Evidence map›Paper›PMID 38265490›Full record

ArticleSurgical and radiologic anatomy : SRA2024

3D visualization of the human anterior cruciate ligament combining micro-CT and histological analysis.

Annapaola Parrilli, Alberto Grassi, Federica Orellana, Roberta Lolli, Gregorio Marchiori, Matteo Berni, Milena Fini, Nicola Francesco Lopomo, Stefano Zaffagnini

Open access · hybridAbstract read
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Annapaola ParrilliCenter for X-Ray Analytics, Empa - Swiss Federal Laboratories for Materials Science and Technology, Überlandstrasse 129, 8600, Dübendorf, Switzerland. annapaola.parrilli@empa.ch.
Alberto GrassiIRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Federica OrellanaCenter for X-Ray Analytics, Empa - Swiss Federal Laboratories for Materials Science and Technology, Überlandstrasse 129, 8600, Dübendorf, Switzerland.
Roberta LolliIRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Gregorio MarchioriIRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Matteo BerniIRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Milena FiniIRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Nicola Francesco LopomoUniversity of Brescia, Brescia, Italy.
Stefano ZaffagniniIRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Istituto Ortopedico Rizzoli · ITSwiss Federal Laboratories for Materials Science and Technology · CHUniversity of Brescia · ITUniversity of Fribourg · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aimed to obtain a comprehensive 3D visualization of knee specimens, including the cruciate ligaments and corresponding femoral and tibial bone insertions using a non-destructive micro-CT method.

methodsKnee specimens were fixed in anatomical positions and chemically dehydrated before being scanned using micro-CT with a voxel size of 17.5 μm. RGBA (red, green, blue, alpha) transfer functions were applied to virtually colorize each structure. Following micro-CT scanning, the samples were rehydrated, decalcified, and trimmed based on micro-CT 3D reconstructions as references. Histological evaluations were performed on the trimmed samples. Histological and micro-CT images were registered to morphologically and densitometrically assess the 4-layer insertion of the ACL into the bone.

resultsThe output of the micro-CT images of the knee in extension and flexion allowed a clear differentiation of the morphologies of both soft and hard tissues, such as the ACL, femoral and tibial bones, and cartilage, and the subsequent creation of 3D composite models useful for accurately tracing the entire morphology of the ligament, including its fiber and bundle components, the trajectory between the femur and tibia, and the size, extension, and morphology of its insertions into the bones.

conclusionThe implementation of the non-destructive micro-CT method allowed complete visualization of all the different components of the knee specimens. This allowed correlative imaging by micro-CT and histology, accurate planning of histological sections, and virtual anatomical and microstructural analysis. The micro-CT approach provided an unprecedented 3D level of detail, offering a viable means to study ACL anatomy.

Indexed as

Anterior Cruciate LigamentAnterior Cruciate Ligament InjuriesFemurHumansImaging, Three-DimensionalKnee JointTibiaX-Ray Microtomography3D anatomyACLAnterior cruciate ligamentHuman kneeMicro-CTSoft tissue X-ray imaging

Identifiers

PMID38265490
PMCPMC10861685
OpenAlexW4391167804

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.