of postural stability, brain sequencing and timing, and self-reports of physical and psychosocial symptoms of PCS obtained before and after PedroCIT®. Multivariate and Repeated Measures General Linear Models showed improvements across the measures from before to after treatment in all subjects, highlighting the effectiveness of PedroCIT®. To further underscore the capacity of PedroCIT® to elicit improvements in patients who have been resistant to treatment prior to PedroCIT®, the duration of time that the subjects underwent PedroCIT® was compared to the duration of time since the injury to the subjects’ first PedroCIT® intervention session. The findings of this study showed significant improvements from pre- to post-treatment in postural stability, brain sequencing and timing, and self-reported symptoms for patients affected by PCS and mTBI, and treatment outcomes were largely not contingent upon the severity of the condition at the beginning of treatment. Altogether, this retrospective study suggests that refractory individuals affected by PCS and mTBI can benefit from undergoing PedroCIT® and their treatment outcomes may not be related to the degree of impairment presented at the beginning of treatment.
脑震荡后综合症(PCS)是一种相对普遍的状况,出现在持续的头部损伤。患有PCS的个体会经历与损伤相关的长期损伤和痛苦,这可能会影响个体的生活质量。在这项对诊断为PCS和轻度外伤性脑损伤(mTBI)的难治性成人患者的回顾性图表回顾中,通过比较PedroCIT®前后获得的体位稳定性、大脑测序和时间以及PCS的身体和心理社会症状的自我报告,研究了皮质综合疗法(PedroCIT®)的有效性。多元和重复测量一般线性模型显示,所有受试者在治疗前后的测量均有所改善,突出了PedroCIT®的有效性。为了进一步强调PedroCIT®对在PedroCIT®之前对治疗有耐药性的患者的改善能力,将受试者接受PedroCIT®治疗的持续时间与受试者首次接受PedroCIT®干预后受伤的持续时间进行了比较。这项研究的结果显示,从治疗前到治疗后,受PCS和mTBI影响的患者在姿势稳定性、大脑测序和时间以及自我报告的症状方面都有显著改善,治疗结果在很大程度上不取决于治疗开始时病情的严重程度。总之,这项回顾性研究表明,受PCS和mTBI影响的难治性个体可以从接受PedroCIT®治疗中获益,他们的治疗结果可能与治疗开始时出现的损害程度无关。
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引用次数: 0
ANALYSIS ON THE EFFECT OF HALF ANGLE ON THE DISPLACEMENT OF PEDICLE SCREW DURING AXIAL PULL-OUT TEST IN CANCELLOUS BONE USING 2D AXISYMMETRIC FE MODEL 利用二维轴对称有限元模型分析松质骨轴向拔出试验中半角对椎弓根螺钉位移的影响
Pub Date : 2021-04-01 DOI: 10.34107/yhpn9422.04153
Harikrishna Makaram, R. Swaminathan
Pedicle screw fixations are commonly used in the treatment of spinal pathologies. For effective treatment, stable anchorage between the screw and bone is necessary. In this study, the influence of proximal and distal half angle of the screw, on the displacement of fixation and stress transfer are simulated using a 2D axisymmetric finite element model. A parametric study was performed by varying the proximal half-angle between 0° and 60° in steps of 10° and the distal half angles are considered as 30° and 40°. The material properties and boundary conditions are applied based on previous studies. Frictional contact is considered between the bone and screw. Results show that, displacement of fixation is observed to be minimum at a proximal half angle of 0° and maximum at an angle of 60°. High stress concentration is observed in first few threads with highest maximum von Mises stress at an angle of 60°. High stress transfer was obtained for proximal half-angles of 40° and 50°. It is observed that, this method might aid to develop better pedicle screws for treatment of Scoliosis.
椎弓根螺钉固定常用于脊柱病变的治疗。为了有效治疗,螺钉与骨之间的稳定锚固是必要的。本研究采用二维轴对称有限元模型模拟了螺钉近端半角和远端半角对固定位移和应力传递的影响。通过将近端半角在0°和60°之间以10°的步骤变化,并将远端半角视为30°和40°,进行了参数化研究。在前人研究的基础上,应用了材料特性和边界条件。考虑骨与螺钉之间的摩擦接触。结果表明,固定位移在近半角0°时最小,在近半角60°时最大。在头几根线中观察到高应力集中,最大冯米塞斯应力在60°角处最高。近半角为40°和50°时,应力传递较高。观察到,这种方法可能有助于开发更好的椎弓根螺钉治疗脊柱侧凸。
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引用次数: 2
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