Residual-limb shape change: Three-dimensional CT scan measurement and depiction in vivo

Kirk E. Smith, Paul K. Commean, Michael W. Vannier

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


PURPOSE: To perform quantitative evaluation of lower-extremity prosthesis fit by using spiral computed tomography (CT). MATERIALS AND METHODS: Two spiral CT scans were obtained at each of two different sessions in seven adult patients who had undergone amputation below the knee. A rigid- body transformation of the tibia was computed and used to align paired (intra- and intersession) spiral CT data sets for each individual in a common coordinate system. Paired scans in each individual were compared to assess registration and precision of soft-tissue change measurement. Clinical prosthesis fit evaluation was demonstrated in an adult amputee volunteer who underwent CT evaluation while wearing two different prostheses. RESULTS: In the seven patients examined, more than 90% of the measured soft-tissue volume displacements between sessions could be explained as true differences. Precision error of soft-tissue volume change was approximately 13 cm3, or approximately 1% error relative to the mean volume. Volumetric changes due to different prostheses were substantially larger than the random error. CONCLUSION: Registration of CT volumetric data sets to quantify residual- limb soft-tissue envelope change in lower-limb prosthetics is precise and can be used to detect the effect of prosthesis shape alterations.

Original languageEnglish
Pages (from-to)843-850
Number of pages8
Issue number3
StatePublished - Sep 1996


  • Computed tomography (CT), helical
  • Computed tomography (CT), image processing
  • Computed tomography (CT), three-dimensional
  • Computed tomography (CT), utilization
  • Stents and prostheses
  • Tibia


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