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Weight-Bearing CT System Images Entire Lower Extremity

By MedImaging International staff writers
Posted on 03 Dec 2020

Image: The HiRise weight bearing CT system (Photo courtesy of Curvebeam)

A novel weight bearing computerized tomography (WBCT) imaging system can scan the entire lower extremity, from the pelvis to the feet.

The CurveBeam (Hatfield, PA, USA) HiRise weight bearing system allows patients to stand naturally while both the left and right limbs are scanned together, thus allowing pre-operative planning of both hip and knee replacement surgeries. Surgeons can visualize not only how the femoral head lies within the acetabulum, but also assess alignment between the hip and knee joints in 3D weight bearing positions. As the system uses cone beam CT, the radiation dose of distal extremities is typically a fraction of a comparable conventional CT scans of the same region.

The wide bore of the HiRise allows for continuous scanning along the lower extremity via multiple orbits while the gantry rises and descends along a vertical track. The system can also be tilted horizontally to perform upper extremity scans, as well as for non-weight bearing lower extremity scans via an optional table that allows the patient to remain fully supine during the scanning process. The HiRise system plugs into a standard wall outlet, requires minimal shielding, and is easy to operate.

“CurveBeam’s mission is to be responsive to crucial but unmet diagnostic needs of the specialties it serves, and introduction of the HiRise device is the latest transformational step in that direction,” said Arun Singh, CEO and President of CurveBeam. “This system literally achieves new heights in point of care advanced orthopedic imaging.”

“The HiRise promises to revolutionize our biomechanical understanding of the entire lower extremity, the same way previous generations of CurveBeam’s weight bearing CT systems enabled better investigation into the foot, ankle, and knee,” said Cesar de Cesar Netto, MD, PhD, of the University of Iowa, who is using the HiRise for multiple studies, including examining hip dysplasia in functional positions and evaluating wrist injuries in gymnasts.

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71 (265.12145996094): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (45.061111450195): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (35.04753112793): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

105 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

106 (56.982040405273): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294785908 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294785908 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

109 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

110 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294785908 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (514.98413085938): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294785908 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (533.10394287109): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (316.85829162598): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

115 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

116 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

118 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

119 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

120 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

122 (432.01446533203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785908 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785908 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 400704.86068726): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (82.969665527344): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

126 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

127 (93.936920166016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

128 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

129 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

130 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

131 (435.11390686035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (396.0132598877): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=211

134 (28.848648071289): SELECT name FROM jos_deeppockets WHERE id=211

135 (449.89585876465): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (396.0132598877): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

138 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

139 (293.97010803223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

142 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

143 (982.99980163574): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

144 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

145 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

146 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785908 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785908 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (32.901763916016): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

148 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

149 (32.186508178711): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

151 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785908 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785908 AND published='1' LIMIT 1

152 (33.140182495117): select jos_twitters.link from jos_twitters where cat=10

153 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

154 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

155 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

156 (241.99485778809): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1572.1321105957): insert into jos_banners_delta values (14615,'2025-05-01 17:47:52','18.220.154.82','view'),(14202,'2025-05-01 17:47:52','18.220.154.82','view'),(14203,'2025-05-01 17:47:52','18.220.154.82','view')

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