ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Morphological analysis of Kambin's triangle using 3D CT/MRI fusion imaging of lumbar nerve root created automatically with artificial intelligence.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Revolutionizing spinal interventions: a systematic review of artificial intelligence technology applications in contemporary surgery.BMC surgery · 2024Pooled it
- Medial-caudal first access strategy for safe disc-side corridor creation in unilateral biportal endoscopic surgery for lateral lumbar disc herniation.Journal of spine surgery (Hong Kong) · 2026Article
- Synthesizing lumbar computed tomography myelography from plain computed tomography images using a cycle-consistent generative adversarial network.North American Spine Society journal · 2026Article
- Simulation-based anatomical feasibility of full-endoscopic transforaminal approach at the L5/S1 level using 3D-MRI/CT fusion imaging: influence of age, sex, and anatomical obstacles.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- The Konakondla-Telfeian-Shen (KTS) Pyramid: a safe entry zone for ventral thoracic pathologies.Journal of spine surgery (Hong Kong) · 2026Article
- UBE-TFD for lumbar foraminal stenosis and extreme lateral disc herniation: a preliminary case series of Doom's Point vs. pars interarticularis localization.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Latent Risk of Visceral Injury in Upper Lumbar Endoscopic Surgery: A Prone-Position Computed Tomography Analysis Identifying Low Body Mass Index as a Predictor of Narrow Safety Margins.International journal of spine surgery · 2026Article
- Feasibility and accuracy of AI-assisted 3D MRI/CT fusion imaging for preoperative simulation of full-endoscopic transforaminal discectomy.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Quantifying the Trajectory of Percutaneous Endoscopic Lumbar Discectomy in 3D Lumbar Models Based on Automated MR Image Segmentation-A Cross-Sectional Study.Orthopaedic surgery · 2025Article
- Comparative Study between Full-Endoscopic Transforaminal Approach Lumbar Interbody Fusion (TF-LIF) Using PETLIF System and Minimally Invasive TLIF for Degenerative Lumbar Spine Disorders.Spine surgery and related research · 2025Article
- Artificial intelligence-driven 3D MRI of lumbosacral nerve root anomalies: accuracy, incidence, and clinical utility.Neuroradiology · 2025Article
- Development and Validation of Deep Learning Preoperative Planning Software for Automatic Lumbosacral Screw Selection Using Computed Tomography.Bioengineering (Basel, Switzerland) · 2024Article
- Technical Note on the Role of Kambin's Triangle in the Evolution of Total Joint Replacement of the Lumbar Spine.International journal of spine surgery · 2024Article
- Two-Year Clinical and Radiographic Outcomes for Percutaneous Lumbar Interbody Fusion With an Expandable Titanium Cage Through Kambin's Triangle Without Facetectomy.International journal of spine surgery · 2023Article
- Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence.Medicina (Kaunas, Lithuania) · 2023Article
- Posterolateral full-endoscopic debridement and irrigation is effective in treating thoraco-lumbar pyogenic spondylodiscitis, except in cases with large abscess cavities.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Advantages of Full-endoscopic Trans-Kambin's Triangle Lumbar Interbody Fusion for Degenerative Spondylolisthesis: Illustrative Cases.NMC case report journal · 2023Article
- Kambin's triangle-related data based on magnetic resonance neurography and its role in percutaneous transforaminal endoscopic lumbar interbody fusion.Journal of orthopaedic surgery and research · 2022Article
- Review
- Usefulness of 3D CT/MRI Fusion Imaging for the Evaluation of Lumbar Disc Herniation and Kambin's Triangle.Diagnostics (Basel, Switzerland) · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe developed a software program that automatically extracts a three-dimensional (3D) lumbar nerve root image from magnetic resonance imaging (MRI) lumbar nerve volume data using artificial intelligence. The aim of this study is to evaluate the morphology of Kambin's triangle in three dimensions based on an actual endoscopic transforaminal surgical approach using three-dimensional (3D) computed tomography (CT)/ magnetic resonance imaging (MRI) fusion images of the lumbar spine and nerve tissue.
methodsThree-dimensional lumbar spine/nerve images of 100 patients (31 males and 69 females; mean age, 66.8 years) were used to evaluate the relationship between the superior articular process (SAP), exiting nerve root (ENR), and dural canal at the L2/3, L3/4, and L4/5 levels at 45° and 60° approach angles.
resultsThe SAP-ENR distance at 60° was the greatest at L4/5 and was significantly greater at L2/3 and L4/5 than at L3/4 (P < 0.01, P < 0.01, respectively). The SAP-ENR distance at 45° was the greatest at L2/3, and it was larger in L2/3 and L4/5 than in L3/4 (P < 0.01, P < 0.01, respectively). The SAP-ENR distances at L4/5 were significantly greater at 60° than at 45° (P < 0.01). The dural canal was located within Kambin's triangle on the plane of the upper endplate of the lower vertebra at L2/3 in 41.5% of the cases and at L3/4 in 14% of the cases at 60° but not at L4/5.
conclusionThe 3D lumbar spine/nerve image enabled a combined assessment of the positional relationship between the SAP, ENR, and dural canal to quantify the safety zone of practical endoscopic spinal surgery using a transforaminal approach. Three-dimensional lumbar spine/nerve images could be useful for examining parameters, including bones and nerves, to ensure the safety of surgery.
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