Contribution à la modélisation musculo-squelettique personnalisée du membre inférieur combinant stéréoradiographie et ultrason.

Abstract : The analysis of the behavior of the musculoskeletal system is essential to understand diseases or effectiveness of the sporting gesture. Models, which represent a 50-percentile subject, allow tendencies identification. However, results are limited to the range of people they represent. Their geometry and mechanical properties must be personalized to simulate as closely as possible the biomechanical behavior. MRI is the reference device for the construction of three-dimensional personalized models. However, the cost, the availability and methods of reconstruction limit its use. Recent developments in stereoradiography, with the EOS® system, and in ultrasonic field, with ShearWave elastography, open up new horizons. The aim of this work was to propose a new method for building a personalized musculoskeletal model of lower limb combining stereoradiography and ultrasound, in standing position. First, robust bony frame on MR images were defined to build a reference model. Then, the personalized bones and external envelope geometries were obtained by stereoradiography. This first personalized information was used to estimate muscles geometry. This pre-personalized model was deformed to match the real muscle geometry obtained by ultrasound. This method has several advantages. It overrides the assembly of ultrasound cuts and removes the complete manual segmentation. Finally, a protocol for measuring the mechanical properties ShearWave elastography was introduced. Thus, the muscles elastic properties of the lower limb can then be defined in the model.
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Guillaume Dubois. Contribution à la modélisation musculo-squelettique personnalisée du membre inférieur combinant stéréoradiographie et ultrason.. Biomécanique [physics.med-ph]. Ecole nationale supérieure d'arts et métiers - ENSAM, 2014. Français. ⟨NNT : 2014ENAM0060⟩. ⟨tel-01134211⟩

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