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A method for automated masking and plantar pressure analysis using segmented computed tomography scans.
Lynda M Brady1, Corey Wukelic2, William R Ledoux3
1VA RR& D Center for Limb Loss and MoBility (CLiMB), Seattle, WA 98108, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA 98195, USA.
Gait & Posture
|April 24, 2024
Summary
A new computed tomography (CT)-based method for analyzing plantar pressure is comparable to commercial software. This CT-based approach offers flexibility for deeper insights into foot biomechanics and injury risk assessment.
Area of Science:
- Biomechanics
- Medical Imaging
- Gait Analysis
Background:
- Plantar pressure analysis is crucial for gait and foot biomechanics.
- Commercial software is typically used, often referencing bony geometry.
- Advanced imaging like CT enables more detailed bone analysis in biomechanics.
Purpose of the Study:
- To determine if CT-based regional masks provide comparable plantar pressure analysis to commercial software.
- To assess if an in-house CT-based method offers additional insights beyond common measurements.
Main Methods:
- Developed a CT-based plantar pressure analysis method using bony geometry.
- Calculated peak pressure, pressure time integral, force time integral, and pressure gradient.
- Acquired static and dynamic plantar pressure data from four subjects.
Main Results:
- CT-based analysis showed comparable results to commercial software, with minor differences in key metrics.
- Regional masks differed due to subject-specific bone geometry.
- Inclusion of sub-peak pressures and static frames altered pressure patterns and locations.
Conclusions:
- CT-based regional masks are a viable alternative to commercial options.
- Incorporating static frames and sub-peak data refines plantar pressure analysis.
- Identifying differences in pressure gradients and peak locations aids in assessing injury risk.

