Orthopaedic Research Page

[PICTURE]

Rotator cuff tendons of the shoulder


My dissertation focused on three-dimensional spatial compounding of ultrasound scans to produce volume reconstructions of the rotator cuff and measure tendon thickness. Abstract




Full coverage of the shoulder rotator cuff was accomplished by compounding overlapping volume data acquired at different locations around the shoulder. top: subset of image planes in volume space for 3 scans; center: volume reconstructions of the individual scans; bottom: compound volume




Orthogonal slices through the compound volume show the rotator cuff and the surrounding anatomical landmarks. left shoulder of a normal volunteer




A tear of the supraspinatus tendon of the left shoulder is contrasted with the normal right shoulder. Movies of this data set are included below.



Below are two movies showing rotating volumes derived from the normal and injured shoulders of a subject with an acute tear of the left supraspinatus tendon. The movies show orthogonal slices through the reconstructed and compounded gray-scale volumes; extracted surfaces of the humeral head (blue) and the supraspinatus tendon are then superimposed. The tendon surface is colored according to the thickness of the tendon overlying the bone (green = 7 mm, red = 14 mm).

In both cases the volume begins with an anterior view (coronal plane) and rotates to a lateral view (sagittal plane). This repeats as the surfaces are added.

The normal tendon exhibits a nearly-uniform thickness over the anterior surface of the bone. In the injured case, the tendon has retracted from the anterior surface and exhibits a distinct bulge in the lateral region.

Shoulder movie 1: normal (right) shoulder

Shoulder movie 2: injured (left) shoulder



Leotta DF, Martin RW. "Three-Dimensional Ultrsound Imaging of the Rotator Cuff: Spatial Compounding and Tendon Thickness Measurement" Ultrasound Med Biol, 26:509-525, 2000. Abstract

Leotta DF, Martin RW. "Three-Dimensional Spatial Compounding of Ultrasound Scans with Weighting by Incidence Angle" Ultrasonic Imaging, 22:1-19, 2000. Abstract

Leotta DF, Martin RW. "Three-Dimensional Spatial Compounding of Ultrasound Scans with Incidence Angle Weighting" IEEE International Ultrasonics Symposium 1999, Lake Tahoe, NV, October 1999. Abstract

Leotta DF, Martin RW. "Three-Dimensional Spatial Compounding of Freehand Ultrasound Scans of the Rotator Cuff " Meeting of the American Institute of Ultrasound in Medicine, San Antonio, TX, March 1999. Abstract


Daniel Leotta, PhD
Email: leotta@u.washington.edu
Web: http://staff.washington.edu/leotta/