Oura Keiichiro, Otake Yoshito, Shigi Atsuo, Yokota Futoshi, Murase Tsuyoshi, Sato Yoshinobu
Department of Orthopaedic Surgery, Japan Community Health care Organization Osaka Hospital, Osaka, Japan.
Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Int J Med Robot. 2017 Sep;13(3). doi: 10.1002/rcs.1807. Epub 2017 Feb 17.
Computer-assisted corrective osteotomy using a mirror image of the normal contralateral shape as reference is increasingly used. Instead, we propose to use the shape predicted by statistical learning to deal with cases demonstrating bilateral abnormality, such as bilateral trauma, congenital disease, and metabolic disease.
Computed tomography (CT) scans of 100 normal forearms were used in this study. The whole bone shape was predicted from its partial shape based on statistical learning of the other 99 bones. Accuracy was evaluated by average symmetric surface distance (ASD), and translational and rotational errors.
ASDs for predicted shapes were 0.71-1.03 mm. Mean absolute translational and rotational errors were 0.48-1.76 mm and 0.99-6.08°, respectively.
Normal bone shape was predicted with an acceptable accuracy from its partial shape using statistical learning. Predicted shape can be an alternative to a mirror image, which may enable reduced radiation exposure and examination costs.
越来越多地使用以正常对侧形状的镜像为参考的计算机辅助矫正截骨术。相反,我们建议使用统计学习预测的形状来处理表现出双侧异常的病例,如双侧创伤、先天性疾病和代谢性疾病。
本研究使用了100例正常前臂的计算机断层扫描(CT)图像。基于对其他99块骨骼的统计学习,从其局部形状预测整个骨骼形状。通过平均对称表面距离(ASD)以及平移和旋转误差评估准确性。
预测形状的ASD为0.71 - 1.03毫米。平均绝对平移和旋转误差分别为0.48 - 1.76毫米和0.99 - 6.08°。
使用统计学习从其局部形状预测正常骨骼形状具有可接受的准确性。预测形状可以替代镜像,这可能会减少辐射暴露和检查成本。