A complete-pelvis segmentation framework for image-free total hip arthroplasty (THA): methodology and clinical study

Background: Complete-pelvis segmentation in antero-posterior pelvic radiographs is required to create a patient-specific three-dimensional pelvis model for surgical planning and postoperative assessment in image-free navigation of total hip arthroplasty. Methods: A fast and robust framework for accu...

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Hauptverfasser: Xie, Weiguo (VerfasserIn) , Franke, Jochen (VerfasserIn) , Grützner, Paul Alfred (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2015
In: The international journal of medical robotics and computer assisted surgery
Year: 2014, Jahrgang: 11, Heft: 2, Pages: 166-180
ISSN:1478-596X
DOI:10.1002/rcs.1619
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1002/rcs.1619
Verlag, Volltext: http://onlinelibrary.wiley.com/doi/10.1002/rcs.1619/abstract
Volltext
Verfasserangaben:Weiguo Xie, Jochen Franke, Cheng Chen, Paul A. Grützner, Steffen Schumann, Lutz-P. Nolte, Guoyan Zheng

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520 |a Background: Complete-pelvis segmentation in antero-posterior pelvic radiographs is required to create a patient-specific three-dimensional pelvis model for surgical planning and postoperative assessment in image-free navigation of total hip arthroplasty. Methods: A fast and robust framework for accurately segmenting the complete pelvis is presented, consisting of two consecutive modules. In the first module, a three-stage method was developed to delineate the left hemi-pelvis based on statistical appearance and shape models. To handle complex pelvic structures, anatomy-specific information processing techniques were employed. As the input to the second module, the delineated left hemi-pelvis was then reflected about an estimated symmetry line of the radiograph to initialize the right hemi-pelvis segmentation. The right hemi-pelvis was segmented by the same three-stage method. Results: Two experiments conducted on respectively 143 and 40 AP radiographs demonstrated a mean segmentation accuracy of 1.61±0.68 mm. A clinical study to investigate the postoperative assessment of acetabular cup orientations based on the proposed framework revealed an average accuracy of 1.2°±0.9° and 1.6°±1.4° for anteversion and inclination, respectively. Delineation of each radiograph costs less than one minute. Conclusions: Despite further validation needed, the preliminary results implied the underlying clinical applicability of the proposed framework for image-free THA. Copyright © 2014 John Wiley & Sons, Ltd. 
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