Rotational-motion measurement of the sacroiliac joint using upright MRI scanning and intensity-based registration: is there a sex difference?

被引:2
作者
Tani, Tetsuro [1 ,2 ]
Takao, Masaki [3 ]
Soufi, Mazen [4 ]
Otake, Yoshito [4 ]
Fukuda, Norio [5 ]
Hamada, Hidetoshi [1 ]
Uemura, Keisuke [1 ]
Sato, Yoshinobu [4 ]
Sugano, Nobuhiko [1 ]
机构
[1] Osaka Univ, Dept Orthopaed Med Engn, Grad Sch Med, Suita, Osaka, Japan
[2] Osaka Police Hosp, Dept Orthopaed Surg, Osaka, Japan
[3] Osaka Univ, Dept Orthopaed Surg, Grad Sch Med, 2-2 Yamadaoka, Suita, Osaka, Japan
[4] Nara Inst Sci & Technol, Grad Sch Sci & Technol, Ikoma, Nara, Japan
[5] Natl Inst Informat & Commun Technol NICT, Adv ICT Res Inst, Ctr Informat & Neural Networks CiNet, Suita, Osaka, Japan
关键词
Sacroiliac joint; Upright MRI; Sex difference; LOW-BACK-PAIN; LUMBAR SPINE; CLASSIFICATION; EPIDEMIOLOGY; DIAGNOSIS; ALIGNMENT; ANATOMY; RISK;
D O I
10.1007/s11548-022-02806-w
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Purpose The sacroiliac joint (SIJ) has attracted increasing attention as a source of low back and groin pain, but the kinematics of SIJ against standing load and its sex difference remain unclear due to the difficulty of in vivo load study. An upright magnetic resonance imaging (MRI) system can provide in vivo imaging both in the supine and standing positions. The reliability of the mobility of SIJ against the standing load was evaluated and its sex difference was examined in healthy young volunteers using an upright MRI. Method Static (reliability) and kinematic studies were performed. In the static study, a dry bone of pelvic ring embedded in gel form and frozen in the plastic box was used. In the kinematic study, 19 volunteers (10 males, 9 females) with a mean age of 23.9 years were included. The ilium positions for the sacrum in supine and standing positions were measured against the pelvic coordinates to evaluate the mobility of the SIJ. Results In the static study, the residual error of the rotation of the SIJ study was <0.2 degrees. In the kinematic study, the mean values of SIJ sagittal rotation from supine to standing position in males and females were -0.9 degrees +/- 0.7 degrees (mean +/- standard deviation) and -1.7 degrees +/- 0.8 degrees, respectively. The sex difference was statistically significant (p = 0.04). The sagittal rotation of the SIJ showed a significant correlation with the sacral slope. Conclusion The residual error for measuring the SIJ rotation using the upright MRI was <0.2 degrees. The young healthy participants showed sex differences in the sagittal rotation of the SIJ against the standing load and the females showed a larger posterior rotation of the ilium against the sacrum from the supine to standing position than the males. Therefore, upright MRI is useful to investigate SIJ motion.
引用
收藏
页码:79 / 84
页数:6
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