PMID- 26695814 OWN - NLM STAT- MEDLINE DCOM- 20170414 LR - 20181113 IS - 1741-0444 (Electronic) IS - 0140-0118 (Linking) VI - 54 IP - 10 DP - 2016 Oct TI - Monitoring reduced scattering coefficient in pedicle screw insertion trajectory using near-infrared spectroscopy. PG - 1533-9 LID - 10.1007/s11517-015-1428-y [doi] AB - Pedicle screw (PS) implantation is an ideal treatment for severe multilevel vertebra instabilities. The accuracy of fixating PS is a key factor of spinal surgery. We developed a near-infrared spectroscopy device with a needlelike optical fiber probe to monitor optical parameters (reduced scattering coefficient) of vertebra models in real time. The fresh-frozen cadaver, cats and porcine vertebras were first studied in the experiments. Moreover, the reduced scattering coefficient (mu' s) along the different trajectories of PS insertion was obtained. In the fresh-frozen cadavera experiment, mu' s values could be used to distinguish the different compositions of the thoracic vertebra. In cat vertebra experiment, mu' s values of vertebrae bones, including cortical bone (15.30 +/- 0.18 cm(-1)), cancellous bone (7.84 +/- 1.11 cm(-1)) and spinal cord (19.46 +/- 0.21 cm(-1)), were different in vivo. In the pig vertebrae experiment, there were obvious differences between the normal and abnormal PS puncture curves based on mu' s values. Thus, mu' s values measured by using the proposed device could be used as the pattern factor in spinal fusion surgery. Our studies demonstrate that near-infrared spectroscopy method may be potentially used for assisting the PS insertion. FAU - Li, Weitao AU - Li W AUID- ORCID: 0000-0001-7855-428X AD - Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Yudao Street 29, Nanjing, 210016, China. liweitao@nuaa.edu.cn. FAU - Liu, Yangyang AU - Liu Y AD - Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Yudao Street 29, Nanjing, 210016, China. FAU - Sun, Haixiang AU - Sun H AD - Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Yudao Street 29, Nanjing, 210016, China. FAU - Pan, Yue AU - Pan Y AD - Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Yudao Street 29, Nanjing, 210016, China. FAU - Qian, Zhiyu AU - Qian Z AD - Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Yudao Street 29, Nanjing, 210016, China. LA - eng PT - Journal Article DEP - 20151222 PL - United States TA - Med Biol Eng Comput JT - Medical & biological engineering & computing JID - 7704869 SB - IM MH - Animals MH - Cats MH - *Pedicle Screws MH - Spectroscopy, Near-Infrared/*methods MH - Spine MH - Swine OTO - NOTNLM OT - Near-infrared OT - Pedicle screw OT - Reduced scattering coefficient OT - Spectroscopy EDAT- 2015/12/24 06:00 MHDA- 2017/04/15 06:00 CRDT- 2015/12/24 06:00 PHST- 2015/04/20 00:00 [received] PHST- 2015/12/07 00:00 [accepted] PHST- 2015/12/24 06:00 [entrez] PHST- 2015/12/24 06:00 [pubmed] PHST- 2017/04/15 06:00 [medline] AID - 10.1007/s11517-015-1428-y [pii] AID - 10.1007/s11517-015-1428-y [doi] PST - ppublish SO - Med Biol Eng Comput. 2016 Oct;54(10):1533-9. doi: 10.1007/s11517-015-1428-y. Epub 2015 Dec 22.