Development and stability analysis of carpal kinematic metrics from 4D magnetic resonance imaging. Skeletal Radiol 2024 May 20
Date
05/20/2024Pubmed ID
38767657DOI
10.1007/s00256-024-04687-3Scopus ID
2-s2.0-85193723962 (requires institutional sign-in at Scopus site)Abstract
OBJECTIVE: To develop MRI-derived carpal kinematic metrics and investigating their stability.
METHODS: The study used a 4D MRI method to track scaphoid, lunate, and capitate movements in the wrist. A panel of 120 metrics for radial-ulnar deviation and flexion-extension was created using polynomial models of scaphoid and lunate movements relative to the capitate. Intraclass correlation coefficients (ICCs) analyzed intra- and inter-subject stability in 49 subjects, 20 with and 29 without wrist injury history.
RESULTS: Comparable degrees of stability were observed across the two different wrist movements. Among the total 120 derived metrics, distinct subsets demonstrated high stability within each type of movement. For asymptomatic subjects, 16 out of 17 metrics with high intra-subject stability also showed high inter-subject stability. The differential analysis of ICC values for each metric between asymptomatic and symptomatic cohorts revealed specific metrics (although relatively unstable) exhibiting greater variability in the symptomatic cohort, thereby highlighting the impact of wrist conditions on the variability of kinematic metrics.
CONCLUSION: The findings demonstrate the developing potential of dynamic MRI for assessing and characterizing complex carpal bone dynamics. Stability analyses of the derived kinematic metrics revealed encouraging differences between cohorts with and without wrist injury histories. Although these broad metric stability variations highlight the potential utility of this approach for analyzing carpal instability, further studies are necessary to better characterize these observations.
Author List
Sharafi A, Arpinar VE, Nencka AS, Koch KMAuthors
Kevin M. Koch PhD Center Director, Professor in the Radiology department at Medical College of WisconsinAndrew S. Nencka PhD Director, Associate Professor in the Radiology department at Medical College of Wisconsin
Azadeh Sharafi PhD Assistant Professor in the Radiology department at Medical College of Wisconsin
