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Article ; Online: Predicting chronological age based on age-related osteophyte development in the superior and inferior vertebral centrum margins of T12-L5.

Schanandore, James V / Ford, Jonathan M / Decker, Summer J

2023 Volume 69, Issue 1, Page(s) 18–27

Abstract: The purpose of this study was to determine the relationship between vertebral margins at individual vertebral levels between T12-L5 vertebra and chronological age and develop predictive models. Three hundred and nineteen CT scans from a medical imaging ... ...

Abstract	The purpose of this study was to determine the relationship between vertebral margins at individual vertebral levels between T12-L5 vertebra and chronological age and develop predictive models. Three hundred and nineteen CT scans from a medical imaging database in North America were randomly selected. Three superior and inferior vertebral margin sites were scored based on observable age-related changes. All individual vertebral margin site scores significantly correlated with age at death with Pearson r values ranging from 0.47 to 0.77. Totaling the individual vertebral margin site scores for L1-L5 improved Pearson r to 0.92. All resulting predictive models were significant, and the best models predicted age at death within 10 years 70%-76% of the time for males, females, and combined male and females. In conclusion, this study produced accurate and reliable models to predict age at death using age-related changes in the spine for a North American population.
MeSH term(s)	Female ; Male ; Humans ; Osteophyte/diagnostic imaging ; Vertebral Body ; Lumbar Vertebrae ; Thoracic Vertebrae ; Radiography
Language	English
Publishing date	2023-10-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	219216-0
ISSN	1556-4029 ; 0022-1198
ISSN (online)	1556-4029
ISSN	0022-1198
DOI	10.1111/1556-4029.15406
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Article ; Online: Institutional Strategies to Maintain and Grow Imaging Research During the COVID-19 Pandemic.

Ho, Mai-Lan / Arnold, Corey W / Decker, Summer J / Hazle, John D / Krupinski, Elizabeth A / Mankoff, David A

Academic radiology

2023 Volume 30, Issue 4, Page(s) 631–639

Abstract: Understanding imaging research experiences, challenges, and strategies for academic radiology departments during and after COVID-19 is critical to prepare for future disruptive events. We summarize key insights and programmatic initiatives at major ... ...

Abstract	Understanding imaging research experiences, challenges, and strategies for academic radiology departments during and after COVID-19 is critical to prepare for future disruptive events. We summarize key insights and programmatic initiatives at major academic hospitals across the world, based on literature review and meetings of the Radiological Society of North America Vice Chairs of Research (RSNA VCR) group. Through expert discussion and case studies, we provide suggested guidelines to maintain and grow radiology research in the postpandemic era.
MeSH term(s)	Humans ; COVID-19 ; Pandemics ; Diagnostic Imaging ; North America/epidemiology ; Radiology
Language	English
Publishing date	2023-01-06
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1355509-1
ISSN	1878-4046 ; 1076-6332
ISSN (online)	1878-4046
ISSN	1076-6332
DOI	10.1016/j.acra.2022.12.045
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Article ; Online: Forensic personal identification utilizing part-to-part comparison of CT-derived 3D lumbar models.

Decker, Summer J / Ford, Jonathan M

Forensic science international

2018 Volume 294, Page(s) 21–26

Abstract: The objective of this project was to document the efficacy of part-to-part comparison of computed tomography (CT)-derived three-dimensional (3D) models of the lumbar spine in forensic personal identification. By testing the methodology, this study aimed ... ...

Abstract	The objective of this project was to document the efficacy of part-to-part comparison of computed tomography (CT)-derived three-dimensional (3D) models of the lumbar spine in forensic personal identification. By testing the methodology, this study aimed to provide a new technique of quantifiable (through a percent match) positive identification that meets the explicit requirements of the Daubert ruling and the challenges set forth in the 2009 NAS report. Ante-mortem (AM) and simulated post-mortem (PM) models of the lumbar vertebrae (L1-L5) for 30 unique individuals were compared via part comparison analyses. The threshold of ±0.5mm with at least a 90% match was considered a positive identification. Using this threshold, the part comparison results had a perfect identification rate with no false positives and no false negative matches. A ROC curve was generated with a score of 1, signifying a "perfect" sensitivity and specificity, at a cut-off value of 65.5%. On average positive IDs had a 94.7% percent match within the established threshold, while negative IDs had an average of 21.4%. In looking at the impact of different components of the biological profile, age and sex of the unknown individual played a minimal role in the percent match for both a positive and a negative ID. Lumbar level also played a minor role in in both the positive and negative percent match. The real-world application of 3D part-to-part comparison on AM and simulated PM scans demonstrate the potential usefulness of this technology in forensic identification.
MeSH term(s)	Adult ; Anatomic Landmarks ; Female ; Forensic Anthropology/methods ; Humans ; Imaging, Three-Dimensional ; Lumbar Vertebrae/diagnostic imaging ; Male ; Sensitivity and Specificity ; Software ; Tomography, X-Ray Computed
Language	English
Publishing date	2018-10-29
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	424042-x
ISSN	1872-6283 ; 0379-0738
ISSN (online)	1872-6283
ISSN	0379-0738
DOI	10.1016/j.forsciint.2018.10.018
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Article ; Online: Aging of the Adult Bony Orbit.

Ching, Jessica A / Ford, Jonathan M / Decker, Summer J

The Journal of craniofacial surgery

2020 Volume 31, Issue 4, Page(s) 1082–1085

Abstract: Background: Accurate quantitative data of the adult bony orbital volume and dimension are needed for treatment optimization. In the present study, the authors aim to evaluate adult orbital volume and corresponding linear dimensions according to age, ... ...

Abstract	Background: Accurate quantitative data of the adult bony orbital volume and dimension are needed for treatment optimization. In the present study, the authors aim to evaluate adult orbital volume and corresponding linear dimensions according to age, volume, and individual symmetry. Methods: Seventy computerized tomography facial scans of adults were randomly chosen from an institutional database and 3-dimensionally reconstructed. Studies were excluded for orbital pathology or incomplete radiographic data. Anatomic landmarks were marked. Interval linear distances and orbital volumes were calculated. Data were analyzed using paired T-tests, independent T-tests, linear regression analysis, and 1-way analysis of variance. Results: A total of 140 orbits from 70 patients were analyzed (female = 35, male = 35), ranging from 20 to 88 years of age. Orbital volume was similar between an individual's left and right side; however, a difference was observed in vertical orbital height, orbital width, inferior orbital rim position, orbital roof length, orbital width, and medial orbital wall length (0.45, 0.64, 0.4, 0.77, 0.97, and 5.1 mm, respectively; P < 0.05). In comparison to females, males averaged larger orbital volume by 3.07 cm (29.58 cm versus 26.51 cm, P = 0.0002), medial wall length by 2.66 mm (P < 0.05), and orbital width by 2.66 mm (P < 0.05). Orbital volume did not correlate with patient age, while lateral wall length was correlative. Conclusion: This accurate normative data of the adult bony orbit impacts key aspects of patient diagnosis and treatment and also suggest clinical signs of periorbital aging are not due to bony orbital changes.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Aging ; Anatomic Landmarks ; Face ; Female ; Humans ; Male ; Middle Aged ; Orbit/diagnostic imaging ; Regression Analysis ; Tomography, X-Ray Computed ; Young Adult
Language	English
Publishing date	2020-02-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	1159501-2
ISSN	1536-3732 ; 1049-2275
ISSN (online)	1536-3732
ISSN	1049-2275
DOI	10.1097/SCS.0000000000006311
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Article ; Online: Clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: neurosurgical and otolaryngologic conditions.

Ali, Arafat / Morris, Jonathan M / Decker, Summer J / Huang, Yu-Hui / Wake, Nicole / Rybicki, Frank J / Ballard, David H

3D printing in medicine

2023 Volume 9, Issue 1, Page(s) 33

Abstract: Background: Medical three dimensional (3D) printing is performed for neurosurgical and otolaryngologic conditions, but without evidence-based guidance on clinical appropriateness. A writing group composed of the Radiological Society of North America ( ... ...

Abstract	Background: Medical three dimensional (3D) printing is performed for neurosurgical and otolaryngologic conditions, but without evidence-based guidance on clinical appropriateness. A writing group composed of the Radiological Society of North America (RSNA) Special Interest Group on 3D Printing (SIG) provides appropriateness recommendations for neurologic 3D printing conditions. Methods: A structured literature search was conducted to identify all relevant articles using 3D printing technology associated with neurologic and otolaryngologic conditions. Each study was vetted by the authors and strength of evidence was assessed according to published guidelines. Results: Evidence-based recommendations for when 3D printing is appropriate are provided for diseases of the calvaria and skull base, brain tumors and cerebrovascular disease. Recommendations are provided in accordance with strength of evidence of publications corresponding to each neurologic condition combined with expert opinion from members of the 3D printing SIG. Conclusions: This consensus guidance document, created by the members of the 3D printing SIG, provides a reference for clinical standards of 3D printing for neurologic conditions.
Language	English
Publishing date	2023-11-27
Publishing country	England
Document type	Journal Article ; Review
ISSN	2365-6271
ISSN (online)	2365-6271
DOI	10.1186/s41205-023-00192-w
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Article ; Online: Design and Validation of a 3D Printed Cranio-Facial Simulator: A Novel Tool for Surgical Education.

Wright, Joshua M / Ford, Jonathan M / Qamar, Fatima / Lee, Matthew / Halsey, Jordan N / Smyth, Matthew D / Decker, Summer J / Rottgers, S Alex

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

2023 , Page(s) 10556656221151096

Abstract: Objective: To assess the ability of current 3D printing technology to generate a craniofacial bony and soft tissue anatomical model for use in simulating the performance of a fronto-orbital advancement (FOA) osteotomy and then to further assess the ... ...

Abstract	Objective: To assess the ability of current 3D printing technology to generate a craniofacial bony and soft tissue anatomical model for use in simulating the performance of a fronto-orbital advancement (FOA) osteotomy and then to further assess the value of the model as an educational tool. Design: Anatomic models were designed with a process of serial anatomic segmentation/design, 3D printing, dissection, and device refinement. A validation study was conducted with 5 junior and 5 senior plastic surgery residents. The validation study incorporated a multiple-choice Knowledge Assessment test (KA), an Objective Structured Assessment of Technical skills (OSATs), a Global Rating Scale (GRS) and a Michigan Standard Simulation Experience Scale (MiSSES). We compared the scores of both the junior and senior residents and compared junior resident scores, before and after viewing a lecture/demonstration. Results: MiSSES showed high face validity with a score of 85.1/90, signifying high satisfaction with the simulator learning experience. Simulation and the lecture/demonstration improved the junior resident average KA score from 5.6/10 to 9.6/10 ( Conclusion: We have successfully fabricated a 3D printed craniofacial simulator capable of being used as an educational tool alongside traditional surgical training. Next steps would be improving soft tissue realism, inclusion of patient and disease specific anatomy and creation of models for other surgical specialties.
Language	English
Publishing date	2023-01-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1069409-2
ISSN	1545-1569 ; 0009-8701 ; 1055-6656
ISSN (online)	1545-1569
ISSN	0009-8701 ; 1055-6656
DOI	10.1177/10556656221151096
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Article ; Online: Clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination

Arafat Ali / Jonathan M. Morris / Summer J. Decker / Yu-hui Huang / Nicole Wake / Frank J Rybicki / David H Ballard

3D Printing in Medicine, Vol 9, Iss 1, Pp 1-

neurosurgical and otolaryngologic conditions

2023 Volume 13

Abstract: Abstract Background Medical three dimensional (3D) printing is performed for neurosurgical and otolaryngologic conditions, but without evidence-based guidance on clinical appropriateness. A writing group composed of the Radiological Society of North ... ...

Abstract	Abstract Background Medical three dimensional (3D) printing is performed for neurosurgical and otolaryngologic conditions, but without evidence-based guidance on clinical appropriateness. A writing group composed of the Radiological Society of North America (RSNA) Special Interest Group on 3D Printing (SIG) provides appropriateness recommendations for neurologic 3D printing conditions. Methods A structured literature search was conducted to identify all relevant articles using 3D printing technology associated with neurologic and otolaryngologic conditions. Each study was vetted by the authors and strength of evidence was assessed according to published guidelines. Results Evidence-based recommendations for when 3D printing is appropriate are provided for diseases of the calvaria and skull base, brain tumors and cerebrovascular disease. Recommendations are provided in accordance with strength of evidence of publications corresponding to each neurologic condition combined with expert opinion from members of the 3D printing SIG. Conclusions This consensus guidance document, created by the members of the 3D printing SIG, provides a reference for clinical standards of 3D printing for neurologic conditions.
Keywords	3D printing ; Appropriateness ; Guidelines ; Quality ; Radiology ; Additive Manufacturing ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
Subject code	380
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: An Analysis of Hounsfield Unit Values and Volumetrics from Computerized Tomography of the Proximal Femur for Sex and Age Estimation.

Ford, Jonathan M / Kumm, Todd R / Decker, Summer J

Journal of forensic sciences

2019 Volume 65, Issue 2, Page(s) 591–596

Abstract: Sex and age are two elements in the establishment of a biological profile for forensic identification. While the pelvic bones are the most ideal structures for sex estimation, the condition of a body is not always ideal due to the nature of death, such ... ...

Abstract	Sex and age are two elements in the establishment of a biological profile for forensic identification. While the pelvic bones are the most ideal structures for sex estimation, the condition of a body is not always ideal due to the nature of death, such as in mass disasters, or postmortem processes. This study utilized CT scans and resultant 3D models of 100 male and 100 female adults of known ages ranging from 18 to 98 years old to collect volumetric and Hounsfield unit measurements of the proximal femur. Equations were created to establish logistic regression models for sex estimation and linear regression models for age estimation. The resultant sex estimation method had an accuracy of 93.5% and utilized the volume of the proximal femur. This study provides three linear regression models for age with an accuracy range of 86%-92% ±12 years. As imaging technologies are increasingly adopted for forensic purposes, the power of 3D data will provide the opportunity for more quantitative and reproducible analyses. The proposed method for sex and age estimation provides a reliable tool that can be utilized in both day-to-day casework and disaster victim identification.
MeSH term(s)	Adolescent ; Adult ; Age Determination by Skeleton/methods ; Aged ; Aged, 80 and over ; Female ; Femur/anatomy & histology ; Femur/diagnostic imaging ; Forensic Anthropology ; Humans ; Imaging, Three-Dimensional ; Logistic Models ; Male ; Middle Aged ; Sex Determination by Skeleton/methods ; Tomography, X-Ray Computed ; Young Adult
Language	English
Publishing date	2019-10-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	219216-0
ISSN	1556-4029 ; 0022-1198
ISSN (online)	1556-4029
ISSN	0022-1198
DOI	10.1111/1556-4029.14216
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Article ; Online: Three-Dimensional Morphological Analysis of Sex, Age, and Symmetry of Proximal Femurs from Computed Tomography: Application to Total Hip Arthroplasty.

Sparks, Chelsea A / Decker, Summer J / Ford, Jonathan M

Clinical anatomy (New York, N.Y.)

2019 Volume 33, Issue 5, Page(s) 731–738

Abstract: The success of a total hip arthroplasty is directly related to the ability of the implant to match original femoral morphology. Given this critical relationship, we characterized normal proximal femoral morphology as it relates to sex, age, and symmetry. ...

Abstract	The success of a total hip arthroplasty is directly related to the ability of the implant to match original femoral morphology. Given this critical relationship, we characterized normal proximal femoral morphology as it relates to sex, age, and symmetry. Sixty abdominopelvic computed tomography (CT) scans (30 male and 30 female, ages 20-85 years old) from patients without any osseous pathology or implants were utilized. Three-dimensional models were constructed from the CT scans using Mimics v19 (Materialize). Thirteen landmarks were placed on each femur model and yielded eight morphological measurements for each femur. Medullary cavity measurements were taken superior to, at the center of, and inferior to the lesser trochanter. Morphological measurements were analyzed by sex, age group, and left versus right. A significant difference was identified between males and females for femoral head height, inferior neck length, minimum neck diameter, neck shaft angle, mediolateral medullary cavity measurement superior to the lesser trochanter and the anteroposterior at the lesser trochanter (P < 0.05). Age was found to correlate with medullary cavity measurements. As previously identified in the literature, differences with respect to the right and left femur were not of practical significance. The results show that sex is critical in determining prosthesis fit with the examined morphological measurements of the proximal femur while age is more important with respect to the medullary cavity. It is also evident that the current practice of using one femur to approximate the opposite is a viable clinical assumption. Clin. Anat., 33:731-738, 2020. © 2019 Wiley Periodicals, Inc.
MeSH term(s)	Adult ; Age Factors ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip ; Female ; Femur/anatomy & histology ; Femur/diagnostic imaging ; Humans ; Imaging, Three-Dimensional ; Male ; Middle Aged ; Sex Factors ; Tomography, X-Ray Computed
Language	English
Publishing date	2019-10-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	1025505-9
ISSN	1098-2353 ; 0897-3806
ISSN (online)	1098-2353
ISSN	0897-3806
DOI	10.1002/ca.23496
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Article ; Online: Three-dimensional cardiac print assisted percutaneous closure of left ventricular pseudoaneurysm in patient with Behçet's disease.

Quimby, Donald L / Ford, Jonathan / Tanner, Gregory J / Mencer, Nicholas / Decker, Summer / Matar, Fadi

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

2021 Volume 99, Issue 2, Page(s) 512–517

Abstract: Spontaneous left ventricular pseudoaneurysms are very rare and can have catastrophic consequences if unrecognized. A case of combined spontaneous left ventricular aneurysm and pseudoaneurysm in Behcet's disease (BD) has been reported. The case emphasizes ...

Abstract	Spontaneous left ventricular pseudoaneurysms are very rare and can have catastrophic consequences if unrecognized. A case of combined spontaneous left ventricular aneurysm and pseudoaneurysm in Behcet's disease (BD) has been reported. The case emphasizes advanced techniques for percutaneous closure of the defects with the use of an ex-vivo three-dimensional cardiac printed model as a tool to facilitate the procedure.
MeSH term(s)	Aneurysm, False/diagnostic imaging ; Aneurysm, False/etiology ; Aneurysm, False/therapy ; Behcet Syndrome/complications ; Behcet Syndrome/diagnosis ; Heart Aneurysm/diagnostic imaging ; Heart Aneurysm/etiology ; Heart Aneurysm/therapy ; Heart Ventricles/diagnostic imaging ; Humans ; Treatment Outcome
Language	English
Publishing date	2021-02-26
Publishing country	United States
Document type	Case Reports
ZDB-ID	1459995-8
ISSN	1522-726X ; 1522-1946
ISSN (online)	1522-726X
ISSN	1522-1946
DOI	10.1002/ccd.29582
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