A novel ultrasound technique for detection of osteochondral defects in the ankle joint: A parametric and feasibility study

Nazli Sarkalkan*, Arjo J. Loeve, Koen W.A. Van Dongen, Gabrielle J.M. Tuijthof, Amir A. Zadpoor

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)
9 Downloads (Pure)

Abstract

(Osteo)chondral defects (OCDs) in the ankle are currently diagnosed with modalities that are not convenient to use in long-term follow-ups. Ultrasound (US) imaging, which is a cost-effective and non-invasive alternative, has limited ability to discriminate OCDs. We aim to develop a new diagnostic technique based on US wave propagation through the ankle joint. The presence of OCDs is identified when a US signal deviates from a reference signal associated with the healthy joint. The feasibility of the proposed technique is studied using experimentally-validated 2D finite-difference time-domain models of the ankle joint. The normalized maximum cross correlation of experiments and simulation was 0.97. Effects of variables relevant to the ankle joint, US transducers and OCDs were evaluated. Variations in joint space width and transducer orientation made noticeable alterations to the reference signal: normalized root mean square error ranged from 6.29% to 65.25% and from 19.59% to 8064.2%, respectively. The results suggest that the new technique could be used for detection of OCDs, if the effects of other parameters (i.e., parameters related to the ankle joint and US transducers) can be reduced.

Original languageEnglish
Pages (from-to)148-165
Number of pages18
JournalSensors (Switzerland)
Volume15
Issue number1
DOIs
Publication statusPublished - 24 Dec 2015
Externally publishedYes

Keywords

  • (osteo)chondral defect
  • 2D finite-difference time-domain model
  • Ankle joint
  • Diagnosis
  • Joint space
  • Ultrasound propagation

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