使用可变形关节模型从双平面射线图像快速重建脊柱。

Fast 3D reconstruction of the spine from biplanar radiographs using a deformable articulated model.

机构信息

Departamento de Engenharia Informática, Faculdade Engenharia, Universidade do Porto, Porto, Portugal.

出版信息

Med Eng Phys. 2011 Oct;33(8):924-33. doi: 10.1016/j.medengphy.2011.03.007. Epub 2011 Apr 9.

Abstract

This paper proposes a novel method for fast 3D reconstructions of the scoliotic spine from two planar radiographs. The method uses a statistical model of the shape of the spine for computing the 3D reconstruction that best matches the user input (about 7 control points per radiograph). In addition, the spine was modelled as an articulated structure to take advantage of the dependencies between adjacent vertebrae in terms of location, orientation and shape. The accuracy of the method was assessed for a total of 30 patients with mild to severe scoliosis (Cobb angle [22°, 70°]) by comparison with a previous validated method. Reconstruction time was 90 s for mild patients, and 110 s for severe. Results show an accuracy of ∼0.5mm locating vertebrae, while orientation accuracy was up to 1.5° for all except axial rotation (3.3° on moderate and 4.4° on severe cases). Clinical indices presented no significant differences to the reference method (Wilcoxon test, p ≤ 0.05) on patients with moderate scoliosis. Significant differences were found for two of the five indices (p=0.03) on the severe cases, while errors remain within the inter-observer variability of the reference method. Comparison with state-of-the-art methods shows that the method proposed here generally achieves superior accuracy while requiring less reconstruction time, making it especially appealing for clinical routine use.

摘要

本文提出了一种从两张平面射线照片快速重建脊柱侧凸的新方法。该方法使用脊柱形状的统计模型来计算与用户输入(每张射线照片约 7 个控制点)最佳匹配的 3D 重建。此外,脊柱被建模为一个铰接结构,以利用相邻椎骨在位置、方向和形状方面的依赖性。通过与以前验证过的方法进行比较,对总共 30 名轻度至重度脊柱侧凸(Cobb 角 [22°,70°])患者的方法准确性进行了评估。对于轻度患者,重建时间为 90 秒,对于重度患者,重建时间为 110 秒。结果表明,定位椎骨的准确性约为 0.5 毫米,而除轴向旋转外(中度病例为 3.3°,重度病例为 4.4°),方向精度高达 1.5°。对于中度脊柱侧凸患者,临床指标与参考方法(Wilcoxon 检验,p≤0.05)无显著差异。在 5 项指标中的 2 项指标(p=0.03)上,严重病例存在显著差异,而误差仍在参考方法的观察者间变异性范围内。与最先进的方法相比,本文提出的方法通常具有更高的准确性,同时需要更少的重建时间,特别适合临床常规使用。

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