Patient-specific 3D vertebra models are essential for accurately assessing the spinal deformities quantitatively in 3D and for surgical planning, including determining the optimal implant size and 3D positioning. Calibrated biplanar X-rays serve as an alternative to CT scans to generate the 3D models in a weight-bearing standing position. This paper presents an intensity-based 3D/2D registration method for vertebra statistical shape model (VSSM), incorporating two key elements: the particle-based shape modeling and an image domain transfer for efficient image matching. In the 3D/3D setting, the VSSMs reach a surface reconstruction error of less than 0.5 mm. For 3D reconstruction from biplanar X-rays, the root mean square point-to-surface are 1.05 mm for L1 to L4 vertebrae and 1.6 mm for the L5 vertebra. The particle-based VSSMs offer a significant balance between the model compactness and the reconstruction error, which is advantageous for deformable 3D/2D registration.

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Deformable Vertebra 3D/2D Registration from Biplanar X-Rays Using Particle-Based Shape Modelling

  • Benjamin Aubert,
  • Nawazish Khan,
  • Francis Toupin,
  • Manuela Pacheco,
  • Alan Morris,
  • Shireen Elhabian,
  • Kongbin Kang

摘要

Patient-specific 3D vertebra models are essential for accurately assessing the spinal deformities quantitatively in 3D and for surgical planning, including determining the optimal implant size and 3D positioning. Calibrated biplanar X-rays serve as an alternative to CT scans to generate the 3D models in a weight-bearing standing position. This paper presents an intensity-based 3D/2D registration method for vertebra statistical shape model (VSSM), incorporating two key elements: the particle-based shape modeling and an image domain transfer for efficient image matching. In the 3D/3D setting, the VSSMs reach a surface reconstruction error of less than 0.5 mm. For 3D reconstruction from biplanar X-rays, the root mean square point-to-surface are 1.05 mm for L1 to L4 vertebrae and 1.6 mm for the L5 vertebra. The particle-based VSSMs offer a significant balance between the model compactness and the reconstruction error, which is advantageous for deformable 3D/2D registration.