CurveBeam’s next FOOTInnovate webinar “Role of WBCT in the Assessment of Pes Cavovarus” will be delivered by Dr. Alessio Bernasconi, MD, on May 22nd at 12 pm CDT.
Register for the webinar today. A FOOTInnovate membership is required, but is complimentary for foot & ankle surgeons and related professions.
Dr. Bernasconi is currently a Foot and Ankle Clinical Fellow at the Royal National Orthopaedic Hospital of Stanmore, UK. He has served as a Clinical Fellow in Orthopaedics and Traumatology at St. George’s University Hospital in Tooting, UK, and participated in a Foot and Ankle Research Fellowship & Clinical Observership at the Hospital for Special Surgery in New York City.
To view this webinar, you must sign up for a FOOTInnovate account, then register in advance here. Once registered, you will receive an email with instructions on how to join the session.
An upcoming conference at the Royal Society of Medicine – London will feature a day-long program on weight bearing CT Imaging. “Bipedalism: Defining Humanity and Foot & Ankle Surgery” is aimed at surgeons, podiatrists and radiologists. CurveBeam is proud to be the primary sponsor of this prestigious event.
The conference will be held on July 12. Sponsored registration is available for attendees who register prior to May 30th.
The conference is organized by Standing CT Company, which provides weight bearing CT services via mobile imaging centers to hospitals and orthopedic practices in the United Kingdom and Europe. Standing CT Company exclusively utilizes CurveBeam’s weight bearing CT systems.
Several members of Standing CT’s medical advisory board will be lecturing at the conference. Advisory board member Dr. Sajid Butt, MB BS, FCPS, FCPR, a respected radiologist at Royal National Orthopedic Hospitals in London and Stanmore, will present imaging best practices in the morning session.
Another member of the advisory board, Mr. Stephen Bendall, MBBS, FRCS, FRCS (Orth), an orthopedic foot & ankle surgeon at Princess Royal Hospital in Haywards Heath will present on Lisfranc injuries during the section “Trauma: Better Imaging, Better Outcomes.”
If you are interested in attending, call 0800 047 1010 or email firstname.lastname@example.org.
The Weight-Bearing CT Society held its latest Scientific Meeting in Las Vegas this past March during the AAOS 2019 conference. Co-sponsored by CurveBeam, the Scientific Meeting featured an education-packed agenda to discuss the revolutionary transformation weight-bearing technology is having on the imaging industry.
First to present was Dr. Alexej Barg, MD, a University of Utah orthopedic surgeon who also served as the moderator for this event. In his presentation discussing imaging of patients with syndesmosis instability, Dr. Barg explained that conventional non-weight-bearing radiograph imaging cannot predict syndesmotic injuries reliably. And while MRI’s demonstrate sensitivity and specificity of nearly 100%, correlating patient complaints with MRI findings can be difficult. Further, although CT technology surpasses conventional imaging methods when 3D MRI or CT imaging is transferred to 2D, there is a substantial loss of information. However, the torque applied in the natural standing position offered higher contrast and spatial resolution of alignment and degeneration, providing a significant advantage in the accuracy of diagnosing syndesmotic injuries.
Dr. Pablo Wagner, MD, of Clinica Alemana in Chile then took the stage for a presentation titled “WBCT for Assessment of Metatarsal Rotation”. Crediting his brother, Emilio Wagner, MD, for his work with hallux valgus patients, Dr. Wagner explained that metatarsal condyles are visible laterally if pronated, of which 87 percent of hallux valgus cases are. If not corrected, metatarsal pronation will result in worse clinical outcomes and higher deformity relapse rates due to the soft tissue balance lateral to the medical ray axis. However, when compared to challenging, unreliable weight-bearing axial sesamoid views and more useful AP foot weight-bearing views on plan X-Ray, weight-bearing CT scans are the gold standard in quantifying metatarsal rotations.
Following Dr. Wagner, Dr. Cesar de Cesar Netto, MD, Ph.D., discussed “WBCT in Patients with AAFD”. While some symptoms or pain are experienced in patients with Adult-Acquired Flatfoot Deformity, it can be difficult knowing when to be more aggressive in treatment to prevent foot collapse. In a study of 55 male and female patients with stage II AAFD, multiple weight bearing CBCT and MRI variables related to the severity of the deformity were evaluated. Weight-bearing CBCT was found to provide more reliability in predicting patients at high risk for foot collapse.
Dr. Arne Burssens, MD, of the Univesity Hospital of Ghent then deliberated on the “Hidden Aspects of a Medializing Calcaneus Osteotomy Revealed by a WBCT”. Difficult to assess via 2D plain radiographic technology, there is a significant difference when assessing MCO in AAFD using weight-bearing imaging versus non-weight-bearing, offering substantial detail to improve understanding with a higher rate of reliability.
Osteoarthritis Research Society International (OARSI) 2019 World Congress, the pre-eminent multidisciplinary global forum for all those interested in cutting edge OA research from academia and industry around the world, kicks off May 2 in Toronto, Canada.
Make sure to visit poster #512 titled, “The Relationship of Three-Dimensional Joint Space Width Measured on Standing Computed Tomography with Concurrent Pain and Physical Function in the MOST Study” (Dr. Neil Segal, M.D. et al).
If you are unable to attend this year and would like to view the poster on display at OARSI 2019 click here to download it now.
For professional athletes, injuries mean reduced playing time, impacted performance, and, in rare cases, an end to their careers. These injuries often affect the lower extremities, primarily because their sports require high-risk activities like jumping, cutting movements, and collision with other players. While traditional scanning techniques have mainly been used to identify injuries, a recent study found that weight-bearing cone beam computed tomography (CBCT) may be crucial to not only identify anatomic risks but also to help develop treatments explicitly tailored to the needs of professional athletes.
Incorporating new tech
In The Orthopaedic Journal of Sports Medicine, Dr. Cesar de Cesar Netto, et al. examined the morphology of foot injuries in 45 active NBA players. The doctors used weight-bearing CBCT scans to obtain 3D imaging of each foot. These scans provide more accurate alignment measurements than traditional scans and offer views of the foot while the player’s natural weight is being placed on it.
The study sought to discern whether the morphology of NBA players differed from that of the population at large, and whether the morphology changed based on position played. Foot and ankle injuries account for 27 percent of professional sports injuries, and 85 percent of basketball players experience at least one ankle sprain in their career.
Getting a better look
The players who participated in the study ranged from 20 to 31 years of age, and in total 29 right feet and 25 left feet were studied. All images were taken using a state-of-the-art pedCAT CurveBeam pedCAT system to obtain reliable and accurate images of each subject, and measurements were taken both manually and using the automatic TALAS measurement tool included with CurveBeam’s CubeVue software. TALAS is a research tool and is not available for clinical use. This is significant as it is the first time that a study of the foot morphotypes of NBA players has been conducted.
The study found that, for the most part, NBA players have standard alignment in their lower extremities, although they do tend to have high arches and varus hindfoot alignment. These trends were slight, but they are related to foot injuries and should still be noted. Building up a database of weight-bearing CBCT scans of professional athletes could also allow specialists to have a new control group to compare scans to, which would be enormously beneficial., the study authors said.
Better analysis means better results
Incorporating weight-bearing CBCT scans like those of CurveBeam’s pedCAT can save players, and the league as a whole, both time and money in the long term. Not only will they be able to watch for warning signs, but they will have a complete view of available injuries and will could develop more specific training regimens geared towards returning athletes to the court as quickly as possible.
You can read the full study by Dr. de Cesar Netto, et al. here.
Dr. Barg specializes in the care of the foot and ankle, as well as reconstruction of traumatic injuries to the foot, ankle replacement, and joint preserving procedures.
Prior to coming to the University of Utah, he was the head of the Orthopedic Department at the University of Basel in Switzerland.
Dr. Barg currently serves as a reviewer for numerous medical journals including Foot & Ankle International, Journal of Biomechanics, Clinical Anatomy, and BMC Musculoskeletal Disorders, and is well published in foot and ankle replacement.
Currently, Dr. Barg is working with a variety of other researchers on a series of weight-bearing CT projects, including two cadaver research studies. On working with Dr. Arne Burssens on a templating method, Dr. Barg said, “we’re able to compare the healthy side versus the injury side and can detect very small differences in imaging using weight-bearing, which we’re not able to do using conventional radiographs and MRI.”
Give this podcast a listen to hear Singh and Dr. Barg break down his recent presentation on evaluating syndesmosis, his discoveries on the effect that torque plays in syndesmosis measurement, and whether these findings could translate to imaging in the clinical setting.
CurveBeam will be on hand at AAOE 2019, exhibiting our innovative imaging solutions for orthopedic specialties and subspecialties in Booth #629.
AAOE provides advocacy, networking and business development for the orthopedic and musculoskeletal healthcare professions. To further promote quality healthcare practice management in the industry, each year the AAOE hosts a conference, gathering orthopedic practice professionals from around the country in one venue to learn new practice management techniques and policies, compare new products and services, discuss changes in healthcare and other issues affecting them each day, and more.
Proud to be a field pioneer, CurveBeam’s design and manufacture of advanced 3D imaging technologies have been setting new standards in orthopedic and podiatric 3D imaging since the company’s founding in 2009. Industry-leading innovation, CurveBeam’s imaging systems utilize progressive Cone Beam CT capabilities to provide cutting-edge imaging at a fraction of the cost of traditional CT equipment.
While at AAOE 2019, stop by Booth #629 and let the CurveBeam team guide you through the benefits of our trailblazing solutions that can positively support the imaging needs of your practice and patients.
Sign up for CurveBeam’s next Corporate Webcast on FOOTInnovate.com. In his lecture titled, “How I Have Integrated Weight Bearing CT into My Practice” Dr. David Soomekh, DPM will discuss how his practice has incorporated CurveBeam’s pedCAT weight bearing CT system.
Dr. Soomekh is the founder of the Foot & Ankle Specialty Group in Beverly Hills, as well as a Board Certified foot and ankle surgeon. Dr. Soomekh was named best foot and ankle surgeon in Los Angeles by Los Angeles magazine.
The webinar is scheduled for Tuesday, May 7th from 7 p.m. – 8, EST. To view this webinar, you must register in advance here. Once registered, you will receive an email with instructions on how to join the session.