, Francois Lintz2, Cesar de Cesar Netto3, Alexej Barg4, Arne Burssens5 and Scott Ellis6
KeywordsWeight bearing CT scanCone beam CT scanMusculoskeletal imaging techniques
Beginning of Weight Bearing Computed Tomography Devices
The necessity for weight bearing computed tomography (CT) devices has already been demonstrated in the mid-1990s by Greisberg et al. . This pivotal paper reported on the peritalar subluxation occurring in flatfoot deformities using a simulated weight bearing CT device containing a custom-built loading frame with the patient positioned supine. It soon became a stepping stone for other reports to follow, incorporating a similar setup [2, 3]. Despite these important findings, limitations regarding patient positioning, amount of load, and a high radiation dose were inevitable . This advocated the development toward the weight bearing CT devices currently used in clinical practice.
Foot and Ankle Weight Bearing Computed Tomography Devices
The first weight bearing CT devices were available beginning of the 2010s [5–7]. They incorporate cone beam CT technology, which in essence uses a rotating X-ray to obtain the field of view. It was initially popularized in the dental area, but technical improvements caused it to be widely used across the majority of medical disciplines. The main advantages include a low radiation dose, the absence of superimposition, and a high image resolution. One of the first applications of weight bearing musculoskeletal scanning was dedicated to the foot and ankle [8, 9].