3-D Multi-Articular Models of the Carpus

描述（由申请人提供）：在这个申请中，我们建议开发一个复杂的，运动学驱动的人类手腕计算模型。我们的模型将是革命性的，因为它将是完全三维的（3-D），并将包括15块软骨包裹的骨头，以及大多数腕韧带。目前的手腕模型在其复杂性和/或范围上是有限的。我们的模型将由受试者特定的运动学数据驱动，并根据现有最大的体内手腕运动学数据集进行验证。该模型的发展是我们先前工作的逻辑延伸，该工作涉及创建和实施用于体内三维腕骨运动学无创测量的新型成像和计算方法。它将涉及新方法的改进，以生成复杂的腕解剖结构的高分辨率数字模型。创建和验证用于从微计算机断层扫描图像生成软骨和韧带形态图的新工具，计算软骨表面变形的新算法，以及模拟受约束缠绕在骨突出处的韧带纤维路径的新算法也将被开发。该模型将立即用于分析正常和病理腕关节的生物力学。特别是，它将提供迄今为止无法获得的关于单个手腕韧带的作用的见解，以及改变的运动学对软骨接触的影响。该模型也将是一个重要的中间步骤，我们的最终目标是开发一个负载驱动，预测计算模型的手腕。在此运动学驱动模型的开发过程中产生的所有骨、软骨和韧带数字解剖、运动学数据和力学特性将直接适用于负载驱动模型。复杂的腕部计算模型有可能彻底改变腕部研究领域，使研究人员能够探索传统实验方法无法回答的基本问题，并使临床医生能够评估手术技术。该模型将加速腕部功能的发现，以及腕部功能如何因损伤和手术干预而改变。这些发现将为手腕疾病和创伤带来新的治疗方法，这些疾病影响所有年龄段的男性和女性，每年造成大量医疗费用和生产力损失。

DESCRIPTION (provided by applicant): In this application we propose to develop a sophisticated, kinematic-driven computational model of the human wrist. Our model will be revolutionary in that it will be fully three-dimensional (3-D), and will include fifteen cartilage-wrapped bones, as well as most carpal ligaments. Current models of the wrist are limited in their sophistication and/or scope. Our model will be driven by subject-specific kinematic data validated against the largest collection of in vivo wrist kinematic data in existence. Development of this model is the logical extension of our previous work which involved the creation and implementation of novel imaging and computational methodologies for the noninvasive measurement of 3-D carpal bone kinematics in vivo. It will involve the refinement of new methodologies to generate high-resolution digital models of the intricate carpal anatomy. The creation and validation of new tools for generating morphological maps of cartilage and ligaments from micro-computed tomograpic images, a novel algorithm for computing cartilage surface deformations, and a novel algorithm for modeling ligament fiber paths constrained to wrap around bony prominences will also be developed. The model will be immediately useful for analyzing the biomechanics of the normal and pathological wrist. In particular, it will provide heretofore unavailable insight into the role of individual wrist ligaments, as well as the implications of altered kinematics on cartilage contact. The model will also be an important intermediate step in our ultimate goal to develop a load-driven, predictive computational model of the wrist. All the bony, cartilage and ligamentous digital anatomy, kinematic data, and mechanical properties generated in the development of this kinematic-driven model will be directly applicable to a load-driven model. A sophisticated computational model of the wrist has the potential to completely transform the field of wrist research, allowing researchers to explore basic questions that could not be answered with traditional experimental methods, and clinicians to evaluate surgical techniques. The model will hasten discovery of how the wrist functions and how wrist function is altered by injury and surgical intervention. These discoveries will lead to new treatments for wrist disease and trauma, which affect men and women of all ages, and account for significant medical expenses and lost productivity each year.