CN112274137B - Angle measuring tool for evaluating spine imaging - Google Patents

Angle measuring tool for evaluating spine imaging Download PDF

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CN112274137B
CN112274137B CN202011126079.4A CN202011126079A CN112274137B CN 112274137 B CN112274137 B CN 112274137B CN 202011126079 A CN202011126079 A CN 202011126079A CN 112274137 B CN112274137 B CN 112274137B
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movable rod
sliding
angle
rod
movable
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CN112274137A (en
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沈钰
于凤宾
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1071Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring angles, e.g. using goniometers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4566Evaluating the spine

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Abstract

The invention relates to an angle measuring tool for evaluating spine imaging, which comprises a first measuring part and a second measuring part, wherein the first measuring part and the second measuring part are matched with each other; the second measuring part comprises a second movable rod and a second end rod, and the second end rod is perpendicular to the second movable rod; the first movable rod and the second movable rod can slide relatively, the first movable rod can rotate relative to the second movable rod, and an angle device is installed on the first movable rod or the second movable rod. The two measuring pieces are arranged and matched with each other, and the position is adjusted according to different measured angles, so that the device is suitable for measurement of different angles in the iconography, and more angles are met, such as a Cobb angle, a lumbar slip angle, a lumbar anterior convex angle, a lumbosacral posterior convex angle, a lumbosacral angle, a sacrum inclination angle and the like.

Description

Angle measuring tool for evaluating spine imaging
Technical Field
The invention belongs to the field of medical instruments, and relates to an angle measuring tool for spinal imaging evaluation.
Background
The angle involved in spine imaging has important reference value in clinic. For example, the severity of scoliosis is assessed by the size of the Cobb angle, the lumbosacral angle is an important measure of lower lumbar stability, as well as lumbar spondylolisthesis angle, sacral inclination angle, and the like.
Currently, the instrument clinically used for measuring the angle of the spine in the field of imaging is single, for example, the instrument disclosed in chinese patent publication No. CN210541571U on 19/05/2020 of the new type for automatically measuring the scoliosis Cobb angle is only used for measuring the Cobb angle. The measurement of different angles cannot be satisfied.
Disclosure of Invention
The invention aims to provide an angle measuring tool for spinal imaging evaluation, which can be adjusted by measuring angles according to needs and meets the measurement of various angles.
The invention adopts the following technical scheme:
an angle measuring tool for evaluating spine imaging comprises a first measuring part and a second measuring part which are matched with each other, wherein the first measuring part comprises a first movable rod and a first end rod, and the first end rod is perpendicular to the first movable rod; the second measuring part comprises a second movable rod and a second end rod, and the second end rod is perpendicular to the second movable rod; the first movable rod and the second movable rod can slide relatively, the first movable rod can rotate relative to the second movable rod, and an angle device is installed on the first movable rod or the second movable rod.
Among the above-mentioned technical scheme, through setting up two measuring pieces, mutually support, according to the measured angle difference, carry out position control, adapt to the measurement of different angles in the image science. The two measuring pieces can slide back and forth in the length direction of the movable rod, and can rotate relatively, so that more satisfied angles are provided, such as a Cobb angle, a lumbosacral angle, a sacrum inclination angle, a lumbar vertebra slip angle and the like.
Preferably, a penetrating groove is formed in the first movable rod in the length direction, a sliding locking groove which penetrates or does not penetrate is formed in the second movable rod in the length direction, the angle device is provided with a connecting hole, and the first movable rod, the second movable rod and the angle device are in sliding connection through sliding locking pieces.
Among the above-mentioned technical scheme, slide, rotate, locking each other first movable rod, second movable rod, angle ware three realization through a slip retaining member, spare part is few, and simple and convenient and practical is also difficult for damaging.
Preferably, the sliding locking part comprises a sliding head, a locking screw rod and a nut, the sliding head is arranged in the sliding locking groove and can slide along the sliding locking groove, the locking screw rod is vertically connected to the sliding head, the nut is matched with the locking screw rod to realize locking, the locking screw rod penetrates through the penetrating groove of the first movable rod, the connecting hole of the angle device and extends out of the connecting hole in sequence through the sliding locking groove of the second movable rod, and the nut is located on the locking screw rod outside the connecting hole.
Preferably, the cross section of the sliding head is square, the sliding head can slide in the sliding locking groove but cannot rotate, locking operation is facilitated, and the locking screw is cylindrical and facilitates rotation of the first movable rod and the angle gauge.
Preferably, a first sliding groove is formed in the first movable rod in the length direction, a second sliding groove is formed in the second movable rod in the length direction, and the first movable rod is connected with the second movable rod in a sliding mode through a sliding piece, the first sliding groove and the second sliding groove.
Preferably, the sliding part comprises a first sliding head which is limited in the first sliding groove and can move along the first sliding groove and a second sliding head which is limited in the second sliding groove and can move along the second sliding groove, and the first sliding head and the second sliding head are in an integral structure or can be detachably connected.
Preferably, the first measuring member is T-shaped, and the second measuring member is L-shaped.
Preferably, the first end bar is located at one end of the first movable bar, and the second end bar is located at one end of the second movable bar.
Preferably, the first movable rod, the first end rod, the second movable rod and the second end rod are all provided with scale marks.
Preferably, the first measuring member and the second measuring member are made of transparent plastic materials.
Preferably, the protractor is an electronic protractor, and the electronic protractor is slidably mounted on the first movable rod or the second movable rod located at the upper portion.
Preferably, an installation groove for installing the electronic protractor is arranged on the first movable rod, the installation groove and the first sliding groove are positioned on the opposite side of the first movable rod, and the electronic protractor is installed in the installation groove in a sliding mode through a sliding block arranged at the bottom of the electronic protractor.
Preferably, the electronic protractor comprises a first protractor, a second protractor and a reader, wherein the first protractor, the second protractor and the reader are sequentially arranged from bottom to top, a locking screw is arranged at the near end of the first protractor, and the first protractor can be locked with the mounting groove through the locking screw.
Preferably, the sliding block is cylindrical, and the sliding block can drive the electronic angle device to slide along the mounting groove and also drive the electronic angle device to rotate in the horizontal direction, so that the measurement requirements of different angles are met.
Through the implementation of the technical scheme, the invention has the following beneficial effects: the angle measuring tool provided by the invention can be suitable for measuring various angles such as a Cobb angle, a lumbar vertebra slip angle, a lumbar vertebra anterior convex angle, a sacral vertebra posterior convex angle, a lumbosacral angle, a sacrum inclination angle and the like, greatly facilitates the measurement of spinal imaging angles, and is simple in structure and convenient to operate.
Drawings
FIG. 1 is a schematic structural diagram of an embodiment of the present invention;
FIG. 2 is a schematic view of the first measuring member of FIG. 1;
FIG. 3 is a schematic view of a second measuring member and slide member of FIG. 1;
FIG. 4 is a schematic view of the connection of a first measuring member and a second measuring member;
FIG. 5 is a schematic structural diagram of another embodiment of the present invention;
fig. 6 is a schematic view of the electronic protractor shown in fig. 5;
FIG. 7 is a schematic representation of the measurement of the Cobb angle using the measurement tool of the present invention;
FIG. 8 is a schematic view of a lumbosacral angle measurement using the measurement tool of the present invention;
FIG. 9 is a schematic view of a sacral tilt angle measurement using the measurement tool of the present invention;
FIG. 10 is a schematic view of measuring the angle of lumbar spondylolisthesis using the measuring tool of the present invention;
FIG. 11 is a schematic structural diagram of another embodiment of the present invention;
FIG. 12 is a schematic view of a sliding lock in accordance with an embodiment of the present invention.
Detailed Description
The invention will be further explained with reference to the drawings.
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
An angle measuring tool for spinal imaging assessment includes a first measuring member 10 and a second measuring member 20 that cooperate to measure different angles, such as the Cobb angle, the lumbosacral angle, the sacral inclination angle, etc., by adjusting the relative positions of the two measuring members. The two measuring pieces are made of transparent plastic materials and are similar to a common ruler.
The first measuring member 10 includes a first movable rod 101 and a first end rod 102, the first end rod 102 is perpendicular to the first movable rod 101, and the first end rod 102 is located at an end of the first movable rod 101 or a position close to the end, and is disposed at the end and integrated with the first movable rod 101, and the first end rod 102 and the first movable rod 101 form a "T" shape.
The second measuring member 20 includes a second movable rod 201 and a second end rod 202, the second end rod 202 is perpendicular to the second movable rod 201, similarly, the second end rod 202 is located at an end of the second movable rod 201 or a position close to the end, and is disposed at the end and integrated with the second movable rod 201, and the second end rod 202 and the second movable rod 201 form an "L" shape.
The first movable rod 101 and the second movable rod 201 can slide relatively, and the first movable rod 101 can rotate relative to the second movable rod 201 to adjust the relative positions of the two measuring parts, and the specific structure is as follows:
the first movable rod 101 is provided with a first sliding groove 103 which is not penetrated in the length direction, the second movable rod 201 is provided with a second sliding groove 203 in the length direction, and the first movable rod 101 and the second movable rod 201 are connected with the first sliding groove 103 and the second sliding groove 203 in a sliding manner through a sliding part 40. The slider 40 includes a first slider head confined in the first runner 103 and movable along the first runner 103 and a second slider head confined in the second runner 203 and movable along the second runner 203, "confined" means defined in the depth direction of the corresponding runner, i.e., not pulled out. The two sliding heads can also be made of plastic materials, the sliding part 40 is in a dumbbell shape, the sliding heads at two ends and the connecting neck in the middle form a whole, and the sliding heads are in a cylindrical structure, so that the sliding heads are smoother during moving and can rotate in corresponding sliding grooves, and the sliding and the rotating between the first movable rod 101 and the second movable rod 201 are realized. The middle between the first sliding head and the second sliding head is provided with a connecting neck with a slightly smaller diameter, and the length of the connecting neck is determined by that the first movable rod 101 and the second movable rod 201 are just not contacted.
The first movable rod 101 is provided with the angle device 30, the angle device 30 can slide along the first movable rod 101, a structure similar to a sliding part is arranged on the lower surface of the angle device 30, a sliding head at one end of the sliding device is connected in a groove formed on the upper surface of the first movable rod 101 in a sliding mode, and the other end of the sliding device and the angle device 30 are welded into a whole. The vertex of the angle measured by the angle gauge 30 is the intersection point of the first movable rod and the second movable rod, the sides of the measured angle, i.e. the initial side and the final side, are respectively corresponding to the central line in the long axis direction of the first movable rod and the central line in the long axis direction of the second movable rod, (the first movable rod and the second movable rod are both thin cuboids, the central lines are not shown in the figure, and on the actual product, the central lines are drawn on the surfaces of the first movable rod and the second movable rod or on the corresponding groove bottoms), wherein the zero scale mark of the angle gauge 30 is aligned to the initial side of the measured angle, and the degree of the scale mark indicated by the final side of the angle gauge is used as the measurement result. (in the specific measurement, the first movable rod can be used as the initial edge and the second movable rod as the final edge, or the second movable rod can be used as the initial edge and the first movable rod as the final edge according to the actually measured position and angle).
In another embodiment, the angle device 30 may also be directly connected to the sliding member 40, a through slot is formed on the first movable rod 101, the lower surface of the angle device 30 is connected to a first sliding head of the sliding member 40 through a connecting column, and the connecting column, the angle device 30 and the first sliding head may be connected by welding, gluing, or the like.
Example 2:
the difference from embodiment 1 is that the first movable bar 101 is located below the second movable bar 201, the angle gauge 30 is mounted on the second movable bar 201, and the mounting structure is the same as embodiment 1. And scale lines are marked on the first and second movable bars 101 and 201.
Example 3:
the difference from embodiment 1 is that the angle gauge 30 is an electronic angle gauge, as shown in fig. 5, the electronic angle gauge is slidably mounted on the first movable rod 101 or the second movable rod 201 in the same manner as the electronic angle gauge is mounted on the first movable rod 101 in the following manner: the first movable rod 101 is provided with an installation groove 104 for installing an electronic protractor, the installation groove 104 and the first sliding groove are positioned on the opposite side of the first movable rod 101, the electronic protractor is installed in the installation groove 104 in a sliding manner through a sliding block arranged at the bottom of the electronic protractor, the sliding block structure is slightly different from the sliding block 40 of the connecting structure between the first movable rod 101 and the second movable rod 201, only the lower end of the connecting neck is provided with a sliding head, and the sliding head can slide along the installation groove 104. The electron protractor includes first protractor 301, second protractor 302 and reading display screen 303 that set gradually from supreme down, and this structure is the same with current electron protractor, and the difference is: the first angle square 301, the second angle square 302 and the reading display screen 303 are correspondingly provided with connecting holes 30a, the connecting neck extends out of the connecting holes 30a of the reading display screen 303, threads are arranged on the connecting neck, and locking is carried out through nut matching. In addition, the front ends of the first angle square 301 and the second angle square 302 are set to be in a finger needle shape, so that the indication is convenient, the parallel indication of the first angle square 301 corresponds to the central line of the long axis direction of the first movable rod 101, the parallel indication of the second angle square 302 corresponds to the central line of the long axis direction of the second movable rod 201, the included angle formed by the first angle square 301 and the second angle square 302, namely the measured corresponding included angle of the first movable rod 101 and the second movable rod 201, is displayed on the electronic reading display screen 303 (the first movable rod 101 and the second movable rod 201 are both flat rectangular bodies).
The Cobb angle was measured using the measurement tool of example 1, drawing a transverse line at the upper edge of the vertebral body of the superior vertebra, and likewise drawing a transverse line at the lower edge of the vertebral body of the inferior vertebra. A vertical line is formed for each of the two horizontal lines.
The intersection angle of the two perpendicular lines is the Cobb angle. Note that for larger lateral bends, the direct intersection angle of the two transverse lines is also equivalent to the Cobb angle, from which the angle of the lateral bend is measured. The schematic diagram of the measurement is shown in FIG. 7.
If the Cobb angle is less than 25 degrees, no surgical treatment is needed, the posture correction action training can be performed under the guidance of a rehabilitation therapist, and the follow-up is performed every 4-6 months for dynamic observation; if 25 degrees < Cobb angle <50 degrees, a brace treatment is recommended; if the Cobb angle is >50 degrees, surgical treatment is recommended.
The lumbosacral angle, which is the angle formed by the horizontal line and the superior endplate of S1 and is normally 41.1 + -7.7 degrees, was measured using the measurement tool of example 1. The lumbosacral angle of a slightly larger female is greatly different among different individuals, and generally the x-ray lateral position plate should not exceed 45 degrees, and the lumbosacral instability can be caused when the x-ray lateral position plate exceeds the value, for example, the lumbosacral instability is clinically called as the horizontal sacrum when the angle reaches 60-70 degrees. Lumbago or sacral pain often occurs clinically. The schematic diagram of the measurement is shown in figure 8.
The sacral inclination angle, which is the angle between the posterior edge of the sacrum and the horizontal vertical line, was measured using the measurement tool of example 3, and was less than 30 ° normal, greater than 30 °, indicating the risk of spondylolisthesis progression. The schematic diagram of the measurement is shown in figure 9.
The lumbar spondylolisthesis angle was measured using the measurement tool of example 3, which is the angle between the parallel to the inferior border of the spondylolisthesis and the perpendicular to the posterior border of S1, with a normal value of less than 10 ° and greater than 10 °, indicating the risk of spondylolisthesis progression. The schematic diagram of the measurement is shown in the attached FIG. 10.
Example 4:
an angle measuring tool for spinal imaging assessment includes a first measuring member 10 and a second measuring member 20 that cooperate to measure different angles, such as the Cobb angle, the lumbosacral angle, etc., by adjusting the relative positions of the two measuring members. The two measuring pieces are made of transparent plastic materials and are similar to a common ruler.
The first measuring member 10 includes a first movable rod 101 and a first end rod 102, the first end rod 102 is perpendicular to the first movable rod 101, and the first end rod 102 is located at an end of the first movable rod 101 or a position close to the end, and is disposed at the end and integrated with the first movable rod 101, and the first end rod 102 and the first movable rod 101 form a "T" shape.
The second measuring member 20 includes a second movable rod 201 and a second end rod 202, the second end rod 202 is perpendicular to the second movable rod 201, similarly, the second end rod 202 is located at an end of the second movable rod 201 or a position close to the end, and is disposed at the end and integrated with the second movable rod 201, and the second end rod 202 and the second movable rod 201 form an "L" shape.
The electronic protractor 30 is mounted on the first movable rod 101, the first movable rod 101 and the second movable rod 201 can slide relatively, the first movable rod 101 can rotate relative to the second movable rod 201 to adjust the relative positions of the two measuring members, and the electronic protractor 30 can also slide and rotate along the first movable rod 101, and the specific structure is as shown in fig. 11:
the length direction of the first movable rod 101 is provided with a through groove 101a, the length direction of the second movable rod 201 is provided with a through sliding locking groove 201a, the electronic protractor 30 is provided with a connecting hole 30a, and the first movable rod 101, the second movable rod 201 and the electronic protractor 30 are connected in a sliding manner through a sliding locking piece 60.
The sliding locking member 60 can be made of plastic materials or other materials, and comprises a sliding head 601 which is positioned in the sliding locking groove 201a and can slide along the sliding locking groove 201a, a locking screw 602 vertically connected to the sliding head 601 and a nut 603 matched with the locking screw 602 to realize locking, wherein the sliding head 601 is in a square or cuboid shape, and is in smooth transition at the junction of the surface and the face, so that the sliding head can conveniently slide in the sliding locking groove 201 a. The bottom of the sliding head 601 is flush with the lower surface of the second movable bar 210. The locking screw 602 is cylindrical and is integrally structured with the sliding head 601 or welded to the sliding head 601, the sliding locking groove 201a of the second movable rod 201 sequentially penetrates through the through groove 101a of the first movable rod 101, the connecting hole 30a of the electronic protractor 30 and extends out of the connecting hole 30a, the nut 603 is located on the locking screw 602 outside the connecting hole 30a, and the locking screw 602 and the connecting hole are in threaded connection to adjust the locking degree.
The electron protractor includes first protractor 301, second protractor 302 and reading display screen 303 that set gradually from supreme down, and this structure is the same with current electron protractor, and the difference is: the first angle square 301, the second angle square 302 and the reading display screen 303 are correspondingly provided with connecting holes 30a for the locking screw 602 to pass through. In addition, the front ends of the first and second angle gauges 301 and 302 are formed in a finger-like shape for easy indication. The first angle square 301 indicates the center line of the first movable rod 101 in the long axis direction in parallel, the second angle square 302 indicates the center line of the second movable rod 201 in the long axis direction in parallel, the 1 st angle square 301 and the second angle square 302 form an included angle, namely, the included angle measured by the first movable rod 101 and the second movable rod 201 corresponds to the included angle, and the result is displayed on the electronic reading display 303. (the first movable bar 101 and the second movable bar 201 are both rectangular solids).
When the adjustment of the tool is required to be loosened, the nut is rotated to enable the first movable rod 101, the second movable rod 201 and the electronic protractor 30 to be loosened, and the nut is screwed up after the first movable rod 101, the second movable rod 201 and the electronic protractor 30 are adjusted to a proper position in a sliding and rotating mode according to the angle to be measured, so that the first movable rod 101, the second movable rod 201 and the electronic protractor 30 are tightly pressed and locked, and the locking of the three is achieved.
Example 5:
when the first end rod 102 or the second end rod 202 is provided with a groove, and a horizontal bubble is arranged in the groove, for example, when the sacrum inclination angle is measured, whether the first end rod 102 is in a horizontal state needs to be judged, and the horizontal bubble is arranged to help the judgment and reduce the error of artificial judgment. It is also possible to mount both the first end bar 102 and the second end bar 202 at the same time.

Claims (8)

1. An angle measuring tool for evaluating spine imaging is characterized by comprising a first measuring part and a second measuring part which are matched with each other, wherein the first measuring part comprises a first movable rod and a first end rod, and the first end rod is perpendicular to the first movable rod; the second measuring part comprises a second movable rod and a second end rod, and the second end rod is perpendicular to the second movable rod; the first movable rod and the second movable rod can slide relatively, the first movable rod can rotate relative to the second movable rod, and an angle device is arranged on the first movable rod or the second movable rod; a first sliding groove is formed in the length direction of the first movable rod, a second sliding groove is formed in the length direction of the second movable rod, and the first movable rod and the second movable rod are in sliding connection through a sliding piece, the first sliding groove and the second sliding groove;
or a penetrating through groove is formed in the length direction of the first movable rod, a penetrating or non-penetrating sliding locking groove is formed in the length direction of the second movable rod, a connecting hole is formed in the angle device, and the first movable rod, the second movable rod and the angle device are in sliding connection through sliding locking pieces.
2. The angle measuring tool of claim 1, wherein the sliding member comprises a first sliding head constrained within and movable along the first sliding slot and a second sliding head constrained within and movable along the second sliding slot, and the first sliding head and the second sliding head are integrally formed or detachably connected.
3. The angle measuring tool for evaluation of spine imaging according to claim 1, wherein the sliding locking member comprises a sliding head which is arranged in the sliding locking groove and can slide along the sliding locking groove, a locking screw rod which is vertically connected to the sliding head, and a nut which is matched with the locking screw rod to realize locking, the locking screw rod sequentially passes through the through groove of the first movable rod, the connecting hole of the angle gauge and extends out of the connecting hole from the sliding locking groove of the second movable rod, and the nut is positioned on the locking screw rod outside the connecting hole.
4. The angle measurement tool of claim 3, wherein the sliding head has a square cross-section.
5. The angle measuring tool of claim 1, wherein the first measuring member is "T" shaped and the second measuring member is "L" shaped.
6. The angle measurement tool of claim 1, wherein the first end bar is located at one of the ends of the first movable bar and the second end bar is located at one of the ends of the second movable bar.
7. The angle measurement tool of claim 1, wherein the first movable bar, the first end bar, the second movable bar, and the second end bar are provided with graduation marks.
8. The angle measuring tool of claim 1, wherein the first and second measuring members are made of a transparent plastic material.
CN202011126079.4A 2020-10-20 2020-10-20 Angle measuring tool for evaluating spine imaging Active CN112274137B (en)

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CN113951874B (en) * 2021-10-25 2023-12-26 中国科学院长春光学精密机械与物理研究所 Scoliosis risk assessment system
CN117379036A (en) * 2023-12-07 2024-01-12 北京维卓致远医疗科技发展有限责任公司 Scoliosis measurement system and equipment

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JP2013076686A (en) * 2011-09-29 2013-04-25 Haruaki Furuta Extend goniometer
CN207036002U (en) * 2017-07-09 2018-02-23 丁秀菊 A kind of Novel radiographic image scale
CN109350291A (en) * 2018-11-22 2019-02-19 四川大学 Dental implant surgery implant axial angle measuring device and analysis measurement method

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WO2006049057A1 (en) * 2004-11-01 2006-05-11 Nihon University Human body backbone measuring/displaying system

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2013076686A (en) * 2011-09-29 2013-04-25 Haruaki Furuta Extend goniometer
CN207036002U (en) * 2017-07-09 2018-02-23 丁秀菊 A kind of Novel radiographic image scale
CN109350291A (en) * 2018-11-22 2019-02-19 四川大学 Dental implant surgery implant axial angle measuring device and analysis measurement method

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